| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
100,789 |
86,982 |
$8.89M |
| 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 |
11,957 |
6,511 |
$80.13 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,546 |
8,476 |
$41.98 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,220 |
10,494 |
$40.44 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
75,818 |
65,817 |
$39.42 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
3,585 |
2,208 |
$19.45 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,237 |
8,010 |
$15.56 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,460 |
2,362 |
$11.83 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,129 |
1,920 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,101 |
985 |
$0.00 |
| 99000 |
|
829 |
801 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
363 |
341 |
$0.00 |
| 96127 |
|
2,644 |
2,563 |
$0.00 |
| 82962 |
|
4,324 |
3,407 |
$0.00 |
| 90686 |
|
1,186 |
1,042 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
104 |
84 |
$0.00 |
| 86580 |
|
216 |
202 |
$0.00 |
| 83986 |
|
419 |
401 |
$0.00 |
| 90647 |
|
140 |
132 |
$0.00 |
| 90680 |
|
36 |
30 |
$0.00 |
| 92551 |
|
2,368 |
2,312 |
$0.00 |
| 90688 |
|
1,594 |
1,390 |
$0.00 |
| 91301 |
|
611 |
603 |
$0.00 |
| 93000 |
|
124 |
119 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
576 |
524 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
390 |
270 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
52 |
29 |
$0.00 |
| 90723 |
|
89 |
85 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
14 |
12 |
$0.00 |
| 90474 |
|
153 |
149 |
$0.00 |
| 90732 |
|
218 |
175 |
$0.00 |
| 0011A |
|
212 |
209 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
563 |
325 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
74 |
68 |
$0.00 |
| 0012A |
|
197 |
197 |
$0.00 |
| 0064A |
|
15 |
15 |
$0.00 |
| 99384 |
|
14 |
14 |
$0.00 |
| 99173 |
|
2,601 |
2,545 |
$0.00 |
| 81025 |
|
7,111 |
6,892 |
$0.00 |
| 81002 |
|
5,480 |
4,822 |
$0.00 |
| 87210 |
|
3,465 |
2,173 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
937 |
916 |
$0.00 |
| 86703 |
|
340 |
332 |
$0.00 |
| 90715 |
|
631 |
585 |
$0.00 |
| 99201 |
|
526 |
474 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,262 |
1,228 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
620 |
590 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
2,417 |
2,311 |
$0.00 |
| 11721 |
|
334 |
279 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
758 |
583 |
$0.00 |
| 90670 |
|
464 |
385 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,276 |
1,234 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
631 |
510 |
$0.00 |
| D0191 |
|
293 |
291 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
855 |
817 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
715 |
659 |
$0.00 |
| 90746 |
|
30 |
24 |
$0.00 |
| 90633 |
|
83 |
78 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
148 |
102 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
310 |
301 |
$0.00 |
| 90734 |
|
21 |
17 |
$0.00 |
| 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 |
15 |
13 |
$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 |
382 |
118 |
$0.00 |
| 90649 |
|
33 |
29 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
13 |
$0.00 |