| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,457 |
18,213 |
$743K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,957 |
11,718 |
$637K |
| 99442 |
|
4,172 |
3,940 |
$180K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,136 |
2,325 |
$124K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,495 |
3,346 |
$82K |
| 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 |
4,780 |
3,491 |
$66K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
791 |
731 |
$54K |
| 90686 |
|
3,713 |
3,677 |
$47K |
| 99443 |
|
697 |
663 |
$43K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
537 |
528 |
$39K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
513 |
503 |
$31K |
| T1015 |
Clinic visit/encounter, all-inclusive |
449 |
385 |
$27K |
| 99441 |
|
871 |
840 |
$22K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
968 |
692 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,093 |
1,067 |
$12K |
| 90834 |
Psychotherapy, 45 minutes with patient |
179 |
154 |
$11K |
| 80305 |
|
438 |
367 |
$4K |
| 0012A |
|
155 |
155 |
$4K |
| 99215 |
Prolong outpt/office vis |
64 |
64 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
83 |
82 |
$4K |
| 90688 |
|
254 |
250 |
$3K |
| 0011A |
|
193 |
193 |
$3K |
| 90670 |
|
317 |
304 |
$3K |
| 0031A |
|
91 |
89 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,014 |
983 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
252 |
250 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
16 |
13 |
$1K |
| 90656 |
|
95 |
95 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$1K |
| 0004A |
|
34 |
34 |
$990.00 |
| 0134A |
|
24 |
24 |
$940.00 |
| 90647 |
|
104 |
99 |
$928.69 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
15 |
14 |
$752.70 |
| 90680 |
|
81 |
77 |
$712.10 |
| 90633 |
|
66 |
65 |
$564.09 |
| 0001A |
|
35 |
35 |
$560.00 |
| 83655 |
|
38 |
36 |
$365.97 |
| 85018 |
|
230 |
227 |
$341.99 |
| 90723 |
|
29 |
26 |
$252.75 |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
13 |
13 |
$205.53 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
28 |
28 |
$191.26 |
| 90715 |
|
12 |
12 |
$172.03 |
| 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 |
41 |
35 |
$163.59 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
15 |
$160.88 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$158.86 |
| 90734 |
|
26 |
25 |
$137.25 |
| 80053 |
Comprehensive metabolic panel |
13 |
13 |
$122.98 |
| 90651 |
|
26 |
25 |
$110.67 |
| 3074F |
|
3,024 |
2,917 |
$0.00 |
| 3008F |
|
4,523 |
4,359 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
73 |
69 |
$0.00 |
| 91303 |
|
92 |
91 |
$0.00 |
| 91301 |
|
359 |
359 |
$0.00 |
| 3079F |
|
35 |
35 |
$0.00 |
| 90694 |
|
14 |
14 |
$0.00 |
| 91307 |
|
14 |
14 |
$0.00 |
| 3078F |
|
2,751 |
2,653 |
$0.00 |
| 91300 |
|
128 |
125 |
$0.00 |
| 91312 |
|
12 |
12 |
$0.00 |
| 91313 |
|
26 |
26 |
$0.00 |
| 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 |
12 |
12 |
$0.00 |