| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
28,768 |
26,800 |
$4.89M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,297 |
7,843 |
$202K |
| Q3014 |
Telehealth originating site facility fee |
5,395 |
5,292 |
$105K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,556 |
2,462 |
$89K |
| 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 |
1,945 |
1,732 |
$64K |
| G0378 |
Hospital observation service, per hour |
1,663 |
1,514 |
$39K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,750 |
1,697 |
$32K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
347 |
334 |
$12K |
| 92551 |
|
934 |
930 |
$10K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
421 |
348 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
135 |
133 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
525 |
520 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
807 |
799 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
42 |
42 |
$2K |
| 99173 |
|
614 |
612 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
29 |
$2K |
| 96127 |
|
85 |
79 |
$1K |
| 90686 |
|
64 |
64 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$668.52 |
| 0521 |
|
28 |
27 |
$528.29 |
| 85018 |
|
222 |
220 |
$444.56 |
| 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 |
25 |
25 |
$317.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$225.76 |
| 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 |
17 |
12 |
$178.95 |
| 81002 |
|
31 |
31 |
$54.45 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
14 |
13 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
14 |
$0.00 |