| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
36,512 |
29,571 |
$6.26M |
| 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 |
2,417 |
1,482 |
$28K |
| 90686 |
|
1,649 |
1,484 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,681 |
15,895 |
$6K |
| T1027 |
Family training and counseling for child development, per 15 minutes |
433 |
344 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,191 |
3,092 |
$3K |
| 59025 |
Fetal non-stress test |
104 |
45 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
315 |
277 |
$915.16 |
| 90656 |
|
143 |
131 |
$877.19 |
| 90670 |
|
120 |
108 |
$544.56 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,884 |
1,648 |
$521.13 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,155 |
1,018 |
$406.97 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
778 |
706 |
$271.80 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
17 |
12 |
$202.51 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
860 |
734 |
$130.02 |
| 90648 |
|
140 |
125 |
$109.96 |
| 90633 |
|
12 |
12 |
$99.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
416 |
346 |
$72.75 |
| 90461 |
|
746 |
661 |
$55.36 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
317 |
274 |
$9.18 |
| G0008 |
Administration of influenza virus vaccine |
19 |
14 |
$2.21 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
167 |
148 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
136 |
123 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
99 |
76 |
$0.00 |
| 90669 |
|
46 |
41 |
$0.00 |
| 90680 |
|
27 |
26 |
$0.00 |
| 90723 |
|
38 |
36 |
$0.00 |
| 90647 |
|
14 |
13 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
54 |
38 |
$0.00 |