| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
555,062 |
445,873 |
$83.18M |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
3,578 |
2,686 |
$212K |
| 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 |
14,736 |
13,777 |
$175K |
| 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 |
10,321 |
8,182 |
$63K |
| 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 |
1,185 |
680 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
223,544 |
194,595 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
14,868 |
13,921 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,089 |
4,532 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
404 |
379 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
29 |
26 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
16 |
15 |
$822.64 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,951 |
24,220 |
$744.74 |
| 90834 |
Psychotherapy, 45 minutes with patient |
16,791 |
10,298 |
$347.43 |
| 99442 |
|
3,069 |
2,668 |
$287.72 |
| 90832 |
Psychotherapy, 30 minutes with patient |
28,789 |
17,647 |
$242.38 |
| 90837 |
Psychotherapy, 53 minutes with patient |
4,093 |
2,642 |
$193.11 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,756 |
8,891 |
$178.28 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
45 |
43 |
$162.03 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,796 |
2,406 |
$136.60 |
| 94010 |
|
77 |
72 |
$79.29 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
78,025 |
73,202 |
$56.65 |
| 90461 |
|
29,295 |
27,412 |
$38.25 |
| 90686 |
|
45,185 |
42,579 |
$22.35 |
| 36416 |
|
6,066 |
5,673 |
$0.00 |
| 85018 |
|
31,325 |
29,232 |
$0.00 |
| 96127 |
|
17,849 |
16,271 |
$0.00 |
| 92551 |
|
4,008 |
3,735 |
$0.00 |
| 90651 |
|
2,551 |
2,317 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
599 |
504 |
$0.00 |
| 90716 |
|
476 |
454 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,424 |
5,902 |
$0.00 |
| 90723 |
|
5,807 |
5,520 |
$0.00 |
| 90677 |
|
1,296 |
1,162 |
$0.00 |
| 99381 |
|
199 |
193 |
$0.00 |
| 90480 |
|
1,527 |
1,333 |
$0.00 |
| 91305 |
|
1,374 |
1,235 |
$0.00 |
| 90697 |
|
1,612 |
1,483 |
$0.00 |
| 0064A |
|
655 |
584 |
$0.00 |
| 90656 |
|
2,281 |
2,256 |
$0.00 |
| 91307 |
|
2,268 |
2,060 |
$0.00 |
| 90744 |
|
401 |
382 |
$0.00 |
| 90620 |
|
672 |
614 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
1,065 |
937 |
$0.00 |
| 90674 |
|
722 |
693 |
$0.00 |
| 91301 |
|
1,817 |
1,594 |
$0.00 |
| 90619 |
|
451 |
403 |
$0.00 |
| 0051A |
|
126 |
122 |
$0.00 |
| 91306 |
|
638 |
571 |
$0.00 |
| 0072A |
|
772 |
746 |
$0.00 |
| 0154A |
|
102 |
102 |
$0.00 |
| 99384 |
|
58 |
55 |
$0.00 |
| 0011A |
|
827 |
770 |
$0.00 |
| 99385 |
|
12 |
12 |
$0.00 |
| 0001A |
|
2,405 |
2,146 |
$0.00 |
| 90732 |
|
56 |
52 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
59 |
47 |
$0.00 |
| 90696 |
|
101 |
93 |
$0.00 |
| 99441 |
|
589 |
565 |
$0.00 |
| 0111A |
|
120 |
83 |
$0.00 |
| 0052A |
|
170 |
167 |
$0.00 |
| 91303 |
|
557 |
508 |
$0.00 |
| 0134A |
|
253 |
235 |
$0.00 |
| 93000 |
|
14 |
12 |
$0.00 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
14 |
13 |
$0.00 |
| Q2036 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
161 |
143 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
235 |
225 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
67 |
64 |
$0.00 |
| 0074A |
|
17 |
15 |
$0.00 |
| D0601 |
|
125 |
65 |
$0.00 |
| 0012A |
|
867 |
789 |
$0.00 |
| 82962 |
|
74 |
71 |
$0.00 |
| 0031A |
|
556 |
507 |
$0.00 |
| 81000 |
|
79 |
67 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
43 |
35 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
14 |
13 |
$0.00 |
| D0603 |
|
92 |
51 |
$0.00 |
| 99443 |
|
63 |
53 |
$0.00 |
| 90680 |
|
29 |
29 |
$0.00 |
| 99383 |
|
40 |
40 |
$0.00 |
| D0602 |
|
169 |
92 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
221 |
127 |
$0.00 |
| 81001 |
|
14 |
13 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
17 |
17 |
$0.00 |
| 99173 |
|
15,010 |
13,985 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17,813 |
15,891 |
$0.00 |
| 90648 |
|
9,118 |
8,666 |
$0.00 |
| 90670 |
|
9,176 |
8,723 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15,572 |
14,429 |
$0.00 |
| 90633 |
|
3,845 |
3,597 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
600 |
552 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
20,327 |
18,963 |
$0.00 |
| 91320 |
|
319 |
285 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
4,171 |
1,744 |
$0.00 |
| 90681 |
|
1,810 |
1,725 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,336 |
1,270 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
17,856 |
16,285 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
465 |
447 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
476 |
444 |
$0.00 |
| 81025 |
|
3,119 |
2,860 |
$0.00 |
| 90750 |
|
263 |
209 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
9,142 |
8,257 |
$0.00 |
| 90715 |
|
933 |
840 |
$0.00 |
| 83037 |
|
833 |
791 |
$0.00 |
| 90713 |
|
565 |
526 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
3,498 |
3,258 |
$0.00 |
| 83655 |
|
590 |
576 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
653 |
596 |
$0.00 |
| 90671 |
|
1,432 |
1,345 |
$0.00 |
| S9480 |
Intensive outpatient psychiatric services, per diem |
994 |
136 |
$0.00 |
| 81002 |
|
1,047 |
978 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
3,781 |
2,897 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,734 |
2,576 |
$0.00 |
| 0071A |
|
889 |
853 |
$0.00 |
| 91321 |
|
197 |
187 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,296 |
1,193 |
$0.00 |
| 91312 |
|
432 |
403 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
636 |
575 |
$0.00 |
| 90672 |
|
223 |
219 |
$0.00 |
| 90707 |
|
208 |
187 |
$0.00 |
| 90734 |
|
571 |
535 |
$0.00 |
| 91300 |
|
4,915 |
4,075 |
$0.00 |
| 99411 |
|
454 |
312 |
$0.00 |
| 91313 |
|
275 |
252 |
$0.00 |
| 99382 |
|
13 |
12 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
126 |
94 |
$0.00 |
| 90700 |
|
210 |
196 |
$0.00 |
| 91308 |
|
72 |
70 |
$0.00 |
| 0002A |
|
2,135 |
1,933 |
$0.00 |
| 0124A |
|
479 |
446 |
$0.00 |
| 90710 |
|
255 |
236 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
170 |
157 |
$0.00 |
| 0054A |
|
734 |
672 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
167 |
159 |
$0.00 |
| 90685 |
|
184 |
177 |
$0.00 |
| 90662 |
|
483 |
438 |
$0.00 |
| 91311 |
|
230 |
153 |
$0.00 |
| 99397 |
|
65 |
56 |
$0.00 |
| 91322 |
|
28 |
24 |
$0.00 |
| 94060 |
|
13 |
13 |
$0.00 |
| 0004A |
|
260 |
249 |
$0.00 |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
12 |
12 |
$0.00 |
| D1120 |
Prophylaxis - child |
222 |
127 |
$0.00 |
| 90611 |
|
157 |
98 |
$0.00 |