| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
73,265 |
59,458 |
$12.03M |
| 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 |
9,611 |
7,510 |
$72K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,981 |
15,183 |
$31K |
| 87428 |
|
328 |
322 |
$16K |
| 99188 |
|
1,207 |
1,169 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,734 |
20,811 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
869 |
811 |
$8K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
950 |
785 |
$7K |
| 90686 |
|
2,753 |
2,563 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,679 |
1,525 |
$5K |
| D1110 |
Prophylaxis - adult |
82 |
78 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
125 |
119 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
912 |
877 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
409 |
198 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
271 |
251 |
$3K |
| 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 |
122 |
91 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,579 |
2,914 |
$3K |
| D7140 |
Extraction, erupted tooth or exposed root |
21 |
13 |
$2K |
| 0071A |
|
115 |
112 |
$2K |
| 0072A |
|
108 |
107 |
$2K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
21 |
13 |
$2K |
| 11721 |
|
246 |
222 |
$2K |
| D1206 |
Topical application of fluoride varnish |
136 |
128 |
$2K |
| D0274 |
Bitewings - four radiographic images |
65 |
62 |
$2K |
| 0002A |
|
90 |
83 |
$2K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
15 |
12 |
$2K |
| D1120 |
Prophylaxis - child |
73 |
68 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
20 |
18 |
$1K |
| 0004A |
|
88 |
63 |
$1K |
| 0001A |
|
65 |
62 |
$1K |
| 80305 |
|
353 |
176 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,563 |
5,550 |
$1K |
| 0124A |
|
49 |
49 |
$990.90 |
| D0120 |
Periodic oral evaluation - established patient |
51 |
46 |
$963.00 |
| D0140 |
Limited oral evaluation - problem focused |
17 |
16 |
$909.28 |
| D0220 |
Intraoral - periapical first radiographic image |
39 |
38 |
$623.96 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,472 |
2,406 |
$433.82 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,019 |
382 |
$398.26 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,698 |
1,517 |
$376.22 |
| 87807 |
|
35 |
33 |
$351.93 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,209 |
2,149 |
$320.59 |
| D1354 |
|
17 |
13 |
$319.00 |
| 0054A |
|
14 |
14 |
$308.28 |
| 90677 |
|
29 |
29 |
$261.17 |
| 90656 |
|
119 |
117 |
$189.02 |
| 0064A |
|
14 |
12 |
$176.16 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
557 |
429 |
$136.91 |
| 81002 |
|
88 |
52 |
$136.40 |
| 90461 |
|
2,659 |
2,191 |
$116.51 |
| 99441 |
|
91 |
84 |
$109.63 |
| 90837 |
Psychotherapy, 53 minutes with patient |
190 |
145 |
$95.80 |
| 90670 |
|
861 |
814 |
$49.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
616 |
525 |
$47.61 |
| 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 |
18 |
18 |
$20.00 |
| 99442 |
|
67 |
53 |
$17.31 |
| 99443 |
|
606 |
467 |
$15.00 |
| 90672 |
|
14 |
14 |
$2.00 |
| 90633 |
|
294 |
278 |
$0.57 |
| 94760 |
|
16 |
13 |
$0.00 |
| 90698 |
|
369 |
355 |
$0.00 |
| 90651 |
|
67 |
63 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
99 |
69 |
$0.00 |
| 90744 |
|
38 |
36 |
$0.00 |
| 96156 |
|
28 |
26 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
18 |
18 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
29 |
29 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,783 |
1,641 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,058 |
1,022 |
$0.00 |
| 90685 |
|
66 |
66 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
40 |
38 |
$0.00 |