| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
25,377 |
20,036 |
$3.53M |
| 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 |
192 |
156 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,124 |
6,126 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,790 |
4,852 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,611 |
1,524 |
$221.58 |
| 81025 |
|
12 |
12 |
$5.60 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
14 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
2,420 |
2,051 |
$0.00 |
| 3074F |
|
124 |
120 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
91 |
91 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
55 |
55 |
$0.00 |
| 90686 |
|
136 |
136 |
$0.00 |
| 90656 |
|
58 |
58 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
55 |
55 |
$0.00 |
| 3079F |
|
42 |
39 |
$0.00 |
| 3075F |
|
15 |
14 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
40 |
25 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
75 |
75 |
$0.00 |
| 92552 |
|
349 |
349 |
$0.00 |
| 99173 |
|
235 |
234 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
72 |
43 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
187 |
187 |
$0.00 |
| Z2702 |
|
329 |
329 |
$0.00 |
| 3078F |
|
127 |
123 |
$0.00 |
| 81003 |
|
72 |
67 |
$0.00 |
| 3077F |
|
36 |
34 |
$0.00 |
| 90715 |
|
61 |
61 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
143 |
142 |
$0.00 |
| 90658 |
|
13 |
13 |
$0.00 |