| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,366 |
11,551 |
$624K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,940 |
15,317 |
$583K |
| 90832 |
Psychotherapy, 30 minutes with patient |
5,946 |
4,059 |
$245K |
| 99442 |
|
3,939 |
3,732 |
$169K |
| 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 |
5,306 |
3,753 |
$62K |
| 99443 |
|
508 |
491 |
$30K |
| 90686 |
|
1,685 |
1,606 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
794 |
738 |
$19K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,390 |
1,043 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,357 |
1,309 |
$14K |
| 80305 |
|
680 |
552 |
$7K |
| 99441 |
|
225 |
217 |
$6K |
| 91322 |
|
52 |
39 |
$5K |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
286 |
66 |
$5K |
| T1015 |
Clinic visit/encounter, all-inclusive |
73 |
56 |
$2K |
| G9149 |
National committee for quality assurance - level 2 medical home |
12 |
12 |
$2K |
| 90656 |
|
119 |
119 |
$2K |
| 99215 |
Prolong outpt/office vis |
27 |
27 |
$2K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
15 |
13 |
$2K |
| G0481 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed |
13 |
13 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
18 |
12 |
$1K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
21 |
21 |
$1K |
| 0124A |
|
38 |
38 |
$1K |
| 90674 |
|
39 |
39 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$937.02 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
20 |
18 |
$768.24 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
20 |
18 |
$768.24 |
| 0004A |
|
23 |
23 |
$690.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
26 |
$334.60 |
| 96160 |
|
159 |
156 |
$250.98 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
24 |
24 |
$208.55 |
| 80053 |
Comprehensive metabolic panel |
15 |
15 |
$157.65 |
| 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 |
34 |
28 |
$148.68 |
| 36415 |
Collection of venous blood by venipuncture |
63 |
63 |
$148.62 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
13 |
$100.49 |
| 81002 |
|
13 |
13 |
$28.93 |
| 3008F |
|
2,244 |
2,120 |
$0.00 |
| 3079F |
|
136 |
127 |
$0.00 |
| 3074F |
|
1,573 |
1,484 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
42 |
42 |
$0.00 |
| 3078F |
|
939 |
888 |
$0.00 |
| 91312 |
|
51 |
51 |
$0.00 |
| 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 |
12 |
12 |
$0.00 |
| 91300 |
|
27 |
27 |
$0.00 |