| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34,783 |
31,966 |
$1.00M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,320 |
35,703 |
$803K |
| 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 |
16,213 |
11,644 |
$257K |
| 90686 |
|
10,057 |
9,989 |
$94K |
| 97810 |
|
1,368 |
780 |
$55K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,526 |
1,169 |
$55K |
| 99215 |
Prolong outpt/office vis |
1,531 |
1,470 |
$53K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,395 |
5,310 |
$45K |
| 90837 |
Psychotherapy, 53 minutes with patient |
495 |
339 |
$43K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,976 |
1,777 |
$36K |
| 0012A |
|
931 |
907 |
$30K |
| 90834 |
Psychotherapy, 45 minutes with patient |
439 |
349 |
$26K |
| 0011A |
|
911 |
890 |
$23K |
| 99442 |
|
784 |
757 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
262 |
257 |
$19K |
| G9150 |
National committee for quality assurance - level 3 medical home |
243 |
242 |
$16K |
| 0064A |
|
533 |
521 |
$16K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
164 |
163 |
$14K |
| 98968 |
|
290 |
286 |
$13K |
| 90791 |
Psychiatric diagnostic evaluation |
156 |
149 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
763 |
674 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,180 |
1,781 |
$10K |
| 99443 |
|
187 |
174 |
$8K |
| 0124A |
|
658 |
655 |
$8K |
| G9149 |
National committee for quality assurance - level 2 medical home |
40 |
40 |
$7K |
| 97811 |
|
157 |
101 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
82 |
82 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
158 |
158 |
$4K |
| T1015 |
Clinic visit/encounter, all-inclusive |
294 |
254 |
$4K |
| 91320 |
|
41 |
41 |
$4K |
| 92015 |
Determination of refractive state |
338 |
334 |
$3K |
| 90656 |
|
300 |
300 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
105 |
101 |
$3K |
| 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 |
399 |
308 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
75 |
74 |
$2K |
| 96127 |
|
1,104 |
1,031 |
$2K |
| 97803 |
|
65 |
64 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
113 |
112 |
$2K |
| 90785 |
|
183 |
148 |
$1K |
| 0031A |
|
45 |
44 |
$1K |
| 90480 |
|
36 |
36 |
$1K |
| 97802 |
|
27 |
27 |
$1K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
69 |
27 |
$750.44 |
| 80305 |
|
78 |
49 |
$727.02 |
| 90651 |
|
17 |
16 |
$325.22 |
| 99441 |
|
27 |
26 |
$300.81 |
| 93000 |
|
159 |
154 |
$224.65 |
| 99201 |
|
12 |
12 |
$196.14 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
632 |
630 |
$120.26 |
| 86580 |
|
20 |
13 |
$96.80 |
| 90715 |
|
12 |
12 |
$96.64 |
| 90670 |
|
51 |
51 |
$81.08 |
| 90688 |
|
25 |
25 |
$79.28 |
| 92552 |
|
25 |
25 |
$43.28 |
| 92551 |
|
27 |
27 |
$28.16 |
| 90647 |
|
13 |
13 |
$19.08 |
| 97026 |
|
90 |
58 |
$15.56 |
| 3074F |
|
4,277 |
4,007 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,424 |
4,237 |
$0.00 |
| 1036F |
|
1,143 |
1,137 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
1,002 |
994 |
$0.00 |
| 91301 |
|
1,753 |
1,667 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
28 |
28 |
$0.00 |
| 91306 |
|
402 |
396 |
$0.00 |
| T1002 |
Rn services, up to 15 minutes |
44 |
29 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
40 |
40 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
12 |
12 |
$0.00 |
| 3075F |
|
24 |
24 |
$0.00 |
| 91303 |
|
43 |
43 |
$0.00 |
| 91307 |
|
48 |
48 |
$0.00 |
| 3078F |
|
5,989 |
5,605 |
$0.00 |
| 90662 |
|
395 |
391 |
$0.00 |
| 91300 |
|
53 |
50 |
$0.00 |
| 0054A |
|
298 |
298 |
$0.00 |
| 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 |
29 |
29 |
$0.00 |
| 91312 |
|
195 |
192 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
457 |
457 |
$0.00 |
| 96160 |
|
13 |
12 |
$0.00 |
| 1160F |
|
47 |
47 |
$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 |
48 |
45 |
$0.00 |
| 1158F |
|
27 |
27 |
$0.00 |
| 91308 |
|
13 |
12 |
$0.00 |
| 1159F |
|
14 |
14 |
$0.00 |