| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
25,543 |
19,295 |
$3.60M |
| 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 |
4,820 |
4,082 |
$160K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
397 |
272 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,209 |
9,873 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,514 |
8,446 |
$11K |
| 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 |
205 |
158 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,115 |
1,071 |
$6K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,531 |
1,916 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
48 |
44 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
692 |
635 |
$2K |
| 0031A |
|
45 |
44 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,031 |
851 |
$1K |
| 99215 |
Prolong outpt/office vis |
1,086 |
904 |
$804.81 |
| 87428 |
|
12 |
12 |
$489.61 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$464.22 |
| 36415 |
Collection of venous blood by venipuncture |
2,091 |
1,965 |
$377.15 |
| 90688 |
|
652 |
635 |
$255.94 |
| G0008 |
Administration of influenza virus vaccine |
297 |
287 |
$231.97 |
| 82044 |
|
68 |
66 |
$175.90 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
47 |
39 |
$160.04 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
16 |
$151.23 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$127.81 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,491 |
1,431 |
$124.01 |
| 36416 |
|
1,678 |
1,579 |
$90.08 |
| 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 |
67 |
66 |
$35.31 |
| 90656 |
|
77 |
71 |
$11.86 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
154 |
136 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
104 |
98 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
38 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
73 |
46 |
$0.00 |
| 90662 |
|
31 |
29 |
$0.00 |
| 91322 |
|
17 |
16 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
68 |
64 |
$0.00 |
| 90686 |
|
46 |
45 |
$0.00 |
| 90480 |
|
18 |
17 |
$0.00 |
| 90673 |
|
29 |
29 |
$0.00 |