| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
432,156 |
304,728 |
$57.51M |
| 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 |
48,358 |
31,114 |
$2.57M |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
23,804 |
12,127 |
$913K |
| 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 |
40,212 |
30,410 |
$351K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
4,643 |
2,690 |
$94K |
| 82948 |
|
26,089 |
20,364 |
$86K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
136,328 |
109,530 |
$69K |
| 99442 |
|
39,703 |
32,618 |
$62K |
| 90834 |
Psychotherapy, 45 minutes with patient |
41,237 |
21,252 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,960 |
9,727 |
$26K |
| 94760 |
|
14,012 |
11,565 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
80,909 |
59,737 |
$15K |
| 90832 |
Psychotherapy, 30 minutes with patient |
20,389 |
10,804 |
$13K |
| 94150 |
|
2,643 |
2,169 |
$8K |
| 99443 |
|
4,663 |
3,840 |
$8K |
| 81002 |
|
736 |
665 |
$6K |
| 96127 |
|
71,674 |
61,475 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,590 |
1,385 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
9,261 |
7,609 |
$2K |
| 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 |
208 |
173 |
$1K |
| 98940 |
|
2,584 |
1,423 |
$1K |
| 99441 |
|
269 |
206 |
$1K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
156 |
127 |
$850.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15,072 |
13,562 |
$844.57 |
| 85610 |
|
43 |
26 |
$529.98 |
| 98967 |
|
329 |
275 |
$356.16 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
607 |
575 |
$322.37 |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,479 |
1,523 |
$267.99 |
| 98968 |
|
168 |
103 |
$137.05 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,704 |
1,372 |
$80.28 |
| 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 |
131 |
131 |
$48.47 |
| 90791 |
Psychiatric diagnostic evaluation |
811 |
632 |
$38.18 |
| 85018 |
|
2,419 |
2,264 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
1,296 |
1,238 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
6,456 |
5,415 |
$0.00 |
| 0011A |
|
820 |
796 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
18,951 |
17,566 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
605 |
538 |
$0.00 |
| 90686 |
|
5,812 |
5,189 |
$0.00 |
| V5008 |
Hearing screening |
2,330 |
2,202 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
197 |
146 |
$0.00 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
2,185 |
1,173 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
455 |
351 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
1,995 |
1,666 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
3,963 |
3,128 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
5,959 |
5,492 |
$0.00 |
| 91301 |
|
1,778 |
1,654 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
436 |
396 |
$0.00 |
| 91307 |
|
150 |
140 |
$0.00 |
| 90688 |
|
2,849 |
2,577 |
$0.00 |
| 0031A |
|
220 |
110 |
$0.00 |
| D0602 |
|
454 |
315 |
$0.00 |
| Q2036 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
1,284 |
1,226 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
346 |
131 |
$0.00 |
| 90651 |
|
65 |
64 |
$0.00 |
| 90723 |
|
26 |
25 |
$0.00 |
| 0134A |
|
175 |
117 |
$0.00 |
| D1351 |
Sealant - per tooth |
1,661 |
509 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
874 |
688 |
$0.00 |
| 0012A |
|
812 |
758 |
$0.00 |
| D5899 |
|
667 |
357 |
$0.00 |
| 0064A |
|
209 |
196 |
$0.00 |
| 91303 |
|
216 |
108 |
$0.00 |
| 90647 |
|
31 |
30 |
$0.00 |
| 93000 |
|
75 |
67 |
$0.00 |
| 91306 |
|
207 |
195 |
$0.00 |
| 90480 |
|
26 |
26 |
$0.00 |
| 99385 |
|
24 |
24 |
$0.00 |
| 0001A |
|
13 |
13 |
$0.00 |
| D0603 |
|
285 |
166 |
$0.00 |
| 90732 |
|
46 |
42 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
63 |
54 |
$0.00 |
| 90620 |
|
44 |
41 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
115 |
84 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 90697 |
|
13 |
12 |
$0.00 |
| 0072A |
|
43 |
39 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
51 |
47 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
43 |
39 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,904 |
2,649 |
$0.00 |
| 90715 |
|
694 |
637 |
$0.00 |
| D1110 |
Prophylaxis - adult |
7,125 |
6,167 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
5,349 |
4,471 |
$0.00 |
| 91313 |
|
176 |
118 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
87 |
81 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,214 |
1,128 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
1,070 |
896 |
$0.00 |
| 99173 |
|
2,383 |
2,260 |
$0.00 |
| D0270 |
|
759 |
669 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
215 |
169 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
732 |
696 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
988 |
931 |
$0.00 |
| 90734 |
|
177 |
174 |
$0.00 |
| D1120 |
Prophylaxis - child |
6,045 |
5,546 |
$0.00 |
| D0330 |
Panoramic radiographic image |
201 |
189 |
$0.00 |
| 90670 |
|
232 |
220 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
418 |
371 |
$0.00 |
| J0400 |
Injection, aripiprazole, intramuscular, 0.25 mg |
116 |
97 |
$0.00 |
| 99201 |
|
13 |
13 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
88 |
61 |
$0.00 |
| D1999 |
|
240 |
205 |
$0.00 |
| 90649 |
|
66 |
64 |
$0.00 |
| 90633 |
|
167 |
154 |
$0.00 |
| 90685 |
|
75 |
75 |
$0.00 |
| 90473 |
|
107 |
92 |
$0.00 |
| 0071A |
|
92 |
84 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
157 |
135 |
$0.00 |
| 90672 |
|
43 |
32 |
$0.00 |
| 91312 |
|
19 |
13 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
13 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
100 |
90 |
$0.00 |
| 91300 |
|
17 |
16 |
$0.00 |
| 0124A |
|
19 |
13 |
$0.00 |