| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
60,638 |
49,909 |
$4.19M |
| 99199 |
Unlisted special service, procedure or report |
187,651 |
101,212 |
$1.10M |
| T1017 |
Targeted case management, each 15 minutes |
1,137 |
1,111 |
$330K |
| 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 |
4,082 |
2,695 |
$58K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
371 |
297 |
$22K |
| 0012A |
|
384 |
372 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,754 |
1,461 |
$16K |
| 0011A |
|
401 |
388 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
193 |
165 |
$12K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
634 |
499 |
$11K |
| 0064A |
|
211 |
177 |
$11K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,527 |
1,385 |
$10K |
| 92552 |
|
751 |
642 |
$8K |
| 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 |
1,026 |
804 |
$7K |
| 80305 |
|
510 |
345 |
$5K |
| 0134A |
|
116 |
58 |
$4K |
| 0001A |
|
76 |
64 |
$4K |
| 85018 |
|
1,912 |
1,688 |
$3K |
| 0002A |
|
64 |
56 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
48 |
42 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
30 |
28 |
$2K |
| 0071A |
|
35 |
28 |
$2K |
| 4274F |
|
3,274 |
2,891 |
$1K |
| 91322 |
|
16 |
15 |
$924.44 |
| 87428 |
|
20 |
14 |
$890.26 |
| 99173 |
|
823 |
711 |
$888.49 |
| 0072A |
|
18 |
13 |
$864.55 |
| 90832 |
Psychotherapy, 30 minutes with patient |
18 |
18 |
$832.65 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
19 |
18 |
$744.84 |
| 99401 |
|
128 |
112 |
$664.01 |
| 99408 |
|
931 |
506 |
$638.42 |
| 36415 |
Collection of venous blood by venipuncture |
1,057 |
895 |
$595.73 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
96 |
86 |
$579.36 |
| 81003 |
|
612 |
566 |
$525.20 |
| 80053 |
Comprehensive metabolic panel |
486 |
419 |
$442.18 |
| 90674 |
|
365 |
313 |
$441.07 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
48 |
40 |
$359.65 |
| 96127 |
|
169 |
128 |
$328.14 |
| 87807 |
|
37 |
30 |
$277.89 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
25 |
24 |
$276.83 |
| 90677 |
|
27 |
26 |
$255.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$174.84 |
| 84443 |
Thyroid stimulating hormone (TSH) |
60 |
50 |
$171.87 |
| 90661 |
|
71 |
69 |
$157.65 |
| 99406 |
|
32 |
28 |
$131.65 |
| 80061 |
Lipid panel |
72 |
64 |
$84.69 |
| 91300 |
|
262 |
204 |
$65.02 |
| 91301 |
|
866 |
820 |
$54.61 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
192 |
160 |
$51.36 |
| 96160 |
|
18 |
17 |
$48.62 |
| 92551 |
|
113 |
106 |
$38.08 |
| 90686 |
|
203 |
157 |
$19.56 |
| 36416 |
|
87 |
79 |
$18.96 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
17 |
12 |
$14.74 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
14 |
13 |
$6.56 |
| 3074F |
|
13,065 |
11,081 |
$5.85 |
| 3008F |
|
20,284 |
17,152 |
$4.77 |
| 3078F |
|
11,252 |
9,584 |
$4.72 |
| 1160F |
|
9,311 |
8,223 |
$3.71 |
| 1159F |
|
9,310 |
8,223 |
$2.00 |
| 91313 |
|
89 |
45 |
$1.50 |
| 3079F |
|
4,013 |
3,519 |
$1.37 |
| 3075F |
|
1,074 |
958 |
$0.47 |
| 1126F |
|
931 |
858 |
$0.12 |
| 3066F |
|
2,305 |
2,034 |
$0.11 |
| 3044F |
|
217 |
194 |
$0.04 |
| 1170F |
|
25 |
25 |
$0.03 |
| 3077F |
|
707 |
635 |
$0.03 |
| 2001F |
|
12,543 |
10,880 |
$0.01 |
| 1036F |
|
6,516 |
5,728 |
$0.01 |
| 2000F |
|
11,857 |
10,368 |
$0.01 |
| 2010F |
|
12,685 |
10,998 |
$0.01 |
| 3351F |
|
3,907 |
3,493 |
$0.00 |
| 91307 |
|
89 |
65 |
$0.00 |
| 1034F |
|
3,072 |
2,690 |
$0.00 |
| 4010F |
|
583 |
517 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
107 |
99 |
$0.00 |
| 4037F |
|
525 |
456 |
$0.00 |
| 3500F |
|
822 |
738 |
$0.00 |
| 91306 |
|
211 |
179 |
$0.00 |
| 99000 |
|
43 |
41 |
$0.00 |
| 1125F |
|
99 |
89 |
$0.00 |
| 90651 |
|
70 |
54 |
$0.00 |
| 86361 |
|
16 |
15 |
$0.00 |
| 3080F |
|
59 |
53 |
$0.00 |
| 1220F |
|
18 |
17 |
$0.00 |
| 4040F |
|
896 |
786 |
$0.00 |
| 3023F |
|
45 |
38 |
$0.00 |
| 3085F |
|
30 |
27 |
$0.00 |
| 4004F |
|
72 |
69 |
$0.00 |
| 90734 |
|
46 |
33 |
$0.00 |
| 96158 |
|
12 |
12 |
$0.00 |
| 90715 |
|
16 |
12 |
$0.00 |