| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
63,289 |
44,733 |
$9.17M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43,630 |
34,614 |
$478K |
| 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 |
13,162 |
10,328 |
$337K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,456 |
12,360 |
$263K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,441 |
1,177 |
$110K |
| 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 |
12,349 |
7,708 |
$98K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
2,898 |
2,015 |
$73K |
| 99490 |
Ccm add 20min |
1,773 |
1,736 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,826 |
3,347 |
$12K |
| 90674 |
|
454 |
450 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,415 |
1,371 |
$7K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
652 |
527 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
837 |
805 |
$6K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,137 |
1,003 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
955 |
928 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,986 |
1,787 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
828 |
810 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
398 |
372 |
$2K |
| 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 |
628 |
507 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
104 |
64 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
108 |
103 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
884 |
875 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,382 |
2,245 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
730 |
719 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
378 |
373 |
$935.62 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,727 |
1,532 |
$834.59 |
| 82962 |
|
3,145 |
2,781 |
$717.72 |
| 90461 |
|
361 |
339 |
$685.91 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,589 |
2,482 |
$632.98 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
294 |
290 |
$492.80 |
| 80305 |
|
1,614 |
1,400 |
$450.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
53 |
45 |
$403.56 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
413 |
411 |
$388.53 |
| 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 |
33 |
27 |
$300.74 |
| 93000 |
|
742 |
712 |
$278.94 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
764 |
687 |
$212.16 |
| 99384 |
|
91 |
90 |
$201.78 |
| G0008 |
Administration of influenza virus vaccine |
542 |
442 |
$188.15 |
| 90688 |
|
811 |
749 |
$148.97 |
| 82044 |
|
558 |
534 |
$145.62 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
59 |
53 |
$144.05 |
| 87428 |
|
2,614 |
2,472 |
$140.92 |
| 81002 |
|
1,674 |
1,545 |
$135.22 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$90.11 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
29 |
26 |
$68.78 |
| 90686 |
|
461 |
414 |
$68.29 |
| 99215 |
Prolong outpt/office vis |
50 |
44 |
$56.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,117 |
1,017 |
$52.92 |
| 81025 |
|
424 |
400 |
$29.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
88 |
70 |
$9.46 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
97 |
83 |
$3.93 |
| 1100F |
|
13 |
13 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
486 |
404 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
46 |
32 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
20 |
13 |
$0.00 |
| 90756 |
|
199 |
174 |
$0.00 |
| 3288F |
|
13 |
13 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
14 |
14 |
$0.00 |
| 87807 |
|
164 |
158 |
$0.00 |
| 99383 |
|
18 |
18 |
$0.00 |
| 95117 |
|
175 |
92 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
17 |
12 |
$0.00 |