| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
517,334 |
421,538 |
$78.96M |
| 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 |
5,092 |
3,737 |
$202K |
| 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 |
701 |
648 |
$46K |
| 0012A |
|
128 |
127 |
$8K |
| 0011A |
|
110 |
109 |
$6K |
| 0124A |
|
69 |
69 |
$5K |
| 0064A |
|
63 |
63 |
$4K |
| 0054A |
|
55 |
55 |
$4K |
| 0134A |
|
29 |
29 |
$2K |
| 0004A |
|
13 |
13 |
$871.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
96,830 |
92,245 |
$24.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
51,633 |
47,327 |
$23.46 |
| 92551 |
|
4,898 |
4,890 |
$0.00 |
| 99460 |
|
8,863 |
8,795 |
$0.00 |
| 99462 |
|
11,006 |
8,610 |
$0.00 |
| 85018 |
|
6,403 |
6,382 |
$0.00 |
| 90686 |
|
246 |
246 |
$0.00 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,455 |
828 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15,114 |
15,061 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,610 |
16,233 |
$0.00 |
| 90651 |
|
747 |
747 |
$0.00 |
| 90723 |
|
3,469 |
3,468 |
$0.00 |
| 90474 |
|
1,982 |
1,981 |
$0.00 |
| Z1032 |
|
873 |
864 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
1,197 |
1,197 |
$0.00 |
| Z6410 |
|
461 |
339 |
$0.00 |
| 90656 |
|
6,195 |
6,194 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
708 |
706 |
$0.00 |
| Z6402 |
|
369 |
369 |
$0.00 |
| 99381 |
|
872 |
871 |
$0.00 |
| 90647 |
|
3,042 |
3,040 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
42 |
39 |
$0.00 |
| 82962 |
|
299 |
296 |
$0.00 |
| Z1034 |
|
10,640 |
8,628 |
$0.00 |
| 99000 |
|
1,449 |
1,444 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
624 |
622 |
$0.00 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
36 |
36 |
$0.00 |
| Z6204 |
|
402 |
348 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
176 |
123 |
$0.00 |
| Z6406 |
|
485 |
455 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
572 |
571 |
$0.00 |
| J3490 |
Unclassified drugs |
447 |
446 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
191 |
191 |
$0.00 |
| Z1038 |
|
531 |
527 |
$0.00 |
| 58300 |
|
47 |
24 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
355 |
342 |
$0.00 |
| 90716 |
|
258 |
258 |
$0.00 |
| 90680 |
|
58 |
58 |
$0.00 |
| 11055 |
|
29 |
28 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
117 |
116 |
$0.00 |
| 99383 |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
97 |
96 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
790 |
722 |
$0.00 |
| 99024 |
|
26 |
26 |
$0.00 |
| 90696 |
|
96 |
96 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
157 |
155 |
$0.00 |
| 99385 |
|
72 |
72 |
$0.00 |
| 90677 |
|
27 |
27 |
$0.00 |
| 59514 |
|
13 |
13 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
15 |
14 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12,277 |
12,272 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,124 |
7,118 |
$0.00 |
| 99173 |
|
4,645 |
4,644 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
5,163 |
4,803 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,297 |
3,282 |
$0.00 |
| Z6400 |
|
1,335 |
1,254 |
$0.00 |
| 59025 |
Fetal non-stress test |
1,138 |
689 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
5,780 |
5,725 |
$0.00 |
| 81003 |
|
8,851 |
7,480 |
$0.00 |
| 81025 |
|
1,936 |
1,903 |
$0.00 |
| 90700 |
|
115 |
115 |
$0.00 |
| 90681 |
|
1,713 |
1,712 |
$0.00 |
| 90633 |
|
1,643 |
1,642 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,067 |
1,064 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,869 |
2,863 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12,719 |
12,640 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,633 |
2,629 |
$0.00 |
| 99233 |
Prolong inpt eval add15 m |
49 |
33 |
$0.00 |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,904 |
1,890 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
511 |
510 |
$0.00 |
| 90734 |
|
134 |
134 |
$0.00 |
| 90715 |
|
423 |
423 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
1,890 |
1,882 |
$0.00 |
| Z6200 |
|
326 |
326 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
103 |
103 |
$0.00 |
| 86703 |
|
88 |
88 |
$0.00 |
| 90707 |
|
216 |
216 |
$0.00 |
| 90670 |
|
4,211 |
4,210 |
$0.00 |
| 11721 |
|
660 |
515 |
$0.00 |
| 69209 |
|
12 |
12 |
$0.00 |
| 11720 |
|
189 |
187 |
$0.00 |
| Z6414 |
|
68 |
66 |
$0.00 |
| 11057 |
|
47 |
47 |
$0.00 |
| 11056 |
|
293 |
288 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,419 |
1,417 |
$0.00 |
| 90710 |
|
127 |
127 |
$0.00 |
| Z6304 |
|
194 |
190 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$0.00 |
| 99223 |
Prolong inpt eval add15 m |
122 |
121 |
$0.00 |
| Z6300 |
|
149 |
149 |
$0.00 |
| 11981 |
|
25 |
13 |
$0.00 |
| 97803 |
|
38 |
38 |
$0.00 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
47 |
41 |
$0.00 |
| 90662 |
|
60 |
59 |
$0.00 |
| 99201 |
|
32 |
32 |
$0.00 |
| A4550 |
Surgical trays |
15 |
15 |
$0.00 |
| 2028F |
|
35 |
35 |
$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 |
265 |
230 |
$0.00 |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
15 |
15 |
$0.00 |
| 99382 |
|
15 |
15 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
13 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
31 |
31 |
$0.00 |
| 99221 |
|
16 |
16 |
$0.00 |
| 11750 |
|
39 |
24 |
$0.00 |