| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
73,860 |
64,474 |
$20.13M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52,762 |
40,921 |
$750K |
| 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 |
3,583 |
2,876 |
$647K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,708 |
16,881 |
$429K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,471 |
3,481 |
$91K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,281 |
693 |
$90K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,233 |
5,699 |
$80K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,808 |
4,724 |
$60K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,974 |
2,264 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,052 |
1,508 |
$46K |
| 90686 |
|
6,207 |
5,074 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,332 |
925 |
$34K |
| 99215 |
Prolong outpt/office vis |
838 |
713 |
$26K |
| 92551 |
|
4,195 |
3,146 |
$22K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,080 |
763 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
544 |
436 |
$16K |
| 85018 |
|
11,550 |
9,100 |
$13K |
| 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 |
325 |
321 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,333 |
945 |
$12K |
| 92552 |
|
1,283 |
949 |
$10K |
| 90834 |
Psychotherapy, 45 minutes with patient |
169 |
101 |
$7K |
| 96127 |
|
2,628 |
1,767 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,013 |
886 |
$6K |
| 90670 |
|
1,422 |
1,159 |
$6K |
| 90715 |
|
334 |
300 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,242 |
1,651 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
973 |
733 |
$5K |
| 99173 |
|
4,835 |
3,685 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
190 |
127 |
$3K |
| D1206 |
Topical application of fluoride varnish |
415 |
352 |
$3K |
| 90656 |
|
305 |
226 |
$3K |
| 90651 |
|
235 |
198 |
$3K |
| 90648 |
|
1,216 |
975 |
$3K |
| 99188 |
|
358 |
244 |
$3K |
| 81003 |
|
2,343 |
1,888 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
87 |
62 |
$2K |
| 81025 |
|
1,334 |
1,079 |
$2K |
| 90677 |
|
262 |
192 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
516 |
380 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
194 |
181 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
38 |
24 |
$1K |
| 90685 |
|
429 |
364 |
$1K |
| 80305 |
|
279 |
176 |
$1K |
| 99382 |
|
52 |
45 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
50 |
37 |
$1K |
| 83655 |
|
287 |
199 |
$1K |
| G9920 |
Screening performed and negative |
66 |
42 |
$870.00 |
| 90723 |
|
527 |
414 |
$720.00 |
| 99381 |
|
14 |
13 |
$516.69 |
| 90734 |
|
199 |
142 |
$369.93 |
| 36416 |
|
8,377 |
6,206 |
$339.81 |
| 90633 |
|
437 |
323 |
$324.00 |
| 90710 |
|
377 |
279 |
$315.00 |
| Q3014 |
Telehealth originating site facility fee |
12 |
12 |
$215.73 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
35 |
26 |
$206.25 |
| 90681 |
|
76 |
68 |
$112.00 |
| 87807 |
|
23 |
14 |
$96.27 |
| 99201 |
|
28 |
16 |
$74.94 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
24 |
14 |
$53.52 |
| 90461 |
|
1,677 |
532 |
$49.50 |
| 99000 |
|
58 |
53 |
$14.52 |
| 96161 |
|
314 |
234 |
$12.27 |
| 3078F |
|
2,284 |
2,185 |
$0.00 |
| 90700 |
|
54 |
45 |
$0.00 |
| 3077F |
|
158 |
154 |
$0.00 |
| 99408 |
|
13 |
12 |
$0.00 |
| 3075F |
|
393 |
384 |
$0.00 |
| 93000 |
|
13 |
13 |
$0.00 |
| 3074F |
|
2,584 |
2,467 |
$0.00 |
| 1126F |
|
1,966 |
1,854 |
$0.00 |
| 3079F |
|
679 |
661 |
$0.00 |
| 1125F |
|
306 |
294 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
928 |
755 |
$0.00 |
| 3080F |
|
114 |
110 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
16 |
16 |
$0.00 |
| 90697 |
|
51 |
45 |
$0.00 |