| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,585 |
28,084 |
$701K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,496 |
10,120 |
$323K |
| H1000 |
Prenatal care, at-risk assessment |
1,880 |
1,263 |
$91K |
| 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 |
29,266 |
20,522 |
$87K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
18,215 |
9,977 |
$61K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
687 |
674 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
742 |
695 |
$30K |
| 99385 |
|
466 |
324 |
$23K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
224 |
216 |
$18K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
262 |
205 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
781 |
568 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
159 |
156 |
$15K |
| 99386 |
|
223 |
145 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
263 |
258 |
$9K |
| 99441 |
|
8,924 |
4,988 |
$7K |
| 99442 |
|
6,157 |
3,589 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,168 |
2,072 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
64 |
60 |
$3K |
| 59430 |
|
52 |
44 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
37 |
37 |
$2K |
| 81025 |
|
411 |
383 |
$2K |
| 99387 |
|
14 |
13 |
$1K |
| 3074F |
|
2,153 |
1,350 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
37 |
37 |
$1K |
| 99443 |
|
1,550 |
924 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
835 |
821 |
$1K |
| 99406 |
|
175 |
157 |
$1K |
| 91301 |
|
50 |
50 |
$1K |
| 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 |
1,599 |
1,196 |
$930.68 |
| 93000 |
|
74 |
73 |
$693.27 |
| 97803 |
|
12 |
12 |
$554.70 |
| 81002 |
|
896 |
697 |
$480.21 |
| 99215 |
Prolong outpt/office vis |
127 |
89 |
$378.47 |
| 81000 |
|
186 |
136 |
$315.90 |
| 88142 |
|
36 |
36 |
$301.12 |
| 96160 |
|
534 |
523 |
$293.35 |
| 3075F |
|
237 |
187 |
$275.00 |
| 99408 |
|
618 |
365 |
$168.81 |
| 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 |
49 |
12 |
$158.04 |
| 90834 |
Psychotherapy, 45 minutes with patient |
49 |
12 |
$140.48 |
| 86403 |
|
45 |
45 |
$138.60 |
| 0012A |
|
32 |
30 |
$120.00 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
31 |
29 |
$111.81 |
| 90658 |
|
92 |
61 |
$92.66 |
| 90651 |
|
138 |
136 |
$91.74 |
| 83037 |
|
91 |
86 |
$75.80 |
| 90670 |
|
257 |
257 |
$70.00 |
| 90657 |
|
51 |
51 |
$50.00 |
| 0513F |
|
1,093 |
748 |
$40.00 |
| 90686 |
|
29 |
29 |
$40.00 |
| 1160F |
|
4,047 |
3,305 |
$36.53 |
| 90633 |
|
15 |
15 |
$30.00 |
| 82948 |
|
44 |
41 |
$24.16 |
| 82947 |
|
13 |
13 |
$12.78 |
| 3008F |
|
12,078 |
7,981 |
$0.04 |
| 3351F |
|
10,599 |
7,182 |
$0.03 |
| 1000F |
|
10,946 |
7,238 |
$0.02 |
| 0521F |
|
30 |
27 |
$0.01 |
| 99490 |
Ccm add 20min |
1,494 |
1,172 |
$0.00 |
| 1159F |
|
4,351 |
3,572 |
$0.00 |
| 3015F |
|
1,626 |
1,269 |
$0.00 |
| 1100F |
|
75 |
64 |
$0.00 |
| 1003F |
|
1,437 |
1,260 |
$0.00 |
| 3078F |
|
2,504 |
1,517 |
$0.00 |
| 3016F |
|
2,002 |
1,769 |
$0.00 |
| 3725F |
|
185 |
50 |
$0.00 |
| 4013F |
|
1,202 |
1,012 |
$0.00 |
| 0502F |
|
217 |
148 |
$0.00 |
| 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 |
29 |
24 |
$0.00 |
| 3077F |
|
226 |
179 |
$0.00 |
| 3050F |
|
66 |
55 |
$0.00 |
| 90710 |
|
25 |
25 |
$0.00 |
| 4004F |
|
130 |
113 |
$0.00 |
| 3511F |
|
20 |
18 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
31 |
28 |
$0.00 |
| 3288F |
|
23 |
18 |
$0.00 |
| 90698 |
|
37 |
31 |
$0.00 |
| 1101F |
|
1,492 |
1,348 |
$0.00 |
| 1170F |
|
237 |
222 |
$0.00 |
| 1126F |
|
3,258 |
2,709 |
$0.00 |
| 1036F |
|
3,596 |
2,749 |
$0.00 |
| 3079F |
|
470 |
381 |
$0.00 |
| 4010F |
|
1,803 |
1,335 |
$0.00 |
| 3017F |
|
565 |
483 |
$0.00 |
| 3352F |
|
21 |
14 |
$0.00 |
| 1034F |
|
530 |
459 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
14 |
$0.00 |
| 3014F |
|
962 |
644 |
$0.00 |
| 2001F |
|
1,580 |
1,383 |
$0.00 |
| 4008F |
|
347 |
287 |
$0.00 |
| 3061F |
|
101 |
90 |
$0.00 |
| 3044F |
|
251 |
200 |
$0.00 |
| 1125F |
|
172 |
132 |
$0.00 |
| 1220F |
|
103 |
32 |
$0.00 |
| 3048F |
|
14 |
13 |
$0.00 |
| 1111F |
|
60 |
59 |
$0.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
18 |
13 |
$0.00 |
| 90474 |
|
50 |
45 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
29 |
24 |
$0.00 |
| 3080F |
|
15 |
12 |
$0.00 |