| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
181,633 |
153,783 |
$25.61M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
57,271 |
53,042 |
$61K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,645 |
17,627 |
$14K |
| 0002A |
|
150 |
150 |
$10K |
| 0001A |
|
130 |
128 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14,995 |
14,220 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,755 |
1,750 |
$4K |
| 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 |
1,040 |
918 |
$3K |
| 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 |
66 |
62 |
$1K |
| 0072A |
|
15 |
15 |
$1K |
| 0004A |
|
14 |
14 |
$938.00 |
| 0064A |
|
13 |
13 |
$871.00 |
| 0071A |
|
12 |
12 |
$617.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,872 |
1,864 |
$405.30 |
| 81025 |
|
1,598 |
1,557 |
$28.00 |
| 81003 |
|
9,374 |
7,567 |
$3.92 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
2,188 |
1,479 |
$0.00 |
| Z1034 |
|
26,266 |
19,527 |
$0.00 |
| Z1032 |
|
1,673 |
1,654 |
$0.00 |
| J3490 |
Unclassified drugs |
290 |
290 |
$0.00 |
| Z6410 |
|
1,219 |
892 |
$0.00 |
| 90686 |
|
151 |
151 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
317 |
311 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,131 |
1,125 |
$0.00 |
| Z6402 |
|
424 |
415 |
$0.00 |
| 99000 |
|
744 |
742 |
$0.00 |
| 90723 |
|
153 |
153 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
162 |
113 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
944 |
817 |
$0.00 |
| Z6406 |
|
206 |
190 |
$0.00 |
| 85018 |
|
268 |
267 |
$0.00 |
| Z1038 |
|
1,022 |
978 |
$0.00 |
| 90656 |
|
232 |
232 |
$0.00 |
| 97802 |
|
171 |
171 |
$0.00 |
| 92551 |
|
292 |
292 |
$0.00 |
| 59514 |
|
110 |
109 |
$0.00 |
| Z6204 |
|
589 |
458 |
$0.00 |
| 99460 |
|
134 |
133 |
$0.00 |
| 90716 |
|
14 |
14 |
$0.00 |
| 99381 |
|
38 |
38 |
$0.00 |
| 99462 |
|
174 |
142 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 58301 |
|
56 |
28 |
$0.00 |
| Z6404 |
|
151 |
133 |
$0.00 |
| 90474 |
|
61 |
61 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
59 |
59 |
$0.00 |
| 90647 |
|
134 |
134 |
$0.00 |
| 99024 |
|
51 |
43 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
19 |
19 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,043 |
2,823 |
$0.00 |
| 59025 |
Fetal non-stress test |
3,659 |
2,144 |
$0.00 |
| Z6400 |
|
1,962 |
1,879 |
$0.00 |
| 98940 |
|
743 |
585 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
743 |
737 |
$0.00 |
| 11721 |
|
612 |
605 |
$0.00 |
| Z6304 |
|
56 |
55 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,167 |
1,165 |
$0.00 |
| Z6200 |
|
281 |
280 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
279 |
263 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
986 |
983 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
639 |
638 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
277 |
276 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
285 |
285 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
144 |
143 |
$0.00 |
| 90670 |
|
179 |
179 |
$0.00 |
| 90715 |
|
265 |
263 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
859 |
857 |
$0.00 |
| 2028F |
|
51 |
51 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
294 |
294 |
$0.00 |
| Z6300 |
|
200 |
200 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
318 |
317 |
$0.00 |
| 99173 |
|
288 |
288 |
$0.00 |
| 99201 |
|
159 |
159 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
92 |
92 |
$0.00 |
| 97803 |
|
218 |
214 |
$0.00 |
| Z6414 |
|
13 |
13 |
$0.00 |
| 90633 |
|
35 |
35 |
$0.00 |
| 90681 |
|
62 |
62 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90734 |
|
15 |
15 |
$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 |
153 |
130 |
$0.00 |