| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
16,435 |
13,415 |
$1.03M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,945 |
10,309 |
$368K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,568 |
5,552 |
$297K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
920 |
575 |
$34K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,105 |
1,300 |
$28K |
| 92552 |
|
2,889 |
1,842 |
$19K |
| 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 |
1,009 |
886 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
518 |
310 |
$16K |
| 99406 |
|
2,449 |
1,296 |
$11K |
| 90837 |
Psychotherapy, 53 minutes with patient |
99 |
53 |
$9K |
| 90834 |
Psychotherapy, 45 minutes with patient |
353 |
119 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
740 |
425 |
$7K |
| 36416 |
|
3,848 |
2,442 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,348 |
812 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
831 |
501 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
128 |
83 |
$5K |
| 99442 |
|
434 |
224 |
$5K |
| 99173 |
|
2,839 |
1,827 |
$4K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
92 |
40 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
72 |
41 |
$3K |
| 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 |
501 |
213 |
$2K |
| 85018 |
|
1,827 |
1,162 |
$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 |
370 |
324 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
74 |
37 |
$2K |
| 99215 |
Prolong outpt/office vis |
37 |
24 |
$2K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
94 |
45 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
20 |
12 |
$984.32 |
| 99441 |
|
158 |
79 |
$851.20 |
| 90686 |
|
335 |
201 |
$820.34 |
| 81002 |
|
500 |
333 |
$647.01 |
| 80305 |
|
126 |
63 |
$576.88 |
| 90756 |
|
49 |
24 |
$525.99 |
| 97803 |
|
228 |
123 |
$512.22 |
| 86403 |
|
85 |
83 |
$463.51 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
78 |
43 |
$427.25 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
18 |
$374.22 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
23 |
20 |
$331.38 |
| 87400 |
|
56 |
28 |
$317.18 |
| 90661 |
|
13 |
12 |
$257.95 |
| 82962 |
|
204 |
110 |
$252.20 |
| 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 |
72 |
66 |
$200.66 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
28 |
15 |
$146.97 |
| 82044 |
|
47 |
27 |
$98.07 |
| 97802 |
|
22 |
13 |
$82.32 |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
115 |
52 |
$59.60 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
25 |
12 |
$5.61 |
| 3074F |
|
7,590 |
3,953 |
$0.14 |
| 3078F |
|
7,307 |
3,799 |
$0.11 |
| 3079F |
|
4,198 |
2,241 |
$0.11 |
| 3077F |
|
2,387 |
1,252 |
$0.07 |
| 3075F |
|
2,298 |
1,234 |
$0.05 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,470 |
1,767 |
$0.00 |
| 1159F |
|
757 |
670 |
$0.00 |
| 3046F |
|
24 |
13 |
$0.00 |
| 1160F |
|
582 |
534 |
$0.00 |
| 4004F |
|
584 |
305 |
$0.00 |
| 90707 |
|
31 |
26 |
$0.00 |
| 90633 |
|
153 |
114 |
$0.00 |
| 90734 |
|
333 |
201 |
$0.00 |
| 82274 |
|
28 |
13 |
$0.00 |
| 90715 |
|
76 |
49 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |
| 1033F |
|
36 |
20 |
$0.00 |
| 99408 |
|
36 |
17 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,692 |
840 |
$0.00 |
| 1036F |
|
4,743 |
2,453 |
$0.00 |
| 0001F |
|
5,395 |
2,864 |
$0.00 |
| 1000F |
|
1,080 |
557 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
22 |
12 |
$0.00 |
| 3080F |
|
569 |
300 |
$0.00 |
| 90716 |
|
32 |
27 |
$0.00 |
| 3044F |
|
119 |
65 |
$0.00 |
| 90651 |
|
72 |
42 |
$0.00 |
| 90696 |
|
20 |
12 |
$0.00 |
| 1034F |
|
32 |
13 |
$0.00 |
| 90650 |
|
25 |
13 |
$0.00 |