| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
54,205 |
45,185 |
$8.14M |
| 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 |
1,067 |
882 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,987 |
15,345 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,354 |
6,810 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
144 |
143 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,764 |
4,288 |
$664.74 |
| 81025 |
|
64 |
63 |
$16.80 |
| 81003 |
|
820 |
795 |
$0.00 |
| 90715 |
|
343 |
343 |
$0.00 |
| 92552 |
|
1,012 |
1,008 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
199 |
199 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
461 |
435 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
362 |
362 |
$0.00 |
| 99173 |
|
414 |
413 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
144 |
141 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
594 |
591 |
$0.00 |
| Z2702 |
|
692 |
689 |
$0.00 |
| 90670 |
|
52 |
52 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,308 |
994 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
71 |
71 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| Z7500 |
|
94 |
80 |
$0.00 |
| 90734 |
|
82 |
82 |
$0.00 |
| 90649 |
|
61 |
61 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
38 |
38 |
$0.00 |
| 3078F |
|
317 |
300 |
$0.00 |
| 3077F |
|
36 |
33 |
$0.00 |
| 69210 |
|
14 |
14 |
$0.00 |
| 90658 |
|
31 |
31 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
2,662 |
2,393 |
$0.00 |
| 3079F |
|
92 |
90 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
633 |
632 |
$0.00 |
| 90686 |
|
452 |
452 |
$0.00 |
| 90656 |
|
298 |
297 |
$0.00 |
| 85018 |
|
185 |
183 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
27 |
27 |
$0.00 |
| 3074F |
|
326 |
309 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
39 |
37 |
$0.00 |
| 3075F |
|
75 |
72 |
$0.00 |
| 92228 |
|
28 |
28 |
$0.00 |
| 3080F |
|
16 |
14 |
$0.00 |
| 81000 |
|
12 |
12 |
$0.00 |