| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
59,906 |
50,838 |
$9.93M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39,928 |
25,770 |
$167K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,473 |
1,159 |
$68K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17,245 |
10,091 |
$42K |
| 0011A |
|
619 |
613 |
$41K |
| J3490 |
Unclassified drugs |
415 |
341 |
$37K |
| 0001A |
|
386 |
382 |
$26K |
| 90715 |
|
470 |
427 |
$17K |
| 0012A |
|
215 |
214 |
$14K |
| 0002A |
|
95 |
94 |
$6K |
| 92552 |
|
342 |
319 |
$6K |
| 90732 |
|
62 |
56 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,714 |
8,388 |
$4K |
| A4267 |
Contraceptive supply, condom, male, each |
409 |
405 |
$4K |
| H1011 |
Family assessment by licensed behavioral health professional for state defined purposes |
52 |
52 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
198 |
164 |
$3K |
| 0064A |
|
37 |
37 |
$2K |
| 0031A |
|
36 |
36 |
$2K |
| 99000 |
|
7,064 |
6,845 |
$2K |
| 90688 |
|
226 |
225 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
91 |
82 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,736 |
1,216 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
704 |
704 |
$2K |
| 90677 |
|
159 |
156 |
$2K |
| 99401 |
|
240 |
238 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,755 |
1,677 |
$2K |
| 81025 |
|
902 |
885 |
$1K |
| 90686 |
|
215 |
215 |
$1K |
| 92250 |
|
34 |
34 |
$1K |
| G9919 |
Screening performed and positive and provision of recommendations |
853 |
847 |
$1K |
| 90670 |
|
126 |
124 |
$926.37 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
77 |
62 |
$859.27 |
| 90651 |
|
148 |
145 |
$844.48 |
| 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 |
34 |
33 |
$841.84 |
| H2015 |
Comprehensive community support services, per 15 minutes |
55 |
54 |
$641.54 |
| H2027 |
Psychoeducational service, per 15 minutes |
54 |
54 |
$617.54 |
| T1027 |
Family training and counseling for child development, per 15 minutes |
52 |
52 |
$601.32 |
| 90834 |
Psychotherapy, 45 minutes with patient |
276 |
222 |
$598.41 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
346 |
330 |
$594.94 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,480 |
919 |
$526.15 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
20,358 |
18,429 |
$408.80 |
| 90837 |
Psychotherapy, 53 minutes with patient |
718 |
543 |
$392.08 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
447 |
291 |
$305.61 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,002 |
1,974 |
$304.31 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,178 |
3,079 |
$271.81 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,085 |
676 |
$271.40 |
| 85018 |
|
5,040 |
4,996 |
$228.04 |
| 99385 |
|
103 |
60 |
$225.92 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
798 |
533 |
$217.60 |
| G9920 |
Screening performed and negative |
183 |
183 |
$201.26 |
| 90734 |
|
30 |
30 |
$104.00 |
| 99173 |
|
2,212 |
2,197 |
$81.58 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
659 |
639 |
$72.10 |
| 83655 |
|
47 |
47 |
$63.12 |
| 86580 |
|
138 |
128 |
$56.61 |
| 90633 |
|
114 |
114 |
$55.91 |
| 82962 |
|
924 |
907 |
$55.44 |
| 90656 |
|
155 |
155 |
$53.08 |
| 90461 |
|
402 |
393 |
$27.40 |
| 81003 |
|
170 |
160 |
$17.57 |
| 90700 |
|
15 |
15 |
$10.00 |
| 90723 |
|
128 |
128 |
$9.00 |
| H0049 |
Alcohol and/or drug screening |
8,848 |
7,962 |
$7.63 |
| 81002 |
|
38 |
38 |
$6.00 |
| 96160 |
|
868 |
862 |
$2.62 |
| 3074F |
|
6,194 |
5,918 |
$0.00 |
| 3079F |
|
1,409 |
1,339 |
$0.00 |
| 3075F |
|
1,006 |
972 |
$0.00 |
| 90647 |
|
84 |
83 |
$0.00 |
| 99386 |
|
24 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
209 |
209 |
$0.00 |
| 3044F |
|
353 |
350 |
$0.00 |
| 2000F |
|
104 |
101 |
$0.00 |
| 3080F |
|
82 |
73 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
29 |
28 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
35 |
35 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |
| 3078F |
|
6,345 |
6,026 |
$0.00 |
| 3077F |
|
730 |
650 |
$0.00 |
| 3045F |
|
193 |
190 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
71 |
69 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
509 |
480 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
13 |
$0.00 |
| 90611 |
|
18 |
18 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
227 |
212 |
$0.00 |
| 3046F |
|
83 |
83 |
$0.00 |
| 99382 |
|
26 |
13 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 3051F |
|
25 |
24 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
25 |
25 |
$0.00 |
| 90681 |
|
27 |
27 |
$0.00 |