| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
18,963 |
13,769 |
$2.87M |
| 99199 |
Unlisted special service, procedure or report |
30,958 |
13,570 |
$169K |
| 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 |
6,123 |
4,225 |
$82K |
| 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 |
1,217 |
1,121 |
$8K |
| 80305 |
|
353 |
277 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
319 |
261 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
83 |
76 |
$842.35 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,702 |
1,316 |
$753.88 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
19 |
12 |
$648.88 |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
20 |
20 |
$574.17 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,979 |
1,490 |
$275.09 |
| 99490 |
Ccm add 20min |
115 |
101 |
$196.45 |
| 96127 |
|
179 |
156 |
$184.67 |
| 81003 |
|
48 |
43 |
$97.74 |
| 90674 |
|
24 |
19 |
$77.56 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,760 |
1,688 |
$75.43 |
| 3074F |
|
1,246 |
1,068 |
$1.84 |
| 3078F |
|
934 |
819 |
$1.37 |
| 3079F |
|
963 |
843 |
$1.18 |
| 3075F |
|
413 |
358 |
$0.45 |
| 3077F |
|
336 |
288 |
$0.35 |
| 3080F |
|
214 |
192 |
$0.24 |
| 3044F |
|
37 |
33 |
$0.05 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
67 |
65 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
17 |
17 |
$0.00 |
| 91301 |
|
18 |
17 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
47 |
44 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
34 |
33 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
19 |
15 |
$0.00 |