| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
23,568 |
20,088 |
$3.17M |
| 59425 |
|
2,065 |
1,362 |
$183K |
| 99205 |
Prolong outpt/office vis |
505 |
504 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,093 |
997 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,736 |
16,144 |
$33K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
1,242 |
898 |
$21K |
| 90837 |
Psychotherapy, 53 minutes with patient |
347 |
288 |
$13K |
| 90686 |
|
563 |
561 |
$10K |
| G9920 |
Screening performed and negative |
292 |
291 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
532 |
514 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
284 |
277 |
$7K |
| 99215 |
Prolong outpt/office vis |
63 |
63 |
$6K |
| 90656 |
|
153 |
153 |
$3K |
| 81002 |
|
1,219 |
944 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
90 |
89 |
$2K |
| 99401 |
|
124 |
107 |
$2K |
| 85018 |
|
925 |
912 |
$2K |
| 90688 |
|
96 |
96 |
$2K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
116 |
95 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
195 |
194 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
51 |
50 |
$2K |
| 90670 |
|
78 |
71 |
$931.50 |
| 90648 |
|
78 |
71 |
$924.75 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
44 |
44 |
$841.50 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
180 |
180 |
$822.44 |
| 81025 |
|
203 |
203 |
$762.12 |
| 90677 |
|
15 |
15 |
$722.00 |
| 90658 |
|
21 |
21 |
$476.70 |
| 90633 |
|
33 |
26 |
$445.50 |
| 90715 |
|
13 |
13 |
$437.53 |
| 92551 |
|
443 |
443 |
$355.23 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
270 |
270 |
$350.80 |
| 90723 |
|
31 |
31 |
$330.75 |
| 96150 |
|
15 |
15 |
$296.54 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
42 |
$280.79 |
| 90710 |
|
18 |
13 |
$243.00 |
| 90680 |
|
18 |
18 |
$243.00 |
| 82947 |
|
53 |
51 |
$219.67 |
| 99000 |
|
46 |
39 |
$152.16 |
| 99173 |
|
13 |
13 |
$76.04 |
| 81003 |
|
15 |
14 |
$30.38 |
| 99442 |
|
76 |
76 |
$0.00 |
| 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 |
14 |
13 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
114 |
110 |
$0.00 |
| Z1034 |
|
198 |
169 |
$0.00 |
| Z6410 |
|
37 |
28 |
$0.00 |