| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
46,923 |
36,550 |
$2.13M |
| 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 |
2,857 |
2,286 |
$61K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,539 |
22,181 |
$38K |
| 90832 |
Psychotherapy, 30 minutes with patient |
989 |
934 |
$31K |
| 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 |
518 |
518 |
$11K |
| 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 |
216 |
209 |
$5K |
| 81002 |
|
1,829 |
1,739 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,467 |
1,428 |
$3K |
| 99243 |
|
185 |
179 |
$3K |
| 90686 |
|
714 |
714 |
$2K |
| 59425 |
|
70 |
46 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
279 |
267 |
$1K |
| 90756 |
|
440 |
439 |
$958.28 |
| 85018 |
|
1,746 |
1,736 |
$813.38 |
| 92081 |
|
700 |
699 |
$769.64 |
| 92551 |
|
860 |
858 |
$615.32 |
| 81025 |
|
55 |
54 |
$505.06 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
70 |
67 |
$461.61 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
28 |
$411.60 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
185 |
183 |
$391.52 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
125 |
122 |
$366.10 |
| 99242 |
|
31 |
30 |
$333.89 |
| 90648 |
|
113 |
113 |
$317.16 |
| 90670 |
|
150 |
150 |
$294.71 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
220 |
220 |
$161.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
130 |
130 |
$153.38 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
81 |
81 |
$153.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
295 |
295 |
$141.49 |
| 90633 |
|
58 |
58 |
$99.00 |
| 82962 |
|
442 |
407 |
$84.46 |
| 90715 |
|
13 |
13 |
$54.00 |
| 90649 |
|
114 |
114 |
$38.13 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
29 |
29 |
$36.58 |
| 90680 |
|
28 |
28 |
$36.00 |
| 93000 |
|
25 |
24 |
$4.46 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
31 |
30 |
$4.46 |
| 90688 |
|
95 |
95 |
$0.00 |
| 90723 |
|
15 |
15 |
$0.00 |
| 86580 |
|
26 |
26 |
$0.00 |
| 90710 |
|
25 |
25 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$0.00 |
| 90734 |
|
45 |
45 |
$0.00 |
| 90700 |
|
24 |
24 |
$0.00 |