| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
44,687 |
37,058 |
$9.94M |
| 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 |
911 |
758 |
$270.22 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,944 |
17,967 |
$136.67 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,720 |
7,037 |
$134.93 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
827 |
798 |
$46.02 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
320 |
266 |
$38.90 |
| 90715 |
|
346 |
303 |
$11.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,715 |
1,582 |
$8.16 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,932 |
2,576 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,783 |
1,649 |
$0.00 |
| 3078F |
|
6,156 |
5,354 |
$0.00 |
| 3077F |
|
1,654 |
1,419 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
307 |
304 |
$0.00 |
| 3050F |
|
1,276 |
1,113 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
884 |
831 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
846 |
791 |
$0.00 |
| 81025 |
|
90 |
73 |
$0.00 |
| 81002 |
|
292 |
274 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
129 |
110 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
138 |
121 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
32 |
26 |
$0.00 |
| 90714 |
|
13 |
13 |
$0.00 |
| 96152 |
|
87 |
71 |
$0.00 |
| 90662 |
|
59 |
48 |
$0.00 |
| 3046F |
|
493 |
399 |
$0.00 |
| 90734 |
|
25 |
24 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90670 |
|
149 |
139 |
$0.00 |
| 90685 |
|
36 |
30 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
67 |
56 |
$0.00 |
| 3051F |
|
368 |
319 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
123 |
114 |
$0.00 |
| 1158F |
|
141 |
130 |
$0.00 |
| 3725F |
|
186 |
175 |
$0.00 |
| 1159F |
|
54 |
54 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
81 |
79 |
$0.00 |
| 96158 |
|
12 |
12 |
$0.00 |
| 0003A |
|
16 |
16 |
$0.00 |
| 90461 |
|
12 |
12 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
480 |
429 |
$0.00 |
| 3049F |
|
2,804 |
2,407 |
$0.00 |
| 3052F |
|
47 |
37 |
$0.00 |
| 3079F |
|
3,692 |
3,271 |
$0.00 |
| 3014F |
|
291 |
269 |
$0.00 |
| 90686 |
|
1,360 |
1,249 |
$0.00 |
| 3008F |
|
10,811 |
9,244 |
$0.00 |
| 3074F |
|
6,445 |
5,635 |
$0.00 |
| 90656 |
|
126 |
111 |
$0.00 |
| 3075F |
|
2,107 |
1,910 |
$0.00 |
| 3044F |
|
1,888 |
1,609 |
$0.00 |
| 3080F |
|
788 |
693 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
245 |
227 |
$0.00 |
| 3048F |
|
3,060 |
2,607 |
$0.00 |
| 3060F |
|
916 |
721 |
$0.00 |
| 1170F |
|
157 |
146 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
251 |
220 |
$0.00 |
| 1126F |
|
103 |
97 |
$0.00 |
| 90677 |
|
20 |
20 |
$0.00 |
| 90688 |
|
33 |
32 |
$0.00 |
| 96150 |
|
91 |
79 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
107 |
89 |
$0.00 |
| 1034F |
|
44 |
43 |
$0.00 |
| 1157F |
|
141 |
130 |
$0.00 |
| 1125F |
|
65 |
61 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 1000F |
|
16 |
15 |
$0.00 |