| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
10,328 |
7,997 |
$511K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,436 |
7,268 |
$293K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,257 |
1,417 |
$33K |
| 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 |
894 |
770 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,875 |
1,236 |
$5K |
| 36416 |
|
1,830 |
1,158 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
189 |
120 |
$2K |
| 82948 |
|
2,388 |
1,583 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
180 |
115 |
$2K |
| 90674 |
|
208 |
133 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
215 |
103 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
110 |
82 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
44 |
29 |
$331.38 |
| 90661 |
|
12 |
12 |
$256.49 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
30 |
16 |
$202.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
25 |
15 |
$130.50 |
| 90756 |
|
32 |
17 |
$126.02 |
| 81002 |
|
84 |
57 |
$41.76 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
39 |
24 |
$21.62 |
| 3079F |
|
2,199 |
1,312 |
$0.16 |
| 3074F |
|
5,162 |
3,043 |
$0.15 |
| 3077F |
|
358 |
204 |
$0.11 |
| 3080F |
|
179 |
100 |
$0.10 |
| 3078F |
|
3,636 |
2,195 |
$0.07 |
| 3075F |
|
202 |
131 |
$0.02 |
| 3008F |
|
9,324 |
5,394 |
$0.01 |
| 1036F |
|
3,683 |
2,148 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
104 |
63 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
26 |
25 |
$0.00 |
| 93000 |
|
15 |
13 |
$0.00 |
| 4004F |
|
1,735 |
1,005 |
$0.00 |
| 90863 |
|
24 |
14 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
26 |
25 |
$0.00 |