| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
35,532 |
29,129 |
$2.27M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40,936 |
25,858 |
$710K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,990 |
4,500 |
$185K |
| 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 |
4,877 |
3,966 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,346 |
1,982 |
$40K |
| 99215 |
Prolong outpt/office vis |
652 |
378 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
934 |
551 |
$5K |
| 90686 |
|
1,322 |
807 |
$5K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
239 |
205 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,275 |
905 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
71 |
24 |
$3K |
| 90674 |
|
258 |
173 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
41 |
24 |
$1K |
| 36416 |
|
1,298 |
911 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
38 |
12 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
105 |
57 |
$666.33 |
| 90715 |
|
53 |
37 |
$561.24 |
| 90661 |
|
32 |
28 |
$554.22 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
40 |
27 |
$420.60 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
24 |
$291.40 |
| 82948 |
|
426 |
341 |
$170.93 |
| 81002 |
|
208 |
169 |
$54.81 |
| 93000 |
|
66 |
60 |
$4.11 |
| 3074F |
|
10,193 |
6,028 |
$0.65 |
| 3079F |
|
4,332 |
2,543 |
$0.64 |
| 3078F |
|
7,430 |
4,380 |
$0.60 |
| 3075F |
|
1,226 |
713 |
$0.32 |
| 3077F |
|
138 |
82 |
$0.07 |
| 4004F |
|
4,988 |
2,869 |
$0.00 |
| 3725F |
|
3,439 |
1,995 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
24 |
24 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
108 |
100 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 3008F |
|
16,564 |
9,626 |
$0.00 |
| 1036F |
|
8,695 |
4,957 |
$0.00 |
| 3080F |
|
312 |
189 |
$0.00 |
| 87430 |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
70 |
53 |
$0.00 |
| 90656 |
|
29 |
26 |
$0.00 |