| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
42,121 |
30,356 |
$8.69M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,115 |
24,163 |
$653K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,641 |
19,801 |
$410K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,966 |
1,837 |
$41K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
545 |
406 |
$28K |
| 99215 |
Prolong outpt/office vis |
926 |
893 |
$25K |
| G0008 |
Administration of influenza virus vaccine |
2,233 |
2,042 |
$20K |
| 91322 |
|
168 |
148 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
704 |
625 |
$13K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,461 |
1,450 |
$12K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
1,429 |
1,350 |
$9K |
| 90834 |
Psychotherapy, 45 minutes with patient |
410 |
219 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,811 |
1,702 |
$8K |
| 90686 |
|
1,992 |
1,799 |
$8K |
| 90480 |
|
232 |
190 |
$6K |
| 0134A |
|
167 |
161 |
$6K |
| 90656 |
|
157 |
156 |
$6K |
| 90791 |
Psychiatric diagnostic evaluation |
504 |
337 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,624 |
1,534 |
$4K |
| 0064A |
|
199 |
196 |
$4K |
| 90677 |
|
56 |
54 |
$4K |
| 91320 |
|
53 |
37 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
397 |
331 |
$2K |
| G0009 |
Administration of pneumococcal vaccine |
209 |
191 |
$2K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
210 |
197 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
60 |
58 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
158 |
154 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,359 |
1,255 |
$1K |
| 90662 |
|
86 |
84 |
$908.10 |
| 90837 |
Psychotherapy, 53 minutes with patient |
67 |
37 |
$655.20 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
43 |
42 |
$559.44 |
| 92229 |
|
20 |
20 |
$408.36 |
| 96127 |
|
13 |
13 |
$322.97 |
| 99442 |
|
185 |
178 |
$273.40 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
30 |
$223.83 |
| 36416 |
|
26 |
25 |
$203.01 |
| 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 |
53 |
50 |
$137.86 |
| 90715 |
|
223 |
215 |
$111.83 |
| 0011A |
|
30 |
29 |
$74.58 |
| 0012A |
|
65 |
65 |
$73.96 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
31 |
31 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |
| 69209 |
|
15 |
12 |
$0.00 |
| 91301 |
|
202 |
197 |
$0.00 |
| 99443 |
|
12 |
12 |
$0.00 |
| 99441 |
|
12 |
12 |
$0.00 |