| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
37,896 |
32,529 |
$8.80M |
| 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 |
21,209 |
17,997 |
$281K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,201 |
10,846 |
$142K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,206 |
5,603 |
$127K |
| 99402 |
|
927 |
862 |
$57K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,051 |
957 |
$55K |
| 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 |
4,223 |
3,951 |
$51K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
866 |
797 |
$43K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
427 |
375 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
424 |
367 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
178 |
154 |
$8K |
| 0001A |
|
59 |
48 |
$3K |
| 0002A |
|
49 |
39 |
$3K |
| 0011A |
|
327 |
323 |
$3K |
| 90677 |
|
135 |
129 |
$2K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,184 |
1,055 |
$2K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
238 |
149 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
309 |
247 |
$1K |
| 0012A |
|
172 |
170 |
$1K |
| 90670 |
|
94 |
88 |
$1K |
| 0031A |
|
94 |
92 |
$875.61 |
| 90480 |
|
43 |
41 |
$640.00 |
| 90680 |
|
52 |
49 |
$630.72 |
| 90686 |
|
47 |
44 |
$601.14 |
| 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 |
12 |
12 |
$429.30 |
| 90697 |
|
24 |
24 |
$345.00 |
| 91322 |
|
16 |
15 |
$323.30 |
| 0134A |
|
15 |
15 |
$280.00 |
| 90633 |
|
18 |
16 |
$210.24 |
| 90698 |
|
12 |
12 |
$165.00 |
| 90744 |
|
15 |
13 |
$157.68 |
| 1159F |
|
983 |
763 |
$126.23 |
| 81025 |
|
17 |
17 |
$92.46 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
1,270 |
1,139 |
$69.90 |
| 90656 |
|
16 |
15 |
$26.24 |
| 81003 |
|
185 |
163 |
$20.94 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
24 |
24 |
$16.48 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
526 |
475 |
$16.32 |
| G0008 |
Administration of influenza virus vaccine |
18 |
15 |
$15.45 |
| 81001 |
|
93 |
76 |
$4.47 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
71 |
68 |
$2.32 |
| 85027 |
|
85 |
84 |
$1.49 |
| 91300 |
|
142 |
111 |
$0.99 |
| 91301 |
|
27 |
24 |
$0.17 |
| 1160F |
|
956 |
736 |
$0.04 |
| 3078F |
|
470 |
424 |
$0.03 |
| 1126F |
|
384 |
297 |
$0.02 |
| 3074F |
|
292 |
265 |
$0.02 |
| 3077F |
|
73 |
68 |
$0.01 |
| 3044F |
|
313 |
288 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
45 |
43 |
$0.00 |
| 3075F |
|
32 |
30 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
46 |
25 |
$0.00 |
| 1125F |
|
34 |
32 |
$0.00 |
| J1094 |
Injection, dexamethasone acetate, 1 mg |
12 |
12 |
$0.00 |
| 3079F |
|
44 |
42 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
12 |
$0.00 |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
43 |
43 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
53 |
25 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
148 |
139 |
$0.00 |
| 82947 |
|
69 |
63 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
57 |
57 |
$0.00 |
| 90473 |
|
13 |
13 |
$0.00 |