| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
157,446 |
133,953 |
$33.88M |
| 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 |
2,865 |
2,420 |
$389K |
| 90834 |
Psychotherapy, 45 minutes with patient |
8,265 |
4,737 |
$380K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
103,783 |
64,488 |
$281K |
| 90791 |
Psychiatric diagnostic evaluation |
1,803 |
1,327 |
$136K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,255 |
1,394 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,691 |
12,748 |
$51K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26,145 |
15,406 |
$47K |
| 0011A |
|
819 |
618 |
$27K |
| 0012A |
|
494 |
390 |
$19K |
| 0001A |
|
155 |
151 |
$7K |
| 0054A |
|
153 |
152 |
$7K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
5,232 |
5,195 |
$6K |
| 90837 |
Psychotherapy, 53 minutes with patient |
58 |
29 |
$6K |
| 0031A |
|
144 |
144 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,175 |
1,584 |
$5K |
| 99215 |
Prolong outpt/office vis |
1,761 |
1,054 |
$5K |
| 0004A |
|
85 |
85 |
$5K |
| 0064A |
|
93 |
93 |
$5K |
| 0124A |
|
91 |
88 |
$4K |
| 0002A |
|
72 |
72 |
$4K |
| 0074A |
|
82 |
82 |
$4K |
| 97803 |
|
4,236 |
2,730 |
$3K |
| 92083 |
|
161 |
123 |
$3K |
| 0082A |
|
43 |
43 |
$3K |
| G9920 |
Screening performed and negative |
1,394 |
1,213 |
$3K |
| 97802 |
|
1,980 |
1,330 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22,191 |
15,467 |
$2K |
| 0072A |
|
63 |
63 |
$2K |
| 90750 |
|
625 |
570 |
$2K |
| 92133 |
|
123 |
98 |
$2K |
| 90686 |
|
12,847 |
8,964 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,202 |
4,037 |
$2K |
| 90739 |
|
236 |
220 |
$2K |
| 0071A |
|
36 |
35 |
$2K |
| 0081A |
|
28 |
27 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,955 |
2,446 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
214 |
125 |
$933.30 |
| 90688 |
|
1,274 |
1,044 |
$729.43 |
| 90656 |
|
2,153 |
1,462 |
$535.33 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
387 |
297 |
$513.01 |
| 92250 |
|
44 |
38 |
$463.43 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
18 |
13 |
$411.60 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,796 |
3,996 |
$322.02 |
| 90677 |
|
163 |
114 |
$309.58 |
| 92551 |
|
3,242 |
2,518 |
$306.00 |
| 81025 |
|
524 |
409 |
$243.46 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
149 |
114 |
$239.60 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,303 |
796 |
$235.76 |
| G9919 |
Screening performed and positive and provision of recommendations |
79 |
46 |
$232.00 |
| 96156 |
|
33 |
30 |
$120.00 |
| 90480 |
|
273 |
256 |
$116.00 |
| 90633 |
|
143 |
90 |
$105.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
52 |
46 |
$77.38 |
| 82962 |
|
593 |
510 |
$54.60 |
| 81002 |
|
428 |
333 |
$49.61 |
| 90698 |
|
609 |
442 |
$45.00 |
| 90670 |
|
923 |
662 |
$45.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
429 |
288 |
$38.43 |
| 96151 |
|
30 |
29 |
$38.36 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,639 |
1,180 |
$27.06 |
| 82947 |
|
369 |
237 |
$21.29 |
| 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 |
16 |
14 |
$11.74 |
| 91321 |
|
110 |
103 |
$9.01 |
| 90685 |
|
33 |
33 |
$9.00 |
| H0049 |
Alcohol and/or drug screening |
629 |
552 |
$0.00 |
| 90651 |
|
393 |
284 |
$0.00 |
| 90697 |
|
90 |
77 |
$0.00 |
| Z1034 |
|
301 |
239 |
$0.00 |
| 90619 |
|
52 |
27 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,736 |
1,176 |
$0.00 |
| Z6410 |
|
388 |
346 |
$0.00 |
| 99460 |
|
104 |
101 |
$0.00 |
| 3072F |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
41 |
41 |
$0.00 |
| Z6204 |
|
42 |
36 |
$0.00 |
| Z6406 |
|
12 |
12 |
$0.00 |
| 99173 |
|
3,230 |
2,510 |
$0.00 |
| V2020 |
Frames, purchases |
1,614 |
1,609 |
$0.00 |
| 92341 |
|
292 |
290 |
$0.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,192 |
1,191 |
$0.00 |
| 90662 |
|
214 |
199 |
$0.00 |
| 92015 |
Determination of refractive state |
2,188 |
1,583 |
$0.00 |
| 90671 |
|
215 |
159 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
46 |
29 |
$0.00 |
| 90734 |
|
48 |
28 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
24 |
24 |
$0.00 |
| 91322 |
|
18 |
14 |
$0.00 |
| 90681 |
|
33 |
27 |
$0.00 |
| 90715 |
|
38 |
26 |
$0.00 |
| Z6304 |
|
19 |
16 |
$0.00 |
| 90658 |
|
16 |
15 |
$0.00 |
| Z6400 |
|
12 |
12 |
$0.00 |