| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
67,743 |
56,846 |
$6.49M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51,218 |
31,832 |
$56K |
| 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 |
1,739 |
1,462 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22,082 |
14,804 |
$42K |
| 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 |
827 |
827 |
$11K |
| G9920 |
Screening performed and negative |
2,632 |
1,735 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,098 |
2,075 |
$1K |
| J3490 |
Unclassified drugs |
202 |
152 |
$858.00 |
| 81025 |
|
1,915 |
1,404 |
$693.20 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
303 |
210 |
$490.66 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
182 |
124 |
$222.51 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
343 |
240 |
$207.44 |
| 90686 |
|
1,609 |
1,436 |
$183.72 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,440 |
874 |
$158.62 |
| 92551 |
|
2,441 |
1,765 |
$141.76 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,515 |
1,758 |
$136.58 |
| 81002 |
|
3,969 |
2,719 |
$93.26 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
623 |
407 |
$78.50 |
| 99173 |
|
4,791 |
3,372 |
$75.16 |
| 82962 |
|
4,678 |
3,196 |
$60.78 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,299 |
1,019 |
$48.11 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
134 |
109 |
$43.41 |
| 85018 |
|
4,458 |
3,200 |
$40.96 |
| 90715 |
|
110 |
104 |
$36.73 |
| 90688 |
|
618 |
334 |
$32.63 |
| 90658 |
|
21 |
13 |
$22.70 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
25,232 |
13,770 |
$3.20 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
184 |
109 |
$0.02 |
| 3074F |
|
4,372 |
2,620 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
317 |
220 |
$0.00 |
| 3075F |
|
502 |
308 |
$0.00 |
| 3079F |
|
835 |
490 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
112 |
70 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
632 |
614 |
$0.00 |
| 3044F |
|
151 |
102 |
$0.00 |
| Z1034 |
|
66 |
49 |
$0.00 |
| 90651 |
|
63 |
49 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 3078F |
|
5,601 |
3,415 |
$0.00 |
| 3077F |
|
625 |
394 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
152 |
85 |
$0.00 |
| 90734 |
|
54 |
37 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
12 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
13 |
13 |
$0.00 |
| Z6400 |
|
15 |
15 |
$0.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
12 |
12 |
$0.00 |