| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,058 |
11,195 |
$770K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
95,999 |
76,365 |
$358K |
| 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 |
952 |
829 |
$33K |
| 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 |
702 |
622 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,015 |
1,008 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
988 |
986 |
$11K |
| 99243 |
|
335 |
334 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
728 |
721 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
372 |
361 |
$7K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
200 |
148 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
236 |
234 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
356 |
303 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,664 |
1,524 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
72 |
72 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
247 |
210 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,911 |
1,610 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
44 |
42 |
$574.32 |
| 99386 |
|
18 |
17 |
$373.86 |
| 99242 |
|
12 |
12 |
$258.28 |
| 92551 |
|
2,670 |
2,645 |
$125.76 |
| 81002 |
|
3,286 |
2,986 |
$49.28 |
| 85018 |
|
4,081 |
4,011 |
$48.66 |
| 90649 |
|
572 |
569 |
$45.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
31 |
27 |
$39.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,230 |
2,799 |
$39.28 |
| 90688 |
|
1,838 |
1,773 |
$38.44 |
| 90756 |
|
181 |
176 |
$34.91 |
| 99173 |
|
173 |
173 |
$32.64 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
32 |
25 |
$22.40 |
| 81025 |
|
354 |
317 |
$18.48 |
| 90686 |
|
351 |
335 |
$9.00 |
| 90648 |
|
424 |
422 |
$9.00 |
| 90670 |
|
407 |
405 |
$9.00 |
| 86580 |
|
235 |
223 |
$3.70 |
| 82962 |
|
779 |
672 |
$1.57 |
| 3074F |
|
9,248 |
8,599 |
$0.00 |
| 3079F |
|
1,927 |
1,870 |
$0.00 |
| 3075F |
|
825 |
809 |
$0.00 |
| 90680 |
|
109 |
109 |
$0.00 |
| 3080F |
|
502 |
490 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
143 |
126 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
153 |
95 |
$0.00 |
| 93000 |
|
136 |
130 |
$0.00 |
| 90723 |
|
133 |
132 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
75 |
70 |
$0.00 |
| 90696 |
|
47 |
46 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
13 |
$0.00 |
| 94760 |
|
13 |
13 |
$0.00 |
| 3078F |
|
9,119 |
8,513 |
$0.00 |
| 92081 |
|
1,721 |
1,698 |
$0.00 |
| 59425 |
|
291 |
178 |
$0.00 |
| 3077F |
|
1,612 |
1,540 |
$0.00 |
| 90715 |
|
205 |
200 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
213 |
208 |
$0.00 |
| 90700 |
|
111 |
110 |
$0.00 |
| 90621 |
|
33 |
33 |
$0.00 |
| 90633 |
|
334 |
333 |
$0.00 |
| 90710 |
|
325 |
322 |
$0.00 |
| 90734 |
|
379 |
376 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
141 |
141 |
$0.00 |
| 69210 |
|
17 |
13 |
$0.00 |