| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
85,911 |
66,288 |
$12.18M |
| 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 |
25,604 |
17,685 |
$357K |
| 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 |
6,893 |
5,662 |
$338K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,357 |
20,597 |
$193K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,508 |
27,575 |
$120K |
| 99336 |
|
4,885 |
3,225 |
$82K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
5,787 |
4,561 |
$75K |
| 99307 |
|
2,792 |
2,047 |
$39K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,388 |
2,003 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,368 |
3,837 |
$29K |
| 99349 |
|
1,870 |
1,240 |
$22K |
| 0002A |
|
528 |
527 |
$20K |
| 0001A |
|
517 |
515 |
$17K |
| 99310 |
Prolong nursin fac eval 15m |
1,070 |
863 |
$15K |
| 99335 |
|
1,299 |
973 |
$14K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
48 |
48 |
$13K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
916 |
729 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
2,493 |
2,202 |
$7K |
| 80305 |
|
2,715 |
2,188 |
$4K |
| 36416 |
|
4,174 |
3,877 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,831 |
3,565 |
$3K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
101 |
51 |
$2K |
| 99442 |
|
543 |
529 |
$1K |
| 80053 |
Comprehensive metabolic panel |
805 |
651 |
$949.21 |
| G0008 |
Administration of influenza virus vaccine |
182 |
176 |
$754.22 |
| 90686 |
|
274 |
265 |
$690.63 |
| 99304 |
|
92 |
88 |
$591.89 |
| 84443 |
Thyroid stimulating hormone (TSH) |
308 |
256 |
$493.78 |
| 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 |
190 |
185 |
$484.80 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
622 |
489 |
$374.47 |
| 99305 |
|
96 |
88 |
$350.42 |
| 99318 |
|
12 |
12 |
$341.25 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
425 |
415 |
$338.96 |
| 80061 |
Lipid panel |
152 |
126 |
$327.47 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
68 |
55 |
$293.36 |
| 96127 |
|
3,677 |
2,794 |
$260.99 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
162 |
149 |
$145.79 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
52 |
51 |
$131.43 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
41 |
41 |
$119.72 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
132 |
130 |
$115.68 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
64 |
62 |
$104.06 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
70 |
70 |
$88.10 |
| 3078F |
|
10,520 |
9,549 |
$38.34 |
| 3074F |
|
13,213 |
12,131 |
$38.33 |
| 3725F |
|
10,189 |
9,583 |
$26.50 |
| 90688 |
|
72 |
72 |
$19.17 |
| 99441 |
|
48 |
47 |
$18.41 |
| 81002 |
|
169 |
163 |
$12.20 |
| 3080F |
|
911 |
837 |
$8.13 |
| 3077F |
|
1,213 |
1,127 |
$8.12 |
| 86803 |
|
14 |
14 |
$4.79 |
| 92551 |
|
29 |
29 |
$3.36 |
| 99443 |
|
30 |
27 |
$2.38 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
103 |
97 |
$2.21 |
| 3008F |
|
1,042 |
972 |
$2.13 |
| Q0244 |
Injection, casirivimab and imdevimab, 1200 mg |
65 |
48 |
$0.39 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
118 |
115 |
$0.00 |
| 91300 |
|
366 |
344 |
$0.00 |
| 99173 |
|
135 |
133 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
166 |
89 |
$0.00 |
| 90461 |
|
52 |
40 |
$0.00 |
| 99348 |
|
115 |
96 |
$0.00 |
| 1159F |
|
83 |
61 |
$0.00 |
| 1160F |
|
78 |
55 |
$0.00 |
| 96138 |
|
13 |
13 |
$0.00 |
| 90653 |
|
27 |
27 |
$0.00 |
| 99306 |
Prolong nursin fac eval 15m |
37 |
30 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
28 |
28 |
$0.00 |
| 81025 |
|
31 |
30 |
$0.00 |
| 90734 |
|
14 |
12 |
$0.00 |
| 3079F |
|
5,041 |
4,768 |
$0.00 |
| 1126F |
|
220 |
211 |
$0.00 |
| 3075F |
|
1,202 |
1,136 |
$0.00 |
| 1036F |
|
557 |
505 |
$0.00 |
| 1035F |
|
58 |
55 |
$0.00 |
| 1034F |
|
186 |
164 |
$0.00 |
| 1125F |
|
112 |
109 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
104 |
90 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
579 |
296 |
$0.00 |
| 3044F |
|
37 |
37 |
$0.00 |
| 96139 |
|
39 |
13 |
$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 |
14 |
12 |
$-162.22 |