| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,230 |
12,389 |
$3.10M |
| 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 |
1,120 |
1,042 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,984 |
1,927 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,396 |
7,028 |
$15K |
| 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 |
114 |
114 |
$1K |
| 0002A |
|
36 |
36 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
900 |
898 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
379 |
377 |
$1K |
| 0001A |
|
22 |
22 |
$880.00 |
| 90746 |
|
58 |
58 |
$527.12 |
| 0071A |
|
12 |
12 |
$480.00 |
| 0012A |
|
12 |
12 |
$480.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
338 |
335 |
$360.27 |
| 90656 |
|
27 |
27 |
$355.81 |
| 90686 |
|
66 |
66 |
$83.72 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
125 |
125 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
286 |
286 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
43 |
43 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
134 |
133 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
30 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
77 |
77 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$0.00 |
| 3078F |
|
52 |
51 |
$0.00 |
| 90671 |
|
14 |
14 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$0.00 |
| 87428 |
|
261 |
261 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
304 |
304 |
$0.00 |
| 87807 |
|
28 |
28 |
$0.00 |
| 3008F |
|
293 |
271 |
$0.00 |
| 3079F |
|
135 |
128 |
$0.00 |
| 3074F |
|
182 |
171 |
$0.00 |
| 1126F |
|
86 |
84 |
$0.00 |
| 4010F |
|
37 |
35 |
$0.00 |
| 1111F |
|
307 |
285 |
$0.00 |
| 3044F |
|
20 |
20 |
$0.00 |