| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
155,052 |
142,724 |
$22.23M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
186,895 |
113,101 |
$234K |
| 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 |
4,496 |
4,062 |
$156K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
2,921 |
2,138 |
$105K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36,420 |
24,609 |
$65K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
12,536 |
9,856 |
$64K |
| 0012A |
|
673 |
673 |
$44K |
| 0011A |
|
688 |
688 |
$43K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,200 |
1,571 |
$37K |
| 99215 |
Prolong outpt/office vis |
466 |
462 |
$34K |
| 90791 |
Psychiatric diagnostic evaluation |
998 |
620 |
$28K |
| 0064A |
|
149 |
148 |
$9K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
2,877 |
1,419 |
$8K |
| 90834 |
Psychotherapy, 45 minutes with patient |
571 |
178 |
$5K |
| G9012 |
Other specified case management service not elsewhere classified |
253 |
218 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18,118 |
11,117 |
$3K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
403 |
343 |
$2K |
| 0134A |
|
35 |
32 |
$2K |
| 0004A |
|
27 |
26 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
7,001 |
4,638 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,033 |
1,706 |
$2K |
| 0013A |
|
21 |
21 |
$1K |
| 90750 |
|
397 |
368 |
$531.11 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,771 |
1,875 |
$510.70 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,491 |
1,606 |
$405.37 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,047 |
974 |
$235.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,883 |
3,278 |
$166.19 |
| 90715 |
|
558 |
451 |
$154.10 |
| 92250 |
|
1,831 |
1,819 |
$89.92 |
| 90746 |
|
682 |
610 |
$70.32 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,371 |
4,541 |
$63.80 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,587 |
4,173 |
$61.69 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,995 |
3,695 |
$59.20 |
| 93000 |
|
1,309 |
907 |
$56.44 |
| 71046 |
Radiologic examination, chest; 2 views |
555 |
548 |
$55.88 |
| 81002 |
|
20,566 |
12,742 |
$50.10 |
| 73562 |
|
113 |
103 |
$45.98 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,782 |
2,558 |
$43.05 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,123 |
4,522 |
$42.66 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,795 |
1,247 |
$35.07 |
| 81025 |
|
10,885 |
7,065 |
$34.19 |
| 72100 |
|
198 |
198 |
$29.79 |
| 90688 |
|
1,705 |
1,437 |
$23.24 |
| 99201 |
|
225 |
137 |
$22.52 |
| 82962 |
|
5,784 |
3,815 |
$15.77 |
| 85018 |
|
2,056 |
1,343 |
$4.03 |
| 3077F |
|
7,174 |
6,897 |
$0.00 |
| 3078F |
|
31,672 |
30,607 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
755 |
653 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
492 |
300 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
252 |
197 |
$0.00 |
| 3046F |
|
324 |
213 |
$0.00 |
| 73130 |
|
28 |
24 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
471 |
319 |
$0.00 |
| 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 |
38 |
38 |
$0.00 |
| 69210 |
|
251 |
200 |
$0.00 |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
71 |
57 |
$0.00 |
| 73630 |
|
79 |
75 |
$0.00 |
| 99242 |
|
14 |
14 |
$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 |
18 |
17 |
$0.00 |
| 90658 |
|
64 |
56 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
83 |
55 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
39 |
26 |
$0.00 |
| 73030 |
|
128 |
116 |
$0.00 |
| 81003 |
|
32 |
32 |
$0.00 |
| 69209 |
|
101 |
62 |
$0.00 |
| 74018 |
|
64 |
64 |
$0.00 |
| 73140 |
|
17 |
16 |
$0.00 |
| 90662 |
|
19 |
12 |
$0.00 |
| J7510 |
Prednisolone oral, per 5 mg |
13 |
13 |
$0.00 |
| 73610 |
|
13 |
13 |
$0.00 |
| 72110 |
|
12 |
12 |
$0.00 |
| 96379 |
|
30 |
18 |
$0.00 |
| 90686 |
|
272 |
239 |
$0.00 |
| 3074F |
|
32,255 |
31,194 |
$0.00 |
| 86580 |
|
283 |
269 |
$0.00 |
| 3075F |
|
8,317 |
8,164 |
$0.00 |
| 99000 |
|
285 |
258 |
$0.00 |
| 3080F |
|
2,300 |
2,228 |
$0.00 |
| 72040 |
|
51 |
51 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
421 |
310 |
$0.00 |
| 90677 |
|
118 |
114 |
$0.00 |
| 3079F |
|
13,243 |
12,941 |
$0.00 |
| Z7610 |
|
65 |
65 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
340 |
302 |
$0.00 |
| 90739 |
|
306 |
292 |
$0.00 |
| A9150 |
Non-prescription drugs |
483 |
434 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
257 |
170 |
$0.00 |
| 36416 |
|
91 |
78 |
$0.00 |
| 73502 |
|
45 |
43 |
$0.00 |
| 3044F |
|
788 |
531 |
$0.00 |
| 90657 |
|
19 |
19 |
$0.00 |
| 90743 |
|
132 |
109 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
267 |
211 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
303 |
186 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
421 |
329 |
$0.00 |
| 73560 |
|
103 |
83 |
$0.00 |
| 73120 |
|
19 |
16 |
$0.00 |
| 73620 |
|
50 |
42 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
57 |
57 |
$0.00 |
| 90656 |
|
20 |
20 |
$0.00 |
| J3490 |
Unclassified drugs |
119 |
103 |
$0.00 |
| 99443 |
|
12 |
12 |
$0.00 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
12 |
12 |
$0.00 |
| 91301 |
|
21 |
21 |
$0.00 |