| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
4,215 |
3,593 |
$500K |
| 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 |
2,208 |
1,946 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,743 |
2,460 |
$5K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
45 |
38 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
151 |
142 |
$716.89 |
| 99442 |
|
29 |
29 |
$254.76 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,145 |
1,068 |
$137.14 |
| 90686 |
|
117 |
108 |
$1.60 |
| 36416 |
|
41 |
41 |
$0.00 |
| 90688 |
|
15 |
15 |
$0.00 |
| 4004F |
|
70 |
65 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
14 |
14 |
$0.00 |