| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
218,309 |
193,080 |
$53.37M |
| 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 |
2,271 |
2,131 |
$240K |
| 90834 |
Psychotherapy, 45 minutes with patient |
6,568 |
3,860 |
$144K |
| 90791 |
Psychiatric diagnostic evaluation |
3,028 |
2,101 |
$123K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
85,230 |
78,603 |
$56K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
601 |
366 |
$33K |
| 0011A |
|
436 |
436 |
$29K |
| 0519 |
|
266 |
234 |
$24K |
| 0012A |
|
315 |
315 |
$21K |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
55 |
55 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22,295 |
20,606 |
$10K |
| 0064A |
|
68 |
68 |
$4K |
| 0002A |
|
55 |
54 |
$4K |
| 0001A |
|
53 |
53 |
$3K |
| 0071A |
|
51 |
49 |
$3K |
| 0134A |
|
39 |
39 |
$3K |
| 0124A |
|
221 |
221 |
$2K |
| G9012 |
Other specified case management service not elsewhere classified |
1,566 |
1,074 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
536 |
452 |
$2K |
| 0082A |
|
17 |
17 |
$1K |
| 0081A |
|
14 |
14 |
$938.00 |
| 0072A |
|
14 |
14 |
$911.00 |
| 0031A |
|
14 |
14 |
$871.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
51 |
40 |
$766.41 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,255 |
3,253 |
$197.82 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,048 |
12,625 |
$181.91 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
76 |
73 |
$130.20 |
| 93000 |
|
650 |
650 |
$126.59 |
| 99381 |
|
118 |
116 |
$45.33 |
| 82948 |
|
11,840 |
11,378 |
$43.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14,290 |
14,224 |
$34.64 |
| 90686 |
|
6,916 |
6,908 |
$28.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,102 |
3,082 |
$17.00 |
| 99173 |
|
4,739 |
4,719 |
$7.98 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
1,783 |
1,355 |
$7.80 |
| 81002 |
|
3,225 |
2,303 |
$5.09 |
| 90662 |
|
390 |
389 |
$3.14 |
| G0008 |
Administration of influenza virus vaccine |
176 |
174 |
$1.47 |
| 1159F |
|
83,607 |
75,828 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,738 |
1,683 |
$0.00 |
| 80061 |
Lipid panel |
8,672 |
8,635 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,140 |
1,139 |
$0.00 |
| 82274 |
|
405 |
403 |
$0.00 |
| 1160F |
|
40,480 |
38,547 |
$0.00 |
| 3077F |
|
2,640 |
2,520 |
$0.00 |
| 81003 |
|
600 |
598 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,874 |
1,870 |
$0.00 |
| 3078F |
|
9,904 |
9,633 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
1,825 |
1,825 |
$0.00 |
| 90670 |
|
769 |
767 |
$0.00 |
| 90715 |
|
307 |
307 |
$0.00 |
| 91312 |
|
209 |
209 |
$0.00 |
| Z6400 |
|
146 |
146 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
38 |
37 |
$0.00 |
| 92552 |
|
2,173 |
2,154 |
$0.00 |
| 84439 |
|
230 |
229 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
832 |
830 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,451 |
2,448 |
$0.00 |
| 83655 |
|
339 |
335 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
262 |
262 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,431 |
1,422 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
518 |
496 |
$0.00 |
| 86708 |
|
50 |
50 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
106 |
106 |
$0.00 |
| 84550 |
|
337 |
336 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
