| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,784 |
6,399 |
$448K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,030 |
2,538 |
$193K |
| 99215 |
Prolong outpt/office vis |
606 |
400 |
$24K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,385 |
1,223 |
$22K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,096 |
749 |
$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 |
2,298 |
1,983 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
128 |
108 |
$8K |
| 90832 |
Psychotherapy, 30 minutes with patient |
237 |
213 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$1K |
| 99205 |
Prolong outpt/office vis |
24 |
15 |
$908.90 |
| 90838 |
|
37 |
30 |
$770.33 |
| D0140 |
Limited oral evaluation - problem focused |
52 |
43 |
$618.93 |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$448.14 |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
201 |
144 |
$383.04 |
| Q3014 |
Telehealth originating site facility fee |
29 |
24 |
$368.57 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,733 |
1,402 |
$104.90 |
| D1110 |
Prophylaxis - adult |
24 |
24 |
$95.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
736 |
600 |
$70.76 |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
191 |
142 |
$67.50 |
| 86710 |
|
905 |
715 |
$30.11 |
| 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 |
112 |
90 |
$9.96 |
| 92551 |
|
157 |
131 |
$4.28 |
| 36415 |
Collection of venous blood by venipuncture |
332 |
278 |
$2.70 |
| 99173 |
|
157 |
131 |
$1.12 |
| 96160 |
|
826 |
724 |
$1.02 |
| 99401 |
|
13 |
13 |
$0.74 |
| 96136 |
|
13 |
12 |
$0.00 |
| 90840 |
|
30 |
22 |
$0.00 |
| 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 |
17 |
$0.00 |
| 81002 |
|
46 |
40 |
$0.00 |
| 90756 |
|
15 |
13 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
273 |
221 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
185 |
134 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
188 |
148 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
15 |
14 |
$0.00 |
| 91301 |
|
16 |
14 |
$0.00 |
| 85018 |
|
19 |
15 |
$0.00 |