| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,146 |
10,286 |
$374K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,480 |
6,963 |
$344K |
| T1015 |
Clinic visit/encounter, all-inclusive |
9,007 |
7,862 |
$86K |
| 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 |
3,005 |
2,558 |
$38K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
731 |
681 |
$20K |
| 87428 |
|
293 |
286 |
$17K |
| 90832 |
Psychotherapy, 30 minutes with patient |
351 |
254 |
$15K |
| 90837 |
Psychotherapy, 53 minutes with patient |
60 |
39 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
911 |
853 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
82 |
82 |
$4K |
| 99443 |
|
45 |
40 |
$4K |
| 99215 |
Prolong outpt/office vis |
40 |
38 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
52 |
52 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
52 |
52 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
26 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
96 |
81 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
61 |
61 |
$3K |
| G0512 |
Rural health clinic or federally qualified health center (rhc/fqhc) only, psychiatric collaborative care model (psychiatric cocm), 60 minutes or more of clinical staff time for psychiatric cocm services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm) and including services furnished by a behavioral health care manager and consultation with a psychiatric consultant, per calendar month |
15 |
15 |
$2K |
| 0012A |
|
40 |
40 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$943.09 |
| 0011A |
|
34 |
34 |
$737.16 |
| 83037 |
|
89 |
89 |
$714.06 |
| 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 |
55 |
55 |
$691.20 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
28 |
25 |
$441.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
49 |
49 |
$304.42 |
| 81002 |
|
95 |
91 |
$237.24 |
| 90688 |
|
13 |
13 |
$212.32 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$195.52 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
24 |
$195.43 |
| 90686 |
|
12 |
12 |
$180.91 |
| 96160 |
|
44 |
40 |
$36.53 |
| 96127 |
|
31 |
30 |
$19.15 |
| 91301 |
|
15 |
15 |
$0.00 |