| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
19,648 |
16,241 |
$3.03M |
| 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 |
6,651 |
5,569 |
$310K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,393 |
9,806 |
$193K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,500 |
8,238 |
$88K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,164 |
1,914 |
$46K |
| 90832 |
Psychotherapy, 30 minutes with patient |
89 |
65 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
102 |
89 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
116 |
98 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
115 |
97 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
638 |
615 |
$1K |
| 90756 |
|
299 |
288 |
$1K |
| 99441 |
|
121 |
108 |
$623.18 |
| 99442 |
|
38 |
37 |
$527.68 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$525.25 |
| 82962 |
|
731 |
648 |
$416.41 |
| 99000 |
|
25 |
25 |
$308.65 |
| G0008 |
Administration of influenza virus vaccine |
248 |
243 |
$132.82 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
226 |
219 |
$119.09 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
30 |
30 |
$90.03 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
29 |
29 |
$59.44 |
| 81002 |
|
664 |
616 |
$52.23 |
| 90686 |
|
79 |
78 |
$34.55 |
| 90694 |
|
67 |
61 |
$25.60 |
| 94760 |
|
2,065 |
1,829 |
$21.27 |
| 96160 |
|
25 |
25 |
$0.00 |
| 90653 |
|
16 |
16 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
26 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
98 |
81 |
$0.00 |
| 91312 |
|
12 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
36 |
36 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
25 |
24 |
$0.00 |
| 91322 |
|
14 |
13 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
349 |
341 |
$0.00 |
| 90656 |
|
50 |
49 |
$0.00 |
| 90677 |
|
14 |
14 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
12 |
12 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
52 |
39 |
$0.00 |
| 90480 |
|
13 |
13 |
$0.00 |