13 |
12 |
$0.00 |
| 90681 |
|
290 |
288 |
$0.00 |
| 90633 |
|
459 |
457 |
$0.00 |
| 86480 |
|
507 |
507 |
$0.00 |
| Z6200 |
|
12 |
12 |
$0.00 |
| 90707 |
|
26 |
26 |
$0.00 |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
94 |
94 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
194 |
190 |
$0.00 |
| Z6304 |
|
97 |
92 |
$0.00 |
| 81025 |
|
432 |
431 |
$0.00 |
| 11721 |
|
13 |
13 |
$0.00 |
| 90685 |
|
47 |
47 |
$0.00 |
| 90461 |
|
146 |
146 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
55 |
55 |
$0.00 |
| 90671 |
|
142 |
142 |
$0.00 |
| 82652 |
|
38 |
38 |
$0.00 |
| 84481 |
|
16 |
16 |
$0.00 |
| 90700 |
|
40 |
40 |
$0.00 |
| A4550 |
Surgical trays |
25 |
24 |
$0.00 |
| S0197 |
Prenatal vitamins, 30-day supply |
12 |
12 |
$0.00 |
| 90734 |
|
30 |
30 |
$0.00 |
| 80074 |
|
13 |
13 |
$0.00 |
| 99397 |
|
13 |
13 |
$0.00 |
| 83540 |
|
28 |
28 |
$0.00 |
| Z6300 |
|
12 |
12 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,404 |
9,360 |
$0.00 |
| 3074F |
|
9,585 |
9,360 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
9,390 |
9,366 |
$0.00 |
| 3080F |
|
316 |
308 |
$0.00 |
| 92551 |
|
2,811 |
2,772 |
$0.00 |
| Z1034 |
|
3,414 |
2,226 |
$0.00 |
| 85018 |
|
4,630 |
4,588 |
$0.00 |
| 3075F |
|
2,337 |
2,316 |
$0.00 |
| 3079F |
|
5,039 |
4,957 |
$0.00 |
| 81001 |
|
3,651 |
3,638 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
2,049 |
2,046 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
9,717 |
9,681 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
1,493 |
1,493 |
$0.00 |
| 82043 |
|
632 |
631 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,291 |
1,291 |
$0.00 |
| 87340 |
|
100 |
100 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
4,719 |
4,708 |
$0.00 |
| Z6406 |
|
500 |
350 |
$0.00 |
| 86592 |
|
755 |
754 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,706 |
1,657 |
$0.00 |
| Z6410 |
|
999 |
475 |
$0.00 |
| 90656 |
|
1,473 |
1,473 |
$0.00 |
| 1170F |
|
617 |
614 |
$0.00 |
| Z6204 |
|
336 |
235 |
$0.00 |
| 90744 |
|
245 |
245 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
504 |
504 |
$0.00 |
| 86140 |
|
29 |
29 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
124 |
123 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
91 |
90 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
94 |
94 |
$0.00 |
| 99385 |
|
126 |
126 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
371 |
348 |
$0.00 |
| 90651 |
|
135 |
134 |
$0.00 |
| 90474 |
|
141 |
139 |
$0.00 |
| 86317 |
|
128 |
128 |
$0.00 |
| 90697 |
|
304 |
304 |
$0.00 |
| Z1038 |
|
81 |
61 |
$0.00 |
| 90723 |
|
164 |
163 |
$0.00 |
| 90677 |
|
280 |
280 |
$0.00 |
| 90647 |
|
178 |
177 |
$0.00 |
| 1126F |
|
188 |
188 |
$0.00 |
| 1125F |
|
56 |
56 |
$0.00 |
| Z6402 |
|
12 |
12 |
$0.00 |
| 83550 |
|
28 |
28 |
$0.00 |
| 86803 |
|
206 |
206 |
$0.00 |
| 90698 |
|
341 |
340 |
$0.00 |
| 90620 |
|
14 |
14 |
$0.00 |
| 81015 |
|
28 |
27 |
$0.00 |
| 99384 |
|
21 |
20 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 86704 |
|
69 |
69 |
$0.00 |
| 90619 |
|
52 |
52 |
$0.00 |
| 82728 |
|
43 |
43 |
$0.00 |
| 88142 |
|
80 |
79 |
$0.00 |
| 82950 |
|
40 |
40 |
$0.00 |
| 80055 |
|
13 |
13 |
$0.00 |
| 84436 |
|
15 |
15 |
$0.00 |
| 9213 |
|
34 |
34 |
$0.00 |
| Z1032 |
|
12 |
12 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |