| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
18,043 |
12,819 |
$5.45M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,079 |
9,362 |
$52K |
| 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 |
2,312 |
1,753 |
$11K |
| 99215 |
Prolong outpt/office vis |
808 |
691 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
374 |
344 |
$526.19 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
49 |
42 |
$511.63 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
510 |
488 |
$100.46 |
| 90670 |
|
16 |
14 |
$32.47 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
625 |
551 |
$9.44 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,981 |
1,906 |
$2.81 |
| 36415 |
Collection of venous blood by venipuncture |
27 |
27 |
$1.76 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
268 |
230 |
$0.10 |
| 1158F |
|
1,544 |
1,308 |
$0.02 |
| 1220F |
|
2,200 |
2,094 |
$0.02 |
| 1159F |
|
4,009 |
3,400 |
$0.01 |
| 1036F |
|
5,039 |
4,085 |
$0.01 |
| 81003 |
|
270 |
255 |
$0.00 |
| 99173 |
|
266 |
245 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
353 |
338 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
27 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
117 |
114 |
$0.00 |
| 90461 |
|
12 |
12 |
$0.00 |
| 90715 |
|
65 |
59 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
139 |
130 |
$0.00 |
| 81025 |
|
44 |
39 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
45 |
39 |
$0.00 |
| 99177 |
|
162 |
160 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
86 |
81 |
$0.00 |
| 2028F |
|
13 |
13 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
26 |
$0.00 |
| 81002 |
|
57 |
55 |
$0.00 |
| 1090F |
|
19 |
18 |
$0.00 |
| 1003F |
|
96 |
78 |
$0.00 |
| 99051 |
|
15 |
15 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 96127 |
|
241 |
237 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,550 |
3,197 |
$0.00 |
| 90686 |
|
933 |
909 |
$0.00 |
| 1126F |
|
1,826 |
1,667 |
$0.00 |
| 99406 |
|
294 |
282 |
$0.00 |
| 92551 |
|
379 |
358 |
$0.00 |
| 90688 |
|
654 |
632 |
$0.00 |
| 1125F |
|
1,745 |
1,587 |
$0.00 |
| 82962 |
|
14 |
12 |
$0.00 |
| 90651 |
|
26 |
25 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
47 |
44 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
32 |
26 |
$0.00 |
| 90674 |
|
12 |
12 |
$0.00 |