| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
28,618 |
22,948 |
$1.95M |
| 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 |
3,187 |
2,560 |
$84K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
892 |
832 |
$0.00 |
| 90688 |
|
69 |
69 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,481 |
16,749 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,131 |
1,017 |
$0.00 |
| 85018 |
|
218 |
207 |
$0.00 |
| 90686 |
|
696 |
657 |
$0.00 |
| 99386 |
|
69 |
59 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
55 |
53 |
$0.00 |
| 99385 |
|
37 |
35 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
68 |
56 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48 |
47 |
$0.00 |
| 86580 |
|
27 |
27 |
$0.00 |
| 90656 |
|
188 |
167 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
18 |
15 |
$0.00 |
| 92551 |
|
14 |
14 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
108 |
96 |
$0.00 |
| 99173 |
|
288 |
268 |
$0.00 |
| 81002 |
|
576 |
484 |
$0.00 |
| 99072 |
|
1,248 |
1,022 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
36 |
30 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
376 |
349 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
296 |
273 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
22 |
$0.00 |
| 81003 |
|
192 |
189 |
$0.00 |
| 92552 |
|
40 |
37 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
14 |
$0.00 |
| 90687 |
|
19 |
19 |
$0.00 |
| 81025 |
|
34 |
27 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$0.00 |