| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,055 |
12,036 |
$2.58M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,463 |
3,930 |
$91K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
320 |
312 |
$13K |
| D9999 |
Unspecified adjunctive procedure, by report |
42 |
33 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
545 |
497 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
233 |
196 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,346 |
5,882 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
43 |
40 |
$2K |
| 90686 |
|
278 |
259 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
29 |
29 |
$420.96 |
| 90656 |
|
27 |
26 |
$247.56 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
16 |
13 |
$218.11 |
| 92551 |
|
25 |
25 |
$199.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
277 |
154 |
$0.00 |
| 3078F |
|
563 |
484 |
$0.00 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
636 |
621 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
49 |
47 |
$0.00 |
| 90734 |
|
33 |
30 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
35 |
33 |
$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 |
749 |
675 |
$0.00 |
| 3075F |
|
57 |
55 |
$0.00 |
| 3008F |
|
357 |
311 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
250 |
229 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48 |
46 |
$0.00 |
| 3074F |
|
654 |
563 |
$0.00 |
| 3079F |
|
155 |
146 |
$0.00 |
| 3044F |
|
60 |
55 |
$0.00 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
12 |
12 |
$0.00 |