| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
24,914 |
16,773 |
$4.80M |
| 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 |
4,275 |
3,666 |
$247K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
320 |
229 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,946 |
5,933 |
$9K |
| G0008 |
Administration of influenza virus vaccine |
889 |
876 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,969 |
8,071 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,138 |
1,820 |
$6K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,622 |
1,406 |
$5K |
| 99215 |
Prolong outpt/office vis |
724 |
663 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
527 |
377 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
968 |
908 |
$977.21 |
| 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 |
25 |
24 |
$869.58 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,201 |
1,039 |
$801.90 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
476 |
455 |
$663.27 |
| 90791 |
Psychiatric diagnostic evaluation |
19 |
19 |
$435.52 |
| 99442 |
|
29 |
26 |
$392.72 |
| 99000 |
|
925 |
799 |
$262.80 |
| 36415 |
Collection of venous blood by venipuncture |
90 |
87 |
$184.80 |
| 36416 |
|
55 |
46 |
$106.50 |
| 90756 |
|
17 |
15 |
$77.86 |
| 99188 |
|
510 |
478 |
$77.06 |
| 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 |
37 |
24 |
$32.00 |
| 90461 |
|
850 |
552 |
$31.34 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
935 |
787 |
$15.67 |
| 99382 |
|
43 |
37 |
$0.00 |
| 80305 |
|
2,875 |
1,979 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
318 |
259 |
$0.00 |
| 11721 |
|
80 |
80 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
50 |
45 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
73 |
70 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
64 |
63 |
$0.00 |
| 69210 |
|
30 |
28 |
$0.00 |
| 90672 |
|
38 |
36 |
$0.00 |
| 99381 |
|
53 |
37 |
$0.00 |
| 94760 |
|
298 |
211 |
$0.00 |
| 85018 |
|
186 |
171 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
124 |
119 |
$0.00 |
| 99383 |
|
42 |
38 |
$0.00 |
| 91303 |
|
30 |
30 |
$0.00 |
| 0031A |
|
30 |
30 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
22 |
21 |
$0.00 |
| 87081 |
|
25 |
21 |
$0.00 |
| 90674 |
|
25 |
23 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
84 |
81 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
20 |
20 |
$0.00 |