| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
78,199 |
70,460 |
$9.00M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
65,640 |
41,100 |
$805K |
| 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 |
6,782 |
4,858 |
$459K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
49,154 |
28,193 |
$431K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,693 |
2,642 |
$71K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,075 |
729 |
$15K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
175 |
175 |
$8K |
| 92015 |
Determination of refractive state |
563 |
561 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
110 |
109 |
$4K |
| 81002 |
|
5,206 |
3,805 |
$2K |
| 81025 |
|
708 |
514 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
44 |
44 |
$1K |
| 92133 |
|
25 |
25 |
$749.22 |
| 99215 |
Prolong outpt/office vis |
19 |
12 |
$520.52 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
43 |
31 |
$404.55 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,697 |
2,561 |
$18.76 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,686 |
2,278 |
$8.85 |
| 87430 |
|
5,627 |
4,215 |
$8.18 |
| 86580 |
|
15 |
13 |
$6.72 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
229 |
227 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
122 |
117 |
$0.00 |
| 69209 |
|
20 |
12 |
$0.00 |
| 87807 |
|
445 |
355 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
106 |
96 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
69 |
66 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
413 |
392 |
$0.00 |