| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
18,735 |
15,476 |
$2.98M |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,002 |
1,787 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,195 |
5,421 |
$17K |
| 90791 |
Psychiatric diagnostic evaluation |
643 |
535 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,307 |
849 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,200 |
2,240 |
$4K |
| 94760 |
|
16,720 |
10,954 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
91 |
70 |
$3K |
| 96156 |
|
2,707 |
2,012 |
$3K |
| 59425 |
|
231 |
158 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
55 |
46 |
$2K |
| 97803 |
|
742 |
445 |
$2K |
| 92551 |
|
1,455 |
1,066 |
$1K |
| 97802 |
|
1,027 |
728 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
263 |
190 |
$809.74 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
816 |
500 |
$596.00 |
| 90686 |
|
898 |
701 |
$350.14 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
119 |
88 |
$329.70 |
| 99401 |
|
154 |
105 |
$245.90 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
146 |
108 |
$205.47 |
| 99000 |
|
2,017 |
1,421 |
$152.42 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
284 |
199 |
$133.56 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
32 |
26 |
$109.33 |
| 90674 |
|
80 |
64 |
$77.26 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
40 |
31 |
$69.38 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
83 |
65 |
$50.46 |
| 81002 |
|
1,390 |
1,020 |
$46.87 |
| 85018 |
|
2,549 |
1,880 |
$46.54 |
| 90715 |
|
84 |
70 |
$43.21 |
| 90697 |
|
34 |
25 |
$18.00 |
| 81025 |
|
32 |
25 |
$16.80 |
| 82962 |
|
343 |
232 |
$16.00 |
| 96127 |
|
208 |
147 |
$9.62 |
| 90633 |
|
80 |
63 |
$9.00 |
| 90671 |
|
36 |
26 |
$9.00 |
| 99173 |
|
2,186 |
1,623 |
$5.73 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
19 |
$4.46 |
| 3074F |
|
2,937 |
1,778 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
925 |
697 |
$0.00 |
| 3008F |
|
16,103 |
10,679 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
561 |
347 |
$0.00 |
| 1031F |
|
669 |
466 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,204 |
836 |
$0.00 |
| Z1034 |
|
882 |
652 |
$0.00 |
| Z6410 |
|
540 |
398 |
$0.00 |
| 3079F |
|
435 |
288 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
373 |
263 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
569 |
460 |
$0.00 |
| 1036F |
|
1,290 |
847 |
$0.00 |
| 90688 |
|
72 |
59 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
1,144 |
729 |
$0.00 |
| 4010F |
|
64 |
43 |
$0.00 |
| 96161 |
|
215 |
164 |
$0.00 |
| 1000F |
|
719 |
497 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
301 |
236 |
$0.00 |
| 99402 |
|
64 |
60 |
$0.00 |
| Z6406 |
|
29 |
29 |
$0.00 |
| 90744 |
|
30 |
27 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
116 |
74 |
$0.00 |
| 87428 |
|
85 |
72 |
$0.00 |
| Z6204 |
|
29 |
29 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
44 |
42 |
$0.00 |
| 3075F |
|
208 |
144 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
70 |
48 |
$0.00 |
| 90651 |
|
27 |
24 |
$0.00 |
| 3044F |
|
35 |
29 |
$0.00 |
| 90677 |
|
18 |
13 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
65 |
38 |
$0.00 |
| 90698 |
|
14 |
12 |
$0.00 |
| Z6402 |
|
64 |
64 |
$0.00 |
| 90716 |
|
13 |
12 |
$0.00 |
| COVID |
Covid-19 convalescent plasma |
125 |
84 |
$0.00 |
| 99383 |
|
13 |
13 |
$0.00 |
| Z1032 |
|
12 |
12 |
$0.00 |
| 90461 |
|
513 |
388 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
677 |
483 |
$0.00 |
| 3078F |
|
2,833 |
1,725 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,466 |
1,141 |
$0.00 |
| 96160 |
|
302 |
226 |
$0.00 |
| 83655 |
|
37 |
25 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
118 |
77 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
1,311 |
840 |
$0.00 |
| 1160F |
|
901 |
564 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
387 |
251 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
848 |
546 |
$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 |
299 |
223 |
$0.00 |
| Z6304 |
|
29 |
29 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
104 |
74 |
$0.00 |
| 90670 |
|
45 |
38 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
54 |
31 |
$0.00 |
| Z6400 |
|
169 |
168 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
269 |
193 |
$0.00 |
| Z6200 |
|
64 |
64 |
$0.00 |
| G9920 |
Screening performed and negative |
337 |
248 |
$0.00 |
| 3077F |
|
119 |
77 |
$0.00 |
| Z6300 |
|
64 |
64 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
118 |
81 |
$0.00 |
| Z6500 |
|
12 |
12 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
13 |
13 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
18 |
13 |
$0.00 |
| 3015F |
|
33 |
24 |
$0.00 |