| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
150,405 |
127,587 |
$15.79M |
| 90832 |
Psychotherapy, 30 minutes with patient |
9,792 |
5,026 |
$317K |
| 90791 |
Psychiatric diagnostic evaluation |
3,851 |
2,273 |
$291K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29,050 |
20,646 |
$247K |
| 59425 |
|
3,247 |
2,380 |
$235K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
117,247 |
67,713 |
$224K |
| 96127 |
|
71,191 |
44,784 |
$198K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,527 |
2,743 |
$86K |
| 90746 |
|
1,374 |
1,236 |
$82K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
62,342 |
38,343 |
$60K |
| 90686 |
|
12,654 |
8,956 |
$52K |
| 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 |
1,345 |
1,209 |
$35K |
| 90715 |
|
2,401 |
1,764 |
$32K |
| D1206 |
Topical application of fluoride varnish |
4,178 |
2,843 |
$30K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
679 |
672 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,092 |
2,965 |
$21K |
| 99401 |
|
1,036 |
914 |
$20K |
| 99173 |
|
10,990 |
7,418 |
$17K |
| 0011A |
|
250 |
249 |
$17K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,819 |
1,836 |
$13K |
| 81003 |
|
11,266 |
6,064 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,194 |
3,281 |
$9K |
| 96156 |
|
681 |
679 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,779 |
1,784 |
$7K |
| 0012A |
|
109 |
109 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,478 |
2,783 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,960 |
3,065 |
$6K |
| 99188 |
|
771 |
567 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,169 |
826 |
$6K |
| 90662 |
|
324 |
263 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,246 |
4,681 |
$5K |
| G9012 |
Other specified case management service not elsewhere classified |
53 |
38 |
$5K |
| 90834 |
Psychotherapy, 45 minutes with patient |
137 |
78 |
$5K |
| 81025 |
|
1,895 |
1,335 |
$3K |
| 99381 |
|
492 |
452 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
918 |
695 |
$3K |
| 97803 |
|
111 |
109 |
$3K |
| 97802 |
|
69 |
69 |
$3K |
| 92552 |
|
11,539 |
7,437 |
$2K |
| 99385 |
|
306 |
222 |
$2K |
| 0064A |
|
55 |
54 |
$2K |
| 98960 |
|
80 |
69 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
526 |
416 |
$1K |
| 59430 |
|
15 |
12 |
$1K |
| 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 |
30 |
29 |
$819.60 |
| 99397 |
|
40 |
26 |
$795.48 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
194 |
116 |
$744.12 |
| 99383 |
|
204 |
140 |
$460.60 |
| 88720 |
|
450 |
372 |
$385.11 |
| 99386 |
|
72 |
53 |
$360.72 |
| 99384 |
|
147 |
104 |
$315.76 |
| 99201 |
|
246 |
133 |
$302.28 |
| 87210 |
|
99 |
52 |
$209.23 |
| 90698 |
|
2,561 |
1,778 |
$132.47 |
| 90670 |
|
3,249 |
2,290 |
$120.50 |
| S9452 |
Nutrition classes, non-physician provider, per session |
12 |
12 |
$110.00 |
| 90651 |
|
2,425 |
1,618 |
$99.30 |
| 90734 |
|
1,350 |
910 |
$97.97 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
29 |
27 |
$90.20 |
| 86580 |
|
44 |
44 |
$87.36 |
| 85018 |
|
9,061 |
8,299 |
$83.36 |
| 90633 |
|
2,385 |
1,669 |
$82.89 |
| 90744 |
|
2,358 |
1,784 |
$82.80 |
| 82947 |
|
734 |
675 |
$63.36 |
| 99382 |
|
45 |
33 |
$55.99 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
13 |
$14.40 |
| 96161 |
|
1,243 |
1,179 |
$2.05 |
| 3074F |
|
23,849 |
21,449 |
$0.00 |
| 3079F |
|
6,825 |
6,221 |
$0.00 |
| Z1034 |
|
4,445 |
3,367 |
$0.00 |
| Z6406 |
|
864 |
748 |
$0.00 |
| 3075F |
|
3,872 |
3,528 |
$0.00 |
| Z6204 |
|
133 |
131 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
11,232 |
8,816 |
$0.00 |
| 90677 |
|
417 |
294 |
$0.00 |
| Z6402 |
|
300 |
300 |
$0.00 |
| 90716 |
|
393 |
280 |
$0.00 |
| 90696 |
|
173 |
107 |
$0.00 |
| 3080F |
|
709 |
648 |
$0.00 |
| 90656 |
|
257 |
254 |
$0.00 |
| 87590 |
|
16 |
16 |
$0.00 |
| 90619 |
|
421 |
252 |
$0.00 |
| 90620 |
|
373 |
262 |
$0.00 |
| 88142 |
|
37 |
25 |
$0.00 |
| Z1032 |
|
42 |
42 |
$0.00 |
| 92551 |
|
14 |
14 |
$0.00 |
| 87490 |
|
18 |
17 |
$0.00 |
| 90681 |
|
719 |
537 |
$0.00 |
| 3077F |
|
3,195 |
2,881 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
205 |
199 |
$0.00 |
| 96160 |
|
1,845 |
1,679 |
$0.00 |
| 3078F |
|
23,058 |
20,773 |
$0.00 |
| Z6400 |
|
1,165 |
1,154 |
$0.00 |
| Z6300 |
|
309 |
309 |
$0.00 |
| 90710 |
|
290 |
192 |
$0.00 |
| 0502F |
|
95 |
82 |
$0.00 |
| 90707 |
|
202 |
154 |
$0.00 |
| 2028F |
|
13 |
12 |
$0.00 |
| Z6200 |
|
288 |
288 |
$0.00 |
| 83655 |
|
109 |
105 |
$0.00 |
| 90648 |
|
52 |
52 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
173 |
85 |
$0.00 |
| 88164 |
|
76 |
38 |
$0.00 |
| 90700 |
|
125 |
79 |
$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 |
12 |
12 |
$0.00 |
| Z6304 |
|
78 |
78 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$0.00 |
| 90685 |
|
15 |
15 |
$0.00 |
| 90713 |
|
14 |
14 |
$0.00 |