| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
529,933 |
398,054 |
$69.86M |
| 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 |
91,399 |
53,465 |
$4.77M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
117,630 |
102,137 |
$672K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,736 |
20,966 |
$269K |
| 90832 |
Psychotherapy, 30 minutes with patient |
24,152 |
10,221 |
$205K |
| 99442 |
|
13,132 |
10,831 |
$105K |
| 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 |
8,003 |
6,831 |
$99K |
| 95115 |
|
22,199 |
10,974 |
$93K |
| 90834 |
Psychotherapy, 45 minutes with patient |
17,748 |
7,348 |
$83K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,688 |
837 |
$76K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,256 |
1,744 |
$71K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
8,426 |
7,465 |
$70K |
| 99397 |
|
1,347 |
1,038 |
$62K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
3,325 |
1,754 |
$54K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12,687 |
10,510 |
$48K |
| 99443 |
|
3,347 |
2,596 |
$43K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
6,434 |
2,292 |
$31K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,356 |
1,534 |
$12K |
| 97803 |
|
979 |
884 |
$10K |
| 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 |
261 |
108 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
772 |
616 |
$8K |
| 97802 |
|
1,394 |
1,253 |
$8K |
| G0008 |
Administration of influenza virus vaccine |
655 |
580 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
648 |
501 |
$6K |
| 97810 |
|
186 |
81 |
$6K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
34 |
32 |
$5K |
| 0064A |
|
264 |
223 |
$4K |
| 99215 |
Prolong outpt/office vis |
232 |
199 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
818 |
663 |
$4K |
| 99441 |
|
1,223 |
1,045 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,038 |
6,549 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
666 |
575 |
$2K |
| 0012A |
|
1,765 |
1,677 |
$2K |
| 90686 |
|
32,064 |
30,246 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
459 |
400 |
$1K |
| 0011A |
|
1,845 |
1,754 |
$1K |
| 99386 |
|
418 |
392 |
$963.72 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,717 |
1,566 |
$603.59 |
| 11721 |
|
1,207 |
1,027 |
$535.07 |
| 99000 |
|
1,981 |
1,814 |
$344.59 |
| 92250 |
|
15 |
12 |
$327.85 |
| 11056 |
|
595 |
506 |
$318.58 |
| 90662 |
|
150 |
145 |
$217.10 |
| 96127 |
|
21,013 |
16,771 |
$164.91 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
263 |
252 |
$160.27 |
| 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 |
111 |
91 |
$157.01 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
47,128 |
44,459 |
$146.32 |
| 11720 |
|
403 |
347 |
$145.86 |
| 99385 |
|
1,624 |
1,538 |
$145.25 |
| 11055 |
|
335 |
284 |
$134.32 |
| 3351F |
|
24,383 |
21,521 |
$15.56 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
8,723 |
8,273 |
$9.67 |
| 4000F |
|
1,464 |
1,301 |
$0.00 |
| D0603 |
|
7,879 |
6,784 |
$0.00 |
| 1000F |
|
12,631 |
11,099 |
$0.00 |
| 92551 |
|
14,234 |
13,520 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
5,737 |
5,071 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
21,826 |
19,112 |
$0.00 |
| D0601 |
|
6,340 |
5,477 |
$0.00 |
| 90651 |
|
5,161 |
4,940 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
25,960 |
23,167 |
$0.00 |
| D0602 |
|
9,807 |
8,389 |
$0.00 |
| 1220F |
|
1,268 |
1,155 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15,053 |
14,187 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
7,267 |
5,116 |
$0.00 |
| 99406 |
|
1,074 |
973 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
10,739 |
8,698 |
$0.00 |
| 1111F |
|
280 |
257 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
7,964 |
6,685 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
7,705 |
4,421 |
$0.00 |
| 3008F |
|
1,427 |
1,226 |
$0.00 |
| 3074F |
|
531 |
462 |
$0.00 |
| 94250 |
|
279 |
243 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
600 |
383 |
$0.00 |
| 90698 |
|
2,612 |
2,458 |
$0.00 |
| 36416 |
|
4,101 |
