| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
111,384 |
87,904 |
$19.69M |
| 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 |
9,739 |
6,006 |
$120K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
2,117 |
1,098 |
$118K |
| 90686 |
|
5,753 |
4,905 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58,982 |
47,699 |
$28K |
| H0038 |
Self-help/peer services, per 15 minutes |
909 |
212 |
$26K |
| 0001A |
|
690 |
552 |
$17K |
| 0002A |
|
579 |
510 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,160 |
12,756 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,712 |
4,880 |
$8K |
| 0013A |
|
248 |
213 |
$7K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,371 |
1,022 |
$7K |
| 0012A |
|
176 |
168 |
$6K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
624 |
343 |
$6K |
| 0003A |
|
149 |
138 |
$6K |
| 0011A |
|
144 |
137 |
$5K |
| 80305 |
|
646 |
456 |
$5K |
| T1027 |
Family training and counseling for child development, per 15 minutes |
429 |
329 |
$4K |
| 86328 |
|
104 |
100 |
$4K |
| 90716 |
|
123 |
112 |
$3K |
| 92015 |
Determination of refractive state |
1,121 |
824 |
$3K |
| 97802 |
|
324 |
256 |
$3K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
236 |
97 |
$3K |
| 0071A |
|
77 |
73 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
6,498 |
3,702 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,942 |
2,560 |
$2K |
| 0072A |
|
69 |
65 |
$2K |
| T1012 |
Alcohol and/or substance abuse services, skills development |
163 |
109 |
$2K |
| 90656 |
|
485 |
449 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,522 |
1,445 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
169 |
137 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
485 |
387 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
317 |
300 |
$1K |
| 90461 |
|
2,091 |
1,733 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
524 |
430 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
69 |
62 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
97 |
92 |
$733.25 |
| 90648 |
|
411 |
345 |
$659.76 |
| 90715 |
|
35 |
34 |
$615.54 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
93 |
91 |
$496.56 |
| 97803 |
|
28 |
28 |
$484.81 |
| 90707 |
|
61 |
58 |
$470.97 |
| 90723 |
|
254 |
212 |
$451.00 |
| 90633 |
|
212 |
181 |
$429.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,016 |
854 |
$390.06 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
386 |
356 |
$350.15 |
| 99460 |
|
16 |
12 |
$334.60 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
24 |
$258.72 |
| V2020 |
Frames, purchases |
53 |
52 |
$240.50 |
| 11721 |
|
12 |
12 |
$207.15 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,064 |
974 |
$203.85 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
50 |
28 |
$188.50 |
| V2760 |
Scratch resistant coating, per lens |
106 |
52 |
$148.00 |
| 90670 |
|
181 |
155 |
$136.14 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
629 |
593 |
$132.45 |
| 90680 |
|
127 |
113 |
$96.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
869 |
808 |
$69.33 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
715 |
658 |
$67.95 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
267 |
238 |
$67.95 |
| 99401 |
|
62 |
32 |
$67.20 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
100 |
96 |
$61.00 |
| G0008 |
Administration of influenza virus vaccine |
288 |
195 |
$60.52 |
| 99402 |
|
139 |
103 |
$39.50 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
269 |
241 |
$30.82 |
| 90480 |
|
15 |
14 |
$10.47 |
| 90863 |
|
660 |
445 |
$4.23 |
| 90837 |
Psychotherapy, 53 minutes with patient |
54 |
37 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
138 |
120 |
$0.00 |
| 91300 |
|
1,520 |
1,157 |
$0.00 |
| 90669 |
|
170 |
142 |
$0.00 |
| 99201 |
|
16 |
13 |
$0.00 |
| 90649 |
|
35 |
32 |
$0.00 |
| 91301 |
|
800 |
743 |
$0.00 |
| 90677 |
|
56 |
55 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
159 |
139 |
$0.00 |
| 91307 |
|
63 |
58 |
$0.00 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
27 |
25 |
$0.00 |
| 90619 |
|
15 |
13 |
$0.00 |
| 90697 |
|
24 |
24 |
$0.00 |