| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
35,095 |
25,831 |
$5.37M |
| 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 |
5,751 |
3,826 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,477 |
9,350 |
$23K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
591 |
350 |
$6K |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
51 |
13 |
$5K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
292 |
223 |
$5K |
| 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 |
743 |
337 |
$4K |
| 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 |
803 |
610 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,724 |
5,500 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,927 |
2,922 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
951 |
767 |
$2K |
| 3074F |
|
1,259 |
1,092 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,369 |
2,091 |
$2K |
| 3078F |
|
1,023 |
893 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
32 |
24 |
$777.26 |
| 80305 |
|
106 |
72 |
$624.44 |
| 90686 |
|
750 |
624 |
$620.85 |
| 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 |
66 |
63 |
$574.57 |
| 92551 |
|
428 |
388 |
$260.28 |
| 3079F |
|
226 |
198 |
$214.39 |
| 99177 |
|
155 |
144 |
$139.81 |
| 90837 |
Psychotherapy, 53 minutes with patient |
189 |
130 |
$118.38 |
| 90791 |
Psychiatric diagnostic evaluation |
344 |
303 |
$93.35 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
82 |
81 |
$53.20 |
| 36415 |
Collection of venous blood by venipuncture |
791 |
718 |
$50.51 |
| 3075F |
|
29 |
28 |
$50.00 |
| G0008 |
Administration of influenza virus vaccine |
59 |
52 |
$27.47 |
| Q2039 |
Influenza virus vaccine, not otherwise specified |
32 |
26 |
$27.45 |
| 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 |
26 |
25 |
$16.10 |
| 90656 |
|
13 |
12 |
$14.54 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
13 |
12 |
$9.68 |
| 36416 |
|
46 |
44 |
$1.58 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
13 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
137 |
129 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
489 |
393 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
60 |
57 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
58 |
44 |
$0.00 |
| 90461 |
|
38 |
27 |
$0.00 |