| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
216,946 |
200,220 |
$26.65M |
| 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 |
50,466 |
36,310 |
$696K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
91,557 |
65,250 |
$676K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,604 |
12,578 |
$318K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
36,663 |
26,216 |
$265K |
| 99334 |
|
36,640 |
26,190 |
$211K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
2,467 |
2,257 |
$130K |
| 99335 |
|
15,251 |
10,644 |
$124K |
| 99347 |
|
28,552 |
19,860 |
$92K |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,263 |
2,131 |
$65K |
| 11721 |
|
10,625 |
7,364 |
$51K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14,423 |
10,593 |
$49K |
| 99336 |
|
3,411 |
2,438 |
$37K |
| 99348 |
|
4,953 |
3,559 |
$25K |
| 92551 |
|
8,147 |
6,048 |
$25K |
| 99215 |
Prolong outpt/office vis |
556 |
329 |
$15K |
| 96156 |
|
3,679 |
2,405 |
$12K |
| 90686 |
|
3,468 |
2,754 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
710 |
532 |
$6K |
| 90791 |
Psychiatric diagnostic evaluation |
111 |
78 |
$6K |
| 99349 |
|
1,057 |
817 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
662 |
486 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
426 |
296 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
347 |
302 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
545 |
360 |
$3K |
| 99205 |
Prolong outpt/office vis |
50 |
30 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
178 |
119 |
$2K |
| 11720 |
|
2,726 |
1,825 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
42 |
36 |
$2K |
| 99442 |
|
347 |
239 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
440 |
307 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
106 |
70 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
363 |
259 |
$1K |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
52 |
49 |
$1K |
| 90685 |
|
97 |
97 |
$1K |
| 85018 |
|
6,596 |
4,657 |
$1K |
| 90651 |
|
444 |
275 |
$764.28 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
379 |
258 |
$711.60 |
| 0012A |
|
62 |
45 |
$685.85 |
| 0011A |
|
48 |
37 |
$663.50 |
| 97802 |
|
555 |
363 |
$519.88 |
| 82962 |
|
3,173 |
2,006 |
$491.01 |
| 90620 |
|
244 |
139 |
$428.55 |
| 90677 |
|
135 |
95 |
$376.74 |
| 99341 |
|
133 |
110 |
$356.62 |
| 69210 |
|
41 |
29 |
$334.90 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
630 |
432 |
$329.22 |
| 90688 |
|
36 |
35 |
$324.00 |
| 0064A |
|
17 |
17 |
$320.00 |
| 90734 |
|
76 |
70 |
$305.55 |
| 90658 |
|
17 |
17 |
$268.20 |
| 90670 |
|
300 |
222 |
$244.20 |
| 90834 |
Psychotherapy, 45 minutes with patient |
41 |
28 |
$213.00 |
| 71046 |
Radiologic examination, chest; 2 views |
53 |
45 |
$206.60 |
| 99325 |
|
21 |
16 |
$204.96 |
| 92015 |
Determination of refractive state |
231 |
162 |
$198.25 |
| 99173 |
|
6,990 |
5,681 |
$183.90 |
| 99443 |
|
18 |
12 |
$180.44 |
| 90698 |
|
187 |
136 |
$178.65 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
18 |
12 |
$166.56 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
396 |
265 |
$158.85 |
| 99342 |
|
53 |
46 |
$136.03 |
| 99337 |
|
13 |
13 |
$125.64 |
| 90680 |
|
180 |
139 |
$118.92 |
| 99383 |
|
14 |
12 |
$108.56 |
| 99381 |
|
50 |
31 |
$89.76 |
| 99324 |
|
19 |
13 |
$88.73 |
| 99417 |
Prolong home eval add 15m |
285 |
196 |
$84.30 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,056 |
706 |
$78.46 |
| 82274 |
|
36 |
29 |
$70.00 |
| 96127 |
|
845 |
484 |
$61.50 |
| 81002 |
|
942 |
662 |
$55.07 |
| 90715 |
|
51 |
46 |
$54.00 |
| 90696 |
|
16 |
14 |
$53.91 |
| 90710 |
|
30 |
28 |
$45.00 |
| 90619 |
|
237 |
145 |
$41.64 |
| 90744 |
|
70 |
64 |
$32.73 |
| 90697 |
|
35 |
30 |
$23.82 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
20 |
12 |
$18.56 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
105 |
81 |
$16.22 |
| 81000 |
|
130 |
82 |
$12.29 |
| 92250 |
|
19 |
19 |
$6.35 |
| 3075F |
|
2,783 |
1,891 |
$0.00 |
| 3079F |
|
5,564 |
3,860 |
$0.00 |
| 3074F |
|
16,778 |
11,180 |
$0.00 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
289 |
247 |
$0.00 |
| 3080F |
|
905 |
570 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
420 |
352 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46 |
45 |
$0.00 |
| 93000 |
|
156 |
135 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
214 |
194 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
2,184 |
2,071 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
41 |
39 |
$0.00 |
| 91301 |
|
85 |
73 |
$0.00 |
| 99000 |
|
26 |
17 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
78 |
76 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
18 |
18 |
$0.00 |
| 99344 |
|
13 |
13 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 88141 |
|
28 |
26 |
$0.00 |
| 1000F |
|
17 |
13 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
24 |
15 |
$0.00 |
| 90674 |
|
14 |
14 |
$0.00 |
| 3078F |
|
14,744 |
9,836 |
$0.00 |
| 3077F |
|
1,810 |
1,143 |
$0.00 |
| 1160F |
|
717 |
436 |
$0.00 |
| 1159F |
|
138 |
85 |
$0.00 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
77 |
76 |
$0.00 |
| 97803 |
|
155 |
112 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
45 |
43 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
55 |
37 |
$0.00 |
| 90648 |
|
30 |
30 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
21 |
20 |
$0.00 |
| 9334 |
|
22 |
22 |
$0.00 |