| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
140,950 |
121,300 |
$29.70M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
148,815 |
89,376 |
$211K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
7,901 |
5,440 |
$79K |
| 0002A |
|
312 |
312 |
$21K |
| 0012A |
|
296 |
296 |
$20K |
| 0001A |
|
269 |
269 |
$18K |
| 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 |
673 |
628 |
$17K |
| 0011A |
|
246 |
246 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29,009 |
18,505 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13,646 |
8,014 |
$8K |
| 90715 |
|
243 |
225 |
$7K |
| 0004A |
|
90 |
90 |
$6K |
| 92552 |
|
343 |
285 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
519 |
373 |
$5K |
| 0064A |
|
75 |
75 |
$5K |
| 99000 |
|
22,786 |
22,088 |
$4K |
| 90677 |
|
256 |
256 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,410 |
1,690 |
$3K |
| 0013A |
|
39 |
39 |
$2K |
| 90651 |
|
156 |
125 |
$2K |
| 90734 |
|
107 |
91 |
$2K |
| 99201 |
|
107 |
107 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
121 |
90 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
881 |
613 |
$2K |
| 90688 |
|
168 |
168 |
$2K |
| 97802 |
|
18 |
12 |
$2K |
| 90732 |
|
19 |
19 |
$2K |
| 0054A |
|
25 |
25 |
$2K |
| H1011 |
Family assessment by licensed behavioral health professional for state defined purposes |
34 |
34 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
58,884 |
53,623 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,923 |
1,868 |
$1K |
| 0124A |
|
15 |
15 |
$1K |
| 90686 |
|
275 |
275 |
$968.37 |
| 90791 |
Psychiatric diagnostic evaluation |
505 |
293 |
$892.72 |
| 0134A |
|
13 |
13 |
$871.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
479 |
473 |
$778.28 |
| G9919 |
Screening performed and positive and provision of recommendations |
1,010 |
1,007 |
$721.23 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,344 |
5,227 |
$628.66 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
322 |
320 |
$588.58 |
| G9920 |
Screening performed and negative |
386 |
386 |
$548.39 |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,094 |
487 |
$533.26 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
491 |
345 |
$515.10 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
18 |
12 |
$490.78 |
| 90716 |
|
48 |
48 |
$372.30 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
269 |
269 |
$356.40 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
250 |
170 |
$328.60 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,607 |
2,571 |
$322.03 |
| 81025 |
|
829 |
811 |
$320.03 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
644 |
395 |
$303.93 |
| T1027 |
Family training and counseling for child development, per 15 minutes |
34 |
34 |
$280.55 |
| H2015 |
Comprehensive community support services, per 15 minutes |
34 |
34 |
$280.55 |
| 90633 |
|
229 |
202 |
$277.82 |
| H2027 |
Psychoeducational service, per 15 minutes |
34 |
34 |
$270.15 |
| 85018 |
|
2,873 |
2,828 |
$219.59 |
| 90656 |
|
220 |
220 |
$216.19 |
| 90744 |
|
19 |
19 |
$144.44 |
| 86580 |
|
197 |
189 |
$134.25 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
349 |
234 |
$130.23 |
| 90713 |
|
18 |
18 |
$121.68 |
| 90710 |
|
16 |
16 |
$117.81 |
| 81003 |
|
939 |
914 |
$85.42 |
| 99173 |
|
1,472 |
1,459 |
$67.52 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
367 |
259 |
$59.71 |
| 99215 |
Prolong outpt/office vis |
521 |
319 |
$57.20 |
| 99383 |
|
22 |
13 |
$54.28 |
| 82962 |
|
2,542 |
2,453 |
$43.60 |
| 90723 |
|
29 |
29 |
$39.80 |
| 90707 |
|
41 |
41 |
$39.60 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
13 |
13 |
$38.41 |
| 90700 |
|
30 |
30 |
$29.80 |
| 90696 |
|
24 |
24 |
$19.80 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
359 |
357 |
$17.00 |
| H0049 |
Alcohol and/or drug screening |
26,155 |
24,503 |
$15.42 |
| 99385 |
|
41 |
28 |
$0.00 |
| 3079F |
|
7,449 |
7,213 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
2,885 |
1,613 |
$0.00 |
| 3044F |
|
332 |
329 |
$0.00 |
| 3075F |
|
3,511 |
3,450 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
740 |
717 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
70 |
68 |
$0.00 |
| 3074F |
|
18,629 |
17,745 |
$0.00 |
| 3080F |
|
1,189 |
1,120 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
63 |
63 |
$0.00 |
| G9012 |
Other specified case management service not elsewhere classified |
582 |
402 |
$0.00 |
| 87428 |
|
33 |
33 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
93 |
89 |
$0.00 |
| 94761 |
|
14 |
14 |
$0.00 |
| J3490 |
Unclassified drugs |
69 |
46 |
$0.00 |
| 99234 |
|
298 |
254 |
$0.00 |
| 85027 |
|
34 |
34 |
$0.00 |
| 99443 |
|
72 |
55 |
$0.00 |
| 86803 |
|
16 |
16 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
18 |
18 |
$0.00 |
| 3008F |
|
34 |
33 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
17 |
16 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
17 |
16 |
$0.00 |
| 96160 |
|
1,137 |
1,132 |
$0.00 |
| 3078F |
|
17,245 |
16,502 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
533 |
516 |
$0.00 |
| 3077F |
|
3,066 |
2,900 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
814 |
792 |
$0.00 |
| 91312 |
|
12 |
12 |
$0.00 |
| 90611 |
|
126 |
126 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
46 |
44 |
$0.00 |
| 90662 |
|
13 |
13 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
245 |
163 |
$0.00 |
| 99442 |
|
24 |
24 |
$0.00 |
| 80061 |
Lipid panel |
46 |
46 |
$0.00 |
| 3051F |
|
58 |
56 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
64 |
28 |
$0.00 |
| 3046F |
|
75 |
75 |
$0.00 |
| 11720 |
|
12 |
12 |
$0.00 |