| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,789 |
4,221 |
$516K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,165 |
1,063 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,395 |
1,274 |
$13K |
| 87428 |
|
96 |
81 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
278 |
271 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
155 |
127 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
71 |
68 |
$2K |
| 90734 |
|
162 |
158 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
544 |
516 |
$2K |
| 90715 |
|
59 |
55 |
$1K |
| 90733 |
|
12 |
12 |
$866.26 |
| 94760 |
|
16 |
14 |
$484.76 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
14 |
14 |
$28.00 |
| 99384 |
|
79 |
63 |
$0.00 |
| 99000 |
|
12 |
12 |
$0.00 |
| 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 |
153 |
130 |
$0.00 |
| 3351F |
|
71 |
67 |
$0.00 |
| 3074F |
|
75 |
69 |
$0.00 |
| 1000F |
|
239 |
222 |
$0.00 |
| 90620 |
|
14 |
14 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90649 |
|
29 |
25 |
$0.00 |
| 1160F |
|
246 |
228 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
33 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$0.00 |
| 3078F |
|
28 |
27 |
$0.00 |
| 90658 |
|
18 |
18 |
$0.00 |