| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
57,349 |
48,602 |
$8.90M |
| 0002A |
|
15 |
15 |
$1K |
| 0001A |
|
12 |
12 |
$600.00 |
| 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 |
920 |
724 |
$274.70 |
| 90832 |
Psychotherapy, 30 minutes with patient |
675 |
654 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,194 |
9,867 |
$0.00 |
| 81003 |
|
99 |
95 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
63 |
63 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
406 |
404 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
202 |
202 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
621 |
620 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
546 |
543 |
$0.00 |
| 99173 |
|
607 |
605 |
$0.00 |
| 90670 |
|
107 |
107 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
854 |
854 |
$0.00 |
| 98940 |
|
578 |
376 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
75 |
75 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
902 |
900 |
$0.00 |
| 90734 |
|
26 |
26 |
$0.00 |
| 90662 |
|
18 |
18 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
52 |
52 |
$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 |
174 |
129 |
$0.00 |
| 90633 |
|
37 |
37 |
$0.00 |
| 81025 |
|
15 |
15 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,415 |
14,061 |
$0.00 |
| 90686 |
|
57 |
57 |
$0.00 |
| 90656 |
|
451 |
451 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
99 |
99 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,604 |
2,536 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
31 |
31 |
$0.00 |
| 99381 |
|
17 |
17 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,046 |
1,041 |
$0.00 |
| 99383 |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
64 |
64 |
$0.00 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
38 |
26 |
$0.00 |
| 36416 |
|
14 |
14 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
562 |
480 |
$0.00 |
| 92551 |
|
571 |
570 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 90647 |
|
26 |
26 |
$0.00 |
| 85018 |
|
14 |
14 |
$0.00 |