| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
176,606 |
164,968 |
$29.93M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
179,264 |
167,385 |
$2.90M |
| 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 |
18,487 |
16,693 |
$1.18M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42,727 |
38,691 |
$890K |
| 90832 |
Psychotherapy, 30 minutes with patient |
5,912 |
4,175 |
$175K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13,832 |
12,857 |
$145K |
| 59425 |
|
1,570 |
1,187 |
$96K |
| 90686 |
|
8,965 |
8,654 |
$92K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,527 |
2,293 |
$91K |
| 92552 |
|
7,722 |
7,248 |
$88K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,051 |
1,799 |
$67K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,305 |
1,197 |
$65K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,243 |
3,236 |
$60K |
| J3490 |
Unclassified drugs |
2,078 |
1,889 |
$53K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,053 |
1,051 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,409 |
2,341 |
$33K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,232 |
2,919 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
851 |
737 |
$24K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,013 |
998 |
$21K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
660 |
598 |
$19K |
| 0012A |
|
365 |
323 |
$16K |
| 90670 |
|
976 |
936 |
$11K |
| 0011A |
|
260 |
242 |
$11K |
| 90791 |
Psychiatric diagnostic evaluation |
178 |
103 |
$11K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
127 |
89 |
$9K |
| 82948 |
|
3,639 |
3,386 |
$9K |
| 90651 |
|
575 |
561 |
$8K |
| Z7500 |
|
1,215 |
1,103 |
$8K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
240 |
216 |
$8K |
| 99173 |
|
3,599 |
3,179 |
$8K |
| D1206 |
Topical application of fluoride varnish |
415 |
319 |
$6K |
| 85018 |
|
3,661 |
3,317 |
$6K |
| 90715 |
|
337 |
334 |
$6K |
| 81003 |
|
3,034 |
2,897 |
$4K |
| 81025 |
|
1,486 |
1,444 |
$4K |
| 90734 |
|
386 |
371 |
$3K |
| 0031A |
|
66 |
66 |
$3K |
| 90620 |
|
189 |
188 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
336 |
331 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
71 |
70 |
$3K |
| 87430 |
|
427 |
426 |
$2K |
| 99215 |
Prolong outpt/office vis |
87 |
86 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$2K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
56 |
53 |
$2K |
| 90647 |
|
377 |
361 |
$2K |
| 90633 |
|
436 |
401 |
$1K |
| 90662 |
|
301 |
291 |
$1K |
| 92250 |
|
35 |
35 |
$1K |
| 90677 |
|
28 |
25 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
179 |
178 |
$1K |
| 90723 |
|
311 |
303 |
$982.58 |
| 90710 |
|
142 |
131 |
$740.52 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
72 |
71 |
$721.45 |
| 90696 |
|
126 |
114 |
$641.52 |
| A4267 |
Contraceptive supply, condom, male, each |
75 |
72 |
$438.96 |
| 90619 |
|
14 |
14 |
$359.24 |
| 90688 |
|
43 |
43 |
$293.58 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
14 |
14 |
$251.15 |
| 90680 |
|
115 |
113 |
$190.62 |
| 96156 |
|
12 |
12 |
$95.21 |
| 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 |
33 |
33 |
$94.70 |
| 90700 |
|
12 |
12 |
$57.60 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
61 |
56 |
$57.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
34 |
34 |
$0.64 |
| Z6400 |
|
144 |
141 |
$0.00 |
| 3077F |
|
388 |
370 |
$0.00 |
| 3078F |
|
361 |
346 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$0.00 |
| Z1034 |
|
1,202 |
920 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
216 |
216 |
$0.00 |
| 3079F |
|
102 |
98 |
$0.00 |
| 3074F |
|
205 |
199 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 90716 |
|
26 |
24 |
$0.00 |
| 3080F |
|
38 |
35 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$0.00 |
| Z1032 |
|
12 |
12 |
$0.00 |