| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
32,521 |
25,019 |
$8.92M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,640 |
5,785 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,382 |
6,921 |
$1K |
| 0001A |
|
150 |
149 |
$520.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,749 |
4,830 |
$426.18 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,724 |
2,204 |
$421.44 |
| 0002A |
|
148 |
148 |
$360.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,795 |
1,312 |
$262.53 |
| 99177 |
|
1,029 |
946 |
$262.53 |
| 92551 |
|
2,172 |
1,661 |
$262.53 |
| 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 |
561 |
502 |
$104.76 |
| 90474 |
|
114 |
103 |
$54.00 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
151 |
144 |
$41.95 |
| 90686 |
|
2,852 |
2,305 |
$38.40 |
| 90670 |
|
1,125 |
952 |
$32.47 |
| 90688 |
|
661 |
530 |
$17.23 |
| G0008 |
Administration of influenza virus vaccine |
65 |
59 |
$6.70 |
| 1159F |
|
948 |
852 |
$0.06 |
| 1036F |
|
2,561 |
2,326 |
$0.03 |
| 1220F |
|
1,406 |
1,302 |
$0.01 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,687 |
1,399 |
$0.00 |
| 90707 |
|
414 |
296 |
$0.00 |
| 90715 |
|
193 |
138 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
84 |
71 |
$0.00 |
| 81003 |
|
790 |
693 |
$0.00 |
| 90633 |
|
383 |
290 |
$0.00 |
| 99173 |
|
1,120 |
788 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,693 |
1,183 |
$0.00 |
| 1158F |
|
976 |
902 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,584 |
1,180 |
$0.00 |
| 81002 |
|
131 |
113 |
$0.00 |
| 90681 |
|
313 |
257 |
$0.00 |
| 90734 |
|
229 |
150 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,304 |
928 |
$0.00 |
| 96152 |
|
311 |
258 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
170 |
129 |
$0.00 |
| 90461 |
|
41 |
41 |
$0.00 |
| 81025 |
|
36 |
36 |
$0.00 |
| 91300 |
|
268 |
253 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
25 |
$0.00 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
28 |
28 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
16 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
50 |
45 |
$0.00 |
| 90685 |
|
47 |
44 |
$0.00 |
| 90700 |
|
20 |
13 |
$0.00 |
| 1160F |
|
30 |
28 |
$0.00 |
| 90723 |
|
818 |
696 |
$0.00 |
| 1157F |
|
916 |
833 |
$0.00 |
| 90647 |
|
1,078 |
911 |
$0.00 |
| 1125F |
|
468 |
448 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
91 |
72 |
$0.00 |
| 90651 |
|
387 |
277 |
$0.00 |
| 90716 |
|
421 |
293 |
$0.00 |
| 96156 |
|
318 |
307 |
$0.00 |
| 1126F |
|
206 |
183 |
$0.00 |
| 90620 |
|
105 |
68 |
$0.00 |
| 96154 |
|
677 |
569 |
$0.00 |
| 90696 |
|
106 |
59 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
30 |
25 |
$0.00 |
| 96127 |
|
26 |
26 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
27 |
27 |
$0.00 |