| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
16,751 |
12,937 |
$1.97M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,099 |
5,425 |
$42K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,685 |
2,372 |
$38K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
545 |
471 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
319 |
292 |
$8K |
| 90686 |
|
293 |
254 |
$7K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,379 |
887 |
$6K |
| 3074F |
|
1,199 |
1,131 |
$3K |
| 3079F |
|
624 |
507 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
46 |
30 |
$2K |
| 3078F |
|
1,041 |
978 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
101 |
89 |
$2K |
| 3077F |
|
70 |
70 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
108 |
105 |
$1K |
| 90688 |
|
19 |
19 |
$485.26 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
13 |
$225.99 |
| 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 |
1,718 |
1,623 |
$136.22 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
62 |
59 |
$122.42 |
| 90674 |
|
14 |
14 |
$64.56 |
| 90656 |
|
29 |
28 |
$22.35 |
| 96127 |
|
61 |
61 |
$2.99 |
| 3075F |
|
25 |
25 |
$0.06 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
182 |
124 |
$0.00 |
| 3008F |
|
3,450 |
3,102 |
$0.00 |
| 0513F |
|
202 |
174 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
155 |
152 |
$0.00 |
| 99385 |
|
110 |
12 |
$0.00 |
| 90694 |
|
24 |
24 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
12 |
12 |
$0.00 |