| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
37,052 |
31,899 |
$7.96M |
| 0510 |
|
6,216 |
6,196 |
$182K |
| 92552 |
|
4,602 |
4,544 |
$73K |
| 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 |
966 |
873 |
$44K |
| 90686 |
|
1,465 |
1,460 |
$12K |
| 90688 |
|
1,234 |
1,173 |
$9K |
| 90670 |
|
1,034 |
1,011 |
$7K |
| 90633 |
|
534 |
516 |
$5K |
| 90698 |
|
580 |
572 |
$4K |
| 90651 |
|
391 |
391 |
$3K |
| 85018 |
|
1,179 |
1,153 |
$2K |
| 90744 |
|
252 |
249 |
$2K |
| 83655 |
|
234 |
227 |
$2K |
| 90677 |
|
116 |
116 |
$1K |
| 90619 |
|
115 |
115 |
$1K |
| 90674 |
|
101 |
101 |
$1K |
| 90734 |
|
205 |
205 |
$797.04 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
29 |
26 |
$556.09 |
| 90681 |
|
89 |
84 |
$420.66 |
| 90716 |
|
43 |
43 |
$298.89 |
| 96112 |
|
54 |
53 |
$286.76 |
| 90715 |
|
67 |
67 |
$265.68 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
110 |
110 |
$213.20 |
| 90733 |
|
13 |
13 |
$143.91 |
| 90685 |
|
13 |
12 |
$141.14 |
| 90700 |
|
12 |
12 |
$132.84 |
| 92015 |
Determination of refractive state |
787 |
787 |
$39.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,401 |
1,397 |
$0.00 |
| 3074F |
|
2,086 |
2,016 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,561 |
2,553 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,693 |
12,943 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
196 |
195 |
$0.00 |
| 3075F |
|
231 |
231 |
$0.00 |
| 3079F |
|
455 |
441 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
74 |
73 |
$0.00 |
| 96127 |
|
483 |
483 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
141 |
141 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,325 |
1,267 |
$0.00 |
| 99383 |
|
145 |
145 |
$0.00 |
| 3008F |
|
47 |
46 |
$0.00 |
| 99384 |
|
43 |
43 |
$0.00 |
| 3080F |
|
62 |
62 |
$0.00 |
| 85027 |
|
12 |
12 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
12 |
12 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
948 |
943 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
993 |
992 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
666 |
665 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
53 |
52 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,158 |
1,991 |
$0.00 |
| 3077F |
|
112 |
110 |
$0.00 |
| 3078F |
|
1,952 |
1,897 |
$0.00 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
996 |
942 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
844 |
841 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,135 |
1,132 |
$0.00 |
| Z7500 |
|
2,664 |
2,534 |
$0.00 |
| 99173 |
|
1,052 |
1,051 |
$0.00 |
| G9920 |
Screening performed and negative |
959 |
956 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
140 |
139 |
$0.00 |
| 99201 |
|
166 |
165 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
12 |
12 |
$0.00 |
| 1160F |
|
18 |
18 |
$0.00 |
| 99442 |
|
13 |
13 |
$0.00 |
| 1159F |
|
20 |
20 |
$0.00 |