| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
19,677 |
14,417 |
$2.52M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,589 |
10,493 |
$330K |
| 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 |
2,043 |
1,771 |
$67K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,704 |
2,405 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,950 |
1,769 |
$36K |
| 90837 |
Psychotherapy, 53 minutes with patient |
256 |
212 |
$21K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
796 |
715 |
$15K |
| 90834 |
Psychotherapy, 45 minutes with patient |