| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,945 |
5,236 |
$384K |
| T1015 |
Clinic visit/encounter, all-inclusive |
8,140 |
6,877 |
$94K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,229 |
1,036 |
$67K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
462 |
435 |
$36K |
| 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 |
1,500 |
1,203 |
$18K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
551 |
516 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,097 |
1,015 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
71 |
70 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
42 |
41 |
$2K |
| 90682 |
|
60 |
49 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
440 |
393 |
$2K |
| 99460 |
|
29 |
27 |
$2K |
| 90686 |
|
205 |
168 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
20 |
16 |
$1K |
| 90670 |
|
224 |
212 |
$773.97 |
| 81002 |
|
190 |
171 |
$483.05 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$454.68 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
43 |
36 |
$345.41 |
| 90656 |
|
37 |
37 |
$284.73 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$126.49 |
| 90651 |
|
13 |
12 |
$13.58 |
| 3074F |
|
377 |
358 |
$0.00 |
| 3079F |
|
154 |
149 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
20 |
14 |
$0.00 |
| 3075F |
|
15 |
15 |
$0.00 |
| 3078F |
|
328 |
312 |
$0.00 |
| 90671 |
|
72 |
70 |
$0.00 |
| 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 |
12 |
$0.00 |