| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
135,737 |
120,566 |
$20.36M |
| 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 |
3,594 |
2,699 |
$153K |
| 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 |
586 |
522 |
$39K |
| 0002A |
|
181 |
180 |
$12K |
| 0012A |
|
61 |
61 |
$4K |
| 0001A |
|
78 |
77 |
$4K |
| 0011A |
|
57 |
57 |
$4K |
| 0064A |
|
14 |
14 |
$938.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,296 |
34,228 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,998 |
17,151 |
$0.00 |
| 99384 |
|
46 |
46 |
$0.00 |
| 90723 |
|
51 |
51 |
$0.00 |
| 99381 |
|
24 |
24 |
$0.00 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
2,952 |
2,114 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,959 |
2,956 |
$0.00 |
| 90656 |
|
1,476 |
1,476 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
50 |
50 |
$0.00 |
| 85018 |
|
570 |
569 |
$0.00 |
| 90651 |
|
271 |
271 |
$0.00 |
| 92551 |
|
1,906 |
1,903 |
$0.00 |
| 90647 |
|
110 |
110 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
271 |
271 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,462 |
1,271 |
$0.00 |
| 99383 |
|
79 |
79 |
$0.00 |
| 90620 |
|
15 |
15 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
19 |
19 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
45 |
43 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
98 |
98 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90474 |
|
14 |
14 |
$0.00 |
| Z6402 |
|
14 |
14 |
$0.00 |
| 90686 |
|
14 |
14 |
$0.00 |
| 99000 |
|
16 |
16 |
$0.00 |
| 99385 |
|
21 |
21 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
1,017 |
1,015 |
$0.00 |
| 81025 |
|
194 |
194 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,534 |
1,534 |
$0.00 |
| 98940 |
|
2,138 |
1,524 |
$0.00 |
| Z6400 |
|
481 |
460 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,069 |
1,067 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,096 |
2,952 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,691 |
9,044 |
$0.00 |
| 99173 |
|
1,794 |
1,793 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
106 |
106 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
325 |
325 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
522 |
522 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,539 |
1,538 |
$0.00 |
| 90670 |
|
213 |
213 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
389 |
388 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
161 |
159 |
$0.00 |
| 90715 |
|
63 |
63 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
172 |
172 |
$0.00 |
| 90734 |
|
108 |
108 |
$0.00 |
| 90633 |
|
89 |
89 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
109 |
109 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
59 |
58 |
$0.00 |
| 90662 |
|
14 |
14 |
$0.00 |
| 99382 |
|
50 |
50 |
$0.00 |
| 81003 |
|
164 |
164 |
$0.00 |
| 90681 |
|
13 |
13 |
$0.00 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
294 |
253 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12 |
12 |
$0.00 |
| Z6414 |
|
16 |
16 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
12 |
12 |
$0.00 |
| Z6300 |
|
14 |
14 |
$0.00 |