| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
25,563 |
19,867 |
$3.95M |
| 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 |
4,685 |
3,783 |
$87K |
| 99392 |
|
557 |
503 |
$28K |
| 36415 |
|
4,231 |
3,837 |
$14K |
| 99391 |
|
145 |
136 |
$8K |
| 87811 |
|
206 |
192 |
$7K |
| 99393 |
|
57 |
51 |
$3K |
| 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 |
143 |
136 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
71 |
66 |
$1K |
| 90688 |
|
122 |
116 |
$1K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
129 |
91 |
$1K |
| 90670 |
|
112 |
110 |
$1K |
| 90633 |
|
67 |
67 |
$630.96 |
| 99213 |
|
3,405 |
2,920 |
$610.85 |
| 90734 |
|
54 |
54 |
$511.96 |
| 90707 |
|
42 |
41 |
$383.84 |
| 90716 |
|
42 |
41 |
$383.84 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
89 |
78 |
$282.20 |
| 90648 |
|
27 |
26 |
$248.56 |
| 99214 |
|
2,145 |
1,990 |
$244.15 |
| 90696 |
|
26 |
25 |
$234.72 |
| 90723 |
|
12 |
12 |
$120.00 |
| 90715 |
|
12 |
12 |
$114.72 |
| 87430 |
|
1,700 |
1,630 |
$107.87 |
| 87631 |
|
892 |
851 |
$59.90 |
| 81025 |
|
32 |
32 |
$54.18 |
| 87804 |
|
366 |
168 |
$52.96 |
| 84703 |
|
15 |
15 |
$42.92 |
| 81003 |
|
832 |
756 |
$38.13 |
| 85025 |
|
1,535 |
1,425 |
$34.97 |
| 87400 |
|
1,414 |
1,339 |
$0.00 |
| 87420 |
|
378 |
355 |
$0.00 |
| 99490 |
Ccm add 20min |
126 |
123 |
$0.00 |
| 71046 |
|
232 |
216 |
$0.00 |
| 3078F |
|
14 |
14 |
$0.00 |
| 85014 |
|
32 |
26 |
$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 |
40 |
21 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
51 |
51 |
$0.00 |
| 99212 |
|
12 |
12 |
$0.00 |
| 83655 |
|
16 |
15 |
$0.00 |
| 80053 |
|
740 |
687 |
$0.00 |
| 83036 |
|
130 |
129 |
$0.00 |
| 87635 |
|
65 |
60 |
$0.00 |
| 80048 |
|
29 |
24 |
$0.00 |
| 85018 |
|
35 |
28 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
52 |
52 |
$0.00 |