| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
34,917 |
28,642 |
$5.57M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,945 |
8,967 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,747 |
10,399 |
$54K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
4,196 |
1,613 |
$38K |
| 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 |
3,716 |
3,014 |
$26K |
| 98940 |
|
1,416 |
922 |
$20K |
| 90834 |
Psychotherapy, 45 minutes with patient |
248 |
148 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,288 |
2,275 |
$9K |
| G9920 |
Screening performed and negative |
1,317 |
1,065 |
$6K |
| 97014 |
|
872 |
416 |
$4K |
| 90686 |
|
272 |
244 |
$4K |
| 0012A |
|
55 |
55 |
$4K |
| 0011A |
|
53 |
53 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
165 |
111 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
165 |
95 |
$3K |
| 92551 |
|
1,772 |
1,267 |
$3K |
| 0002A |
|
32 |
32 |
$2K |
| 97035 |
|
604 |
266 |
$2K |
| 0001A |
|
31 |
31 |
$2K |
| 0004A |
|
14 |
14 |
$911.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
33 |
25 |
$896.49 |
| 99000 |
|
3,934 |
2,859 |
$487.35 |
| 59425 |
|
25 |
13 |
$423.36 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
299 |
191 |
$302.55 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18 |
14 |
$212.97 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,991 |
2,281 |
$208.21 |
| 85018 |
|
3,018 |
2,193 |
$122.67 |
| 81025 |
|
85 |
79 |
$88.65 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
89 |
62 |
$87.70 |
| 90656 |
|
15 |
15 |
$50.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
647 |
346 |
$48.40 |
| 81003 |
|
41 |
28 |
$1.96 |
| 36415 |
Collection of venous blood by venipuncture |
982 |
957 |
$0.00 |
| 3079F |
|
1,165 |
1,077 |
$0.00 |
| 3074F |
|
2,910 |
2,633 |
$0.00 |
| 36416 |
|
874 |
700 |
$0.00 |
| 3008F |
|
4,948 |
4,293 |
$0.00 |
| 3075F |
|
253 |
241 |
$0.00 |
| 1111F |
|
644 |
511 |
$0.00 |
| 3080F |
|
187 |
142 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
28 |
25 |
$0.00 |
| Z1034 |
|
30 |
26 |
$0.00 |
| 96160 |
|
282 |
258 |
$0.00 |
| 1160F |
|
11,541 |
7,322 |
$0.00 |
| 3077F |
|
635 |
410 |
$0.00 |
| 3078F |
|
2,360 |
2,150 |
$0.00 |
| 1159F |
|
11,541 |
7,322 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27 |
14 |
$0.00 |
| 99173 |
|
1,474 |
994 |
$0.00 |
| 99188 |
|
107 |
107 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
14 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
17 |
17 |
$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 |
32 |
25 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$0.00 |