| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
19,243 |
14,022 |
$5.16M |
| 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 |
487 |
363 |
$98K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,399 |
14,074 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,154 |
3,732 |
$6K |
| 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 |
14 |
$4K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,263 |
1,014 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
308 |
248 |
$740.41 |
| 92551 |
|
304 |
268 |
$51.73 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
183 |
154 |
$34.16 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
426 |
392 |
$23.65 |
| 85018 |
|
615 |
537 |
$13.24 |
| 81002 |
|
567 |
488 |
$2.15 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
190 |
154 |
$0.05 |
| 3078F |
|
3,727 |
2,827 |
$0.00 |
| 3077F |
|
368 |
318 |
$0.00 |
| 92081 |
|
266 |
246 |
$0.00 |
| 90661 |
|
12 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
44 |
40 |
$0.00 |
| 90756 |
|
44 |
31 |
$0.00 |
| 99173 |
|
69 |
52 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
114 |
87 |
$0.00 |
| 3074F |
|
3,519 |
2,618 |
$0.00 |
| 0012A |
|
69 |
55 |
$0.00 |
| 3075F |
|
286 |
244 |
$0.00 |
| 3079F |
|
605 |
464 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$0.00 |
| 82962 |
|
33 |
30 |
$0.00 |
| 90686 |
|
28 |
28 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
14 |
14 |
$0.00 |
| 0011A |
|
89 |
73 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |