| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,103 |
11,695 |
$1.69M |
| T1015 |
Clinic visit/encounter, all-inclusive |
5,721 |
3,402 |
$590K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
2,994 |
529 |
$402K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,447 |
2,847 |
$400K |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
1,785 |
324 |
$274K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,358 |
451 |
$216K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,008 |
912 |
$117K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
774 |
729 |
$112K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
682 |
667 |
$103K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
565 |
552 |
$86K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
500 |
440 |
$65K |
| 99215 |
Prolong outpt/office vis |
161 |
158 |
$24K |
| 0012A |
|
338 |
308 |
$10K |
| 0011A |
|
389 |
335 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
55 |
55 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
30 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
25 |
$4K |
| 0064A |
|
80 |
78 |
$3K |
| 90670 |
|
704 |
665 |
$2K |
| 90723 |
|
430 |
407 |
$2K |
| 91301 |
|
409 |
332 |
$2K |
| 90647 |
|
160 |
153 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
461 |
405 |
$2K |
| 90686 |
|
225 |
210 |
$1K |
| 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 |
1,511 |
1,433 |
$1K |
| 90633 |
|
75 |
71 |
$582.00 |
| 90734 |
|
265 |
261 |
$535.44 |
| 90648 |
|
527 |
505 |
$465.60 |
| 0072A |
|
13 |
12 |
$440.00 |
| 0071A |
|
14 |
14 |
$400.00 |
| 90710 |
|
79 |
77 |
$372.48 |
| 91306 |
|
42 |
39 |
$325.17 |
| 0031A |
|
15 |
14 |
$245.17 |
| 90700 |
|
37 |
33 |
$186.24 |
| 90707 |
|
16 |
14 |
$93.12 |
| 90681 |
|
16 |
16 |
$93.12 |
| 90696 |
|
44 |
44 |
$93.12 |
| 90651 |
|
14 |
12 |
$69.84 |
| 90688 |
|
27 |
26 |
$69.84 |
| 3008F |
|
42 |
40 |
$30.00 |
| 81002 |
|
292 |
243 |
$2.17 |
| 90649 |
|
217 |
212 |
$0.00 |
| 90715 |
|
99 |
97 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
12 |
$0.00 |
| 81025 |
|
18 |
15 |
$0.00 |
| 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 |
32 |
30 |
$0.00 |
| 99000 |
|
2,248 |
2,088 |
$0.00 |
| 82962 |
|
190 |
180 |
$0.00 |
| 91305 |
|
27 |
26 |
$0.00 |
| 91307 |
|
16 |
15 |
$0.00 |