3,961 |
$0.00 |
| 90744 |
|
509 |
492 |
$0.00 |
| 90696 |
|
73 |
69 |
$0.00 |
| 90620 |
|
1,025 |
983 |
$0.00 |
| 85018 |
|
4,096 |
3,973 |
$0.00 |
| 1170F |
|
673 |
556 |
$0.00 |
| 91307 |
|
177 |
164 |
$0.00 |
| D1351 |
Sealant - per tooth |
7,531 |
2,971 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
7,807 |
6,963 |
$0.00 |
| 0134A |
|
24 |
24 |
$0.00 |
| D5899 |
|
2,435 |
1,318 |
$0.00 |
| 90688 |
|
803 |
780 |
$0.00 |
| 3075F |
|
173 |
148 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
155 |
53 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
178 |
170 |
$0.00 |
| 90677 |
|
387 |
375 |
$0.00 |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
22 |
15 |
$0.00 |
| 91306 |
|
183 |
181 |
$0.00 |
| 90716 |
|
182 |
170 |
$0.00 |
| 1126F |
|
42 |
40 |
$0.00 |
| 90697 |
|
251 |
242 |
$0.00 |
| 86580 |
|
291 |
286 |
$0.00 |
| 90619 |
|
400 |
365 |
$0.00 |
| 91301 |
|
3,437 |
3,271 |
$0.00 |
| 0001A |
|
178 |
178 |
$0.00 |
| 81005 |
|
160 |
146 |
$0.00 |
| 90480 |
|
28 |
26 |
$0.00 |
| D2330 |
|
39 |
29 |
$0.00 |
| 98967 |
|
411 |
213 |
$0.00 |
| 99383 |
|
89 |
85 |
$0.00 |
| 0111A |
|
37 |
15 |
$0.00 |
| 3352F |
|
28 |
27 |
$0.00 |
| 90674 |
|
58 |
57 |
$0.00 |
| D9310 |
|
101 |
95 |
$0.00 |
| 99384 |
|
80 |
76 |
$0.00 |
| D1330 |
|
117 |
114 |
$0.00 |
| D2331 |
|
16 |
12 |
$0.00 |
| 1101F |
|
14 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
10,629 |
10,099 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
9,137 |
6,172 |
$0.00 |
| 81002 |
|
9,188 |
7,428 |
$0.00 |
| 92552 |
|
12,331 |
11,711 |
$0.00 |
| 99173 |
|
27,567 |
26,192 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,823 |
9,328 |
$0.00 |
| 90681 |
|
479 |
457 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
15,192 |
12,215 |
$0.00 |
| 90461 |
|
15,525 |
14,700 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
9,577 |
7,644 |
$0.00 |
| G9920 |
Screening performed and negative |
5,606 |
4,960 |
$0.00 |
| D1120 |
Prophylaxis - child |
29,668 |
26,166 |
$0.00 |
| 4019F |
|
4,001 |
3,808 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,367 |
6,672 |
$0.00 |
| D1110 |
Prophylaxis - adult |
21,852 |
18,477 |
$0.00 |
| 90670 |
|
4,202 |
3,984 |
$0.00 |
| 0002A |
|
143 |
143 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,036 |
1,892 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
1,325 |
1,213 |
$0.00 |
| D0330 |
Panoramic radiographic image |
1,093 |
828 |
$0.00 |
| 0073A |
|
16 |
16 |
$0.00 |
| 90633 |
|
2,483 |
2,356 |
$0.00 |
| 3288F |
|
1,802 |
1,403 |
$0.00 |
| 90734 |
|
1,732 |
1,665 |
$0.00 |
| 1160F |
|
1,264 |
1,086 |
$0.00 |
| 90671 |
|
752 |
690 |
$0.00 |
| 99408 |
|
684 |
631 |
$0.00 |
| 2014F |
|
2,175 |
1,858 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
347 |
330 |
$0.00 |
| 90685 |
|
141 |
134 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
15 |
14 |
$0.00 |
| 81025 |
|
1,366 |
1,238 |
$0.00 |
| 3078F |
|
1,034 |
880 |
$0.00 |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
297 |
246 |
$0.00 |
| D2140 |
|
652 |
537 |
$0.00 |
| 1039F |
|
94 |
90 |
$0.00 |
| 1159F |
|
671 |
564 |
$0.00 |
| 90710 |
|
109 |
107 |
$0.00 |
| 90863 |
|
533 |
423 |
$0.00 |
| D2940 |
|
1,242 |
702 |
$0.00 |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
525 |
464 |
$0.00 |
| 90672 |
|
801 |
776 |
$0.00 |
| 90715 |
|
168 |
167 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
141 |
140 |
$0.00 |
| 99201 |
|
13 |
12 |
$0.00 |
| 90473 |
|
213 |
211 |
$0.00 |
| 98968 |
|
442 |
194 |
$0.00 |
| 69210 |
|
82 |
82 |
$0.00 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
281 |
272 |
$0.00 |
| 94799 |
|
96 |
93 |
$0.00 |
| 91300 |
|
391 |
385 |
$0.00 |
| D4341 |
|
16 |
13 |
$0.00 |
| 91311 |
|
127 |
79 |
$0.00 |
| 99382 |
|
13 |
13 |
$0.00 |
| 2028F |
|
113 |
100 |
$0.00 |
| 99177 |
|
24 |
24 |
$0.00 |
| 0071A |
|
13 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
13 |
13 |
$0.00 |
| 3077F |
|
14 |
12 |
$0.00 |
| 4274F |
|
22 |
20 |
$0.00 |
| 90707 |
|
26 |
26 |
$0.00 |
| 83655 |
|
14 |
14 |
$0.00 |
| 90611 |
|
16 |
15 |
$0.00 |