| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
69,498 |
59,629 |
$8.21M |
| 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 |
5,578 |
4,295 |
$102K |
| G9012 |
Other specified case management service not elsewhere classified |
426 |
221 |
$70K |
| 87426 |
|
3,811 |
2,481 |
$36K |
| 0001A |
|
462 |
462 |
$31K |
| 0002A |
|
378 |
378 |
$25K |
| 99213 |
|
49,448 |
32,243 |
$17K |
| G9920 |
Screening performed and negative |
1,070 |
818 |
$14K |
| 87428 |
|
1,557 |
970 |
$13K |
| 0072A |
|
137 |
137 |
$9K |
| 87811 |
|
587 |
398 |
$9K |
| 0071A |
|
123 |
122 |
$8K |
| 0012A |
|
112 |
112 |
$8K |
| 0011A |
|
92 |
92 |
$6K |
| 99212 |
|
16,527 |
10,751 |
$4K |
| 0053A |
|
49 |
49 |
$3K |
| 0051A |
|
33 |
33 |
$2K |
| 0124A |
|
31 |
31 |
$2K |
| 0052A |
|
30 |
30 |
$2K |
| 99392 |
|
1,681 |
1,290 |
$2K |
| 99214 |
|
5,571 |
4,078 |
$2K |
| 0004A |
|
21 |
21 |
$1K |
| 99394 |
|
1,619 |
1,218 |
$1K |
| 0064A |
|
21 |
20 |
$1K |
| 99393 |
|
1,809 |
1,380 |
$1K |
| 96110 |
|
260 |
245 |
$655.90 |
| 99391 |
|
491 |
437 |
$652.93 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
72 |
66 |
$234.26 |
| 92551 |
|
4,185 |
3,214 |
$204.05 |
| 90686 |
|
2,027 |
1,587 |
$152.44 |
| 87804 |
|
2,523 |
2,164 |
$139.13 |
| 87880 |
|
3,120 |
2,727 |
$138.03 |
| 99395 |
|
100 |
67 |
$91.39 |
| 99173 |
|
3,575 |
2,696 |
$64.34 |
| 83036 |
|
690 |
565 |
$61.34 |
| 85018 |
|
5,858 |
4,547 |
$59.64 |
| 90688 |
|
326 |
214 |
$58.98 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
569 |
469 |
$56.63 |
| 99188 |
|
137 |
131 |
$53.46 |
| 83655 |
|
387 |
326 |
$48.61 |
| 90723 |
|
270 |
193 |
$36.90 |
| 90680 |
|
279 |
242 |
$36.45 |
| 90670 |
|
397 |
282 |
$26.92 |
| 90647 |
|
258 |
200 |
$18.90 |
| 90697 |
|
201 |
194 |
$18.00 |
| 90633 |
|
293 |
245 |
$17.92 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
550 |
382 |
$15.56 |
| 86580 |
|
171 |
137 |
$14.12 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
381 |
368 |
$13.74 |
| 90651 |
|
503 |
378 |
$13.46 |
| 87420 |
|
387 |
350 |
$8.67 |
| 90734 |
|
245 |
185 |
$4.46 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
245 |
195 |
$0.00 |
| 3079F |
|
591 |
565 |
$0.00 |
| 99174 |
|
988 |
801 |
$0.00 |
| 3074F |
|
1,559 |
1,462 |
$0.00 |
| 3075F |
|
499 |
484 |
$0.00 |
| 90620 |
|
76 |
61 |
$0.00 |
| 90656 |
|
103 |
102 |
$0.00 |
| 90696 |
|
87 |
62 |
$0.00 |
| 3080F |
|
104 |
101 |
$0.00 |
| 90619 |
|
116 |
115 |
$0.00 |
| 99383 |
|
15 |
13 |
$0.00 |
| 90674 |
|
37 |
37 |
$0.00 |
| 90716 |
|
15 |
12 |
$0.00 |
| 94640 |
|
23 |
21 |
$0.00 |
| Z6400 |
|
352 |
352 |
$0.00 |
| 81002 |
|
208 |
154 |
$0.00 |
| 99211 |
|
1,514 |
686 |
$0.00 |
| 3078F |
|
1,617 |
1,522 |
$0.00 |
| 3077F |
|
283 |
273 |
$0.00 |
| 90710 |
|
96 |
69 |
$0.00 |
| 90715 |
|
114 |
88 |
$0.00 |
| 90671 |
|
52 |
51 |
$0.00 |
| 91300 |
|
12 |
12 |
$0.00 |
| 99396 |
|
47 |
39 |
$0.00 |
| 90707 |
|
15 |
12 |
$0.00 |