| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
29,731 |
26,404 |
$5.11M |
| 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 |
7,165 |
5,847 |
$181K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,182 |
1,977 |
$33K |
| 80305 |
|
841 |
717 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
369 |
358 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
116 |
112 |
$6K |
| G9001 |
Coordinated care fee, initial rate |
138 |
138 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
168 |
164 |
$3K |
| 90688 |
|
207 |
206 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,693 |
16,848 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,380 |
8,426 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
74 |
73 |
$1K |
| 36416 |
|
777 |
672 |
$1K |
| 0012A |
|
25 |
25 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
19 |
19 |
$744.84 |
| 0011A |
|
38 |
17 |
$680.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
19 |
12 |
$640.18 |
| 90480 |
|
12 |
12 |
$480.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
28 |
12 |
$239.33 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
16 |
16 |
$145.01 |
| 87077 |
|
14 |
14 |
$144.10 |
| 96127 |
|
1,573 |
1,493 |
$88.75 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
331 |
295 |
$70.66 |
| 90686 |
|
887 |
842 |
$36.92 |
| 90750 |
|
13 |
13 |
$0.00 |
| 90656 |
|
65 |
65 |
$0.00 |
| 99000 |
|
113 |
104 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
51 |
51 |
$0.00 |
| 91301 |
|
71 |
50 |
$0.00 |