| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,618 |
5,693 |
$653K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,143 |
1,917 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,786 |
1,642 |
$23K |
| 36415 |
Collection of venous blood by venipuncture |
842 |
794 |
$4K |
| 94760 |
|
38 |
36 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
115 |
89 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
78 |
67 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
147 |
136 |
$2K |
| 90715 |
|
60 |
55 |
$2K |
| 90733 |
|
30 |
30 |
$2K |
| 90633 |
|
13 |
13 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
24 |
24 |
$1K |
| 87428 |
|
30 |
28 |
$1K |
| 90651 |
|
15 |
15 |
$1K |
| 92551 |
|
16 |
15 |
$1K |
| 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 |
501 |
399 |
$490.91 |
| 0011A |
|
19 |
14 |
$99.25 |
| 3079F |
|
140 |
127 |
$0.00 |
| 1000F |
|
441 |
410 |
$0.00 |
| 3074F |
|
836 |
782 |
$0.00 |
| 3351F |
|
147 |
139 |
$0.00 |
| 99384 |
|
15 |
15 |
$0.00 |
| 99000 |
|
19 |
16 |
$0.00 |
| 1160F |
|
1,167 |
1,064 |
$0.00 |
| 90734 |
|
79 |
73 |
$0.00 |
| 3078F |
|
516 |
488 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
47 |
45 |
$0.00 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
15 |
12 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$0.00 |