| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
73,063 |
59,289 |
$17.99M |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
6,554 |
4,655 |
$756K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42,643 |
29,399 |
$72K |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
334 |
330 |
$36K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,653 |
4,654 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24,231 |
19,446 |
$22K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
526 |
470 |
$2K |
| 99215 |
Prolong outpt/office vis |
471 |
409 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,756 |
1,369 |
$2K |
| 29581 |
|
554 |
143 |
$411.12 |
| 99201 |
|
94 |
93 |
$391.96 |
| 90677 |
|
70 |
59 |
$302.59 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
193 |
178 |
$192.36 |
| 3008F |
|
5,795 |
5,147 |
$186.24 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,675 |
2,995 |
$97.11 |
| 90686 |
|
456 |
370 |
$49.10 |
| 90715 |
|
75 |
56 |
$42.31 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
732 |
576 |
$31.76 |
| 92250 |
|
129 |
101 |
$9.18 |
| 1160F |
|
9,415 |
8,122 |
$0.00 |
| 1159F |
|
11,538 |
9,559 |
$0.00 |
| 99442 |
|
395 |
378 |
$0.00 |
| 3078F |
|
836 |
783 |
$0.00 |
| 11721 |
|
264 |
245 |
$0.00 |
| 3077F |
|
154 |
141 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
216 |
173 |
$0.00 |
| 90734 |
|
14 |
12 |
$0.00 |
| 11719 |
|
15 |
15 |
$0.00 |
| 81003 |
|
75 |
56 |
$0.00 |
| 90653 |
|
19 |
19 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
12 |
12 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
335 |
300 |
$0.00 |
| 3074F |
|
632 |
599 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,508 |
892 |
$0.00 |
| 3079F |
|
277 |
255 |
$0.00 |
| 3075F |
|
252 |
232 |
$0.00 |
| 99443 |
|
744 |
726 |
$0.00 |
| 90656 |
|
125 |
100 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$0.00 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
30 |
28 |
$0.00 |
| 3044F |
|
36 |
31 |
$0.00 |
| 90674 |
|
15 |
15 |
$0.00 |