| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
33,115 |
26,914 |
$3.34M |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,108 |
1,343 |
$102K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,322 |
12,113 |
$58K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
907 |
580 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,374 |
1,303 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
381 |
242 |
$8K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
193 |
99 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
407 |
316 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,219 |
684 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
106 |
82 |
$2K |
| 87430 |
|
268 |
242 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
237 |
164 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
48 |
46 |
$2K |
| 90686 |
|
129 |
124 |
$1K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,576 |
4,396 |
$988.19 |
| Q3014 |
Telehealth originating site facility fee |
213 |
198 |
$779.96 |
| 90688 |
|
56 |
48 |
$770.13 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
140 |
140 |
$700.00 |
| 90648 |
|
114 |
80 |
$585.00 |
| 90670 |
|
94 |
65 |
$441.00 |
| 87400 |
|
96 |
69 |
$382.14 |
| H0049 |
Alcohol and/or drug screening |
75 |
75 |
$375.00 |
| 83655 |
|
31 |
31 |
$318.90 |
| 90680 |
|
45 |
37 |
$234.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
93 |
57 |
$224.34 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
52 |
39 |
$219.25 |
| 99188 |
|
23 |
13 |
$216.00 |
| 92551 |
|
189 |
132 |
$178.65 |
| 99000 |
|
78 |
68 |
$134.31 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
211 |
196 |
$119.04 |
| 90633 |
|
13 |
13 |
$117.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
62 |
47 |
$109.66 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
12 |
$75.30 |
| 81002 |
|
224 |
161 |
$68.80 |
| 92552 |
|
52 |
52 |
$67.32 |
| 90723 |
|
13 |
12 |
$63.00 |
| 81025 |
|
15 |
15 |
$42.00 |
| 85018 |
|
106 |
93 |
$14.49 |
| 3074F |
|
2,558 |
2,247 |
$0.00 |
| 3079F |
|
550 |
500 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |
| 3075F |
|
39 |
37 |
$0.00 |
| 3078F |
|
1,642 |
1,447 |
$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 |
111 |
93 |
$0.00 |
| 99173 |
|
68 |
67 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
32 |
29 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |