| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
40,037 |
33,207 |
$5.64M |
| 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 |
7,991 |
7,091 |
$236K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
706 |
698 |
$92K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
500 |
496 |
$64K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
294 |
294 |
$46K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
284 |
279 |
$37K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
2,678 |
2,426 |
$32K |
| 99173 |
|
1,724 |
1,702 |
$28K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,926 |
2,885 |
$26K |
| 80305 |
|
2,947 |
2,440 |
$26K |
| 90677 |
|
141 |
141 |
$20K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
484 |
476 |
$17K |
| 90686 |
|
1,734 |
1,732 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,609 |
1,590 |
$15K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,814 |
1,775 |
$15K |
| 92551 |
|
1,479 |
1,461 |
$14K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
93 |
93 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
81 |
74 |
$10K |
| 90688 |
|
788 |
788 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
465 |
434 |
$10K |
| 82947 |
|
3,268 |
2,952 |
$10K |
| 90715 |
|
372 |
372 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,419 |
2,394 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
526 |
517 |
$7K |
| 90461 |
|
1,039 |
1,029 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
780 |
703 |
$6K |
| 0124A |
|
81 |
81 |
$2K |
| 99188 |
|
86 |
86 |
$2K |
| 81002 |
|
781 |
760 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,692 |
4,260 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
21 |
20 |
$2K |
| 85018 |
|
564 |
558 |
$1K |
| 81025 |
|
169 |
165 |
$1K |
| 90746 |
|
13 |
13 |
$871.78 |
| 88142 |
|
40 |
40 |
$712.79 |
| 99201 |
|
12 |
12 |
$414.72 |
| 36416 |
|
614 |
496 |
$398.01 |
| 93000 |
|
26 |
26 |
$383.75 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
26 |
$289.38 |
| 90651 |
|
211 |
208 |
$280.00 |
| 90662 |
|
37 |
37 |
$55.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
17 |
17 |
$8.83 |
| 91307 |
|
38 |
25 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,870 |
1,784 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
42 |
42 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
87 |
87 |
$0.00 |
| 90619 |
|
25 |
25 |
$0.00 |
| 90734 |
|
56 |
56 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
13 |
13 |
$0.00 |
| 90661 |
|
62 |
62 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 91312 |
|
12 |
12 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$0.00 |