| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
14,910 |
13,424 |
$1.19M |
| 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 |
5,090 |
4,483 |
$167K |
| 96127 |
|
1,514 |
1,289 |
$13K |
| 90715 |
|
447 |
446 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,225 |
1,114 |
$12K |
| 97802 |
|
185 |
185 |
$10K |
| 97803 |
|
176 |
173 |
$8K |
| 90677 |
|
208 |
208 |
$8K |
| 90480 |
|
167 |
167 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
743 |
742 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
337 |
337 |
$6K |
| 91320 |
|
87 |
87 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
351 |
344 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
572 |
572 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
433 |
428 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
372 |
349 |
$4K |
| 90739 |
|
81 |
81 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
434 |
433 |
$4K |
| 90686 |
|
679 |
677 |
$4K |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
28 |
26 |
$4K |
| 83037 |
|
339 |
337 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
210 |
201 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
641 |
630 |
$3K |
| 81025 |
|
349 |
341 |
$3K |
| 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 |
12 |
12 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
314 |
311 |
$2K |
| 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 |
146 |
146 |
$2K |
| 90651 |
|
103 |
103 |
$2K |
| 90707 |
|
42 |
42 |
$988.47 |
| 81002 |
|
289 |
283 |
$860.46 |
| 90688 |
|
42 |
42 |
$805.14 |
| 93000 |
|
48 |
48 |
$721.45 |
| 99188 |
|
16 |
16 |
$416.00 |
| 90649 |
|
61 |
61 |
$412.77 |
| 90656 |
|
17 |
17 |
$283.52 |
| 90716 |
|
13 |
13 |
$200.00 |
| 91319 |
|
17 |
17 |
$175.56 |
| 90670 |
|
41 |
41 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
171 |
170 |
$0.00 |
| 90648 |
|
198 |
198 |
$0.00 |
| 91321 |
|
71 |
71 |
$0.00 |
| 91300 |
|
107 |
100 |
$0.00 |
| 90633 |
|
99 |
99 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,088 |
2,868 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,351 |
1,249 |
$0.00 |
| 92558 |
|
625 |
621 |
$0.00 |
| 91301 |
|
27 |
27 |
$0.00 |
| 90723 |
|
119 |
119 |
$0.00 |
| 90680 |
|
147 |
147 |
$0.00 |
| 90697 |
|
13 |
13 |
$0.00 |
| 90619 |
|
58 |
58 |
$0.00 |