| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
97,172 |
78,989 |
$15.53M |
| T1015 |
Clinic visit/encounter, all-inclusive |
42,131 |
32,320 |
$4.31M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,756 |
17,059 |
$3.07M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,193 |
5,460 |
$992K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,894 |
3,585 |
$684K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,345 |
2,919 |
$570K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,911 |
2,649 |
$515K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,013 |
1,860 |
$351K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,448 |
1,300 |
$256K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,264 |
1,158 |
$193K |
| W7010 |
|
15,265 |
13,259 |
$121K |
| 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 |
3,874 |
3,554 |
$117K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
453 |
417 |
$83K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,480 |
2,246 |
$70K |
| 97803 |
|
694 |
182 |
$66K |
| 87428 |
|
3,221 |
2,672 |
$49K |
| 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 |
5,429 |
5,172 |
$27K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,635 |
1,418 |
$25K |
| 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 |
649 |
392 |
$21K |
| 99215 |
Prolong outpt/office vis |
121 |
107 |
$18K |
| 0011A |
|
620 |
353 |
$18K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,235 |
1,215 |
$15K |
| 0012A |
|
403 |
374 |
$12K |
| 99490 |
Ccm add 20min |
1,992 |
1,330 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
43 |
40 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,442 |
5,049 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15,087 |
12,967 |
$8K |
| 99000 |
|
11,359 |
9,124 |
$7K |
| 99173 |
|
3,881 |
3,315 |
$6K |
| 97802 |
|
44 |
15 |
$5K |
| 0002A |
|
138 |
135 |
$4K |
| 90686 |
|
1,093 |
903 |
$4K |
| 99401 |
|
49 |
33 |
$4K |
| 0001A |
|
141 |
136 |
$3K |
| 92551 |
|
1,773 |
1,503 |
$3K |
| 0071A |
|
65 |
47 |
$3K |
| 99386 |
|
12 |
12 |
$2K |
| 91320 |
|
18 |
18 |
$2K |
| 99442 |
|
239 |
203 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,255 |
2,774 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
104 |
100 |
$2K |
| 0072A |
|
37 |
37 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,103 |
4,647 |
$1K |
| 90682 |
|
173 |
158 |
$1K |
| 90480 |
|
18 |
18 |
$680.00 |
| 90656 |
|
344 |
334 |
$636.63 |
| 90832 |
Psychotherapy, 30 minutes with patient |
157 |
122 |
$552.64 |
| 90670 |
|
174 |
112 |
$349.20 |
| 90698 |
|
122 |
80 |
$302.64 |
| 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 |
92 |
84 |
$233.82 |
| 90474 |
|
306 |
254 |
$186.22 |
| 92558 |
|
2,791 |
2,445 |
$183.59 |
| 90681 |
|
58 |
42 |
$139.68 |
| 90685 |
|
39 |
39 |
$69.84 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
768 |
645 |
$61.29 |
| 3074F |
|
442 |
423 |
$60.00 |
| 81000 |
|
1,528 |
1,088 |
$56.60 |
| 90633 |
|
66 |
52 |
$46.56 |
| 90723 |
|
15 |
12 |
$46.56 |
| 90647 |
|
15 |
12 |
$46.56 |
| 80305 |
|
79 |
48 |
$30.06 |
| 90715 |
|
15 |
13 |
$23.28 |
| 90834 |
Psychotherapy, 45 minutes with patient |
18 |
12 |
$20.93 |
| 81025 |
|
243 |
192 |
$13.68 |
| 91300 |
|
84 |
82 |
$0.45 |
| 87420 |
|
269 |
214 |
$0.00 |
| 92552 |
|
131 |
85 |
$0.00 |
| 3078F |
|
355 |
337 |
$0.00 |
| T0115 |
|
33 |
33 |
$0.00 |
| 90473 |
|
153 |
135 |
$0.00 |
| 81002 |
|
82 |
57 |
$0.00 |
| 99188 |
|
39 |
32 |
$0.00 |
| INVCD |
|
358 |
347 |
$0.00 |
| 3079F |
|
60 |
59 |
$0.00 |
| 94760 |
|
415 |
365 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
21 |
12 |
$0.00 |