| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,074 |
5,293 |
$320K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,230 |
2,150 |
$223K |
| T1015 |
Clinic visit/encounter, all-inclusive |
6,547 |
4,040 |
$103K |
| 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 |
4,154 |
2,887 |
$90K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,636 |
1,606 |
$11K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
855 |
279 |
$4K |
| 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 |
94 |
94 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
29 |
27 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
49 |
32 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
128 |
108 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
85 |
55 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
192 |
96 |
$907.47 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$870.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
14 |
$648.93 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
36 |
16 |
$493.14 |
| 90756 |
|
20 |
17 |
$449.75 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$315.00 |
| 90686 |
|
30 |
28 |
$256.95 |
| 99305 |
|
45 |
45 |
$86.82 |
| 36416 |
|
25 |
12 |
$78.48 |
| 99307 |
|
14 |
13 |
$77.66 |
| 1159F |
|
2,169 |
1,174 |
$0.00 |
| 1160F |
|
457 |
271 |
$0.00 |
| 3078F |
|
67 |
29 |
$0.00 |
| 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 |
52 |
41 |
$0.00 |
| 3008F |
|
190 |
87 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
40 |
40 |
$0.00 |
| 3074F |
|
101 |
46 |
$0.00 |
| 3079F |
|
25 |
12 |
$0.00 |