| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,230 |
16,716 |
$787K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,314 |
11,311 |
$752K |
| T1015 |
Clinic visit/encounter, all-inclusive |
35,427 |
29,089 |
$489K |
| 59425 |
|
2,577 |
1,795 |
$176K |
| 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 |
9,052 |
7,439 |
$138K |
| 59426 |
|
1,388 |
689 |
$117K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,787 |
1,420 |
$47K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
589 |
521 |
$35K |
| 59430 |
|
178 |
156 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
348 |
303 |
$26K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
32 |
26 |
$20K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
117 |
95 |
$13K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,502 |
1,377 |
$9K |
| 81002 |
|
3,198 |
1,927 |
$9K |
| 99222 |
Initial hospital care, per day, moderate complexity |
87 |
75 |
$8K |
| 81025 |
|
1,035 |
896 |
$7K |
| 95251 |
|
310 |
251 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
122 |
38 |
$5K |
| 90686 |
|
303 |
275 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
106 |
57 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
39 |
28 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
539 |
433 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
25 |
$3K |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
58 |
58 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
332 |
222 |
$2K |
| 99220 |
|
18 |
13 |
$2K |
| 82962 |
|
719 |
635 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
423 |
372 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
316 |
293 |
$1K |
| 95249 |
|
35 |
27 |
$1K |
| 90682 |
|
41 |
34 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$984.84 |
| 90662 |
|
71 |
69 |
$886.65 |
| 90656 |
|
49 |
46 |
$717.48 |
| 99459 |
|
32 |
28 |
$587.72 |
| 90832 |
Psychotherapy, 30 minutes with patient |
29 |
13 |
$225.60 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
168 |
150 |
$132.00 |
| 96127 |
|
15 |
12 |
$25.44 |
| 90688 |
|
28 |
26 |
$19.17 |
| 3077F |
|
107 |
94 |
$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 |
188 |
169 |
$0.00 |
| 3078F |
|
1,149 |
1,037 |
$0.00 |
| 99442 |
|
75 |
67 |
$0.00 |
| 3074F |
|
1,417 |
1,275 |
$0.00 |
| 99441 |
|
373 |
244 |
$0.00 |
| 3079F |
|
727 |
681 |
$0.00 |
| 3075F |
|
158 |
155 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
157 |
144 |
$0.00 |
| 3080F |
|
19 |
18 |
$0.00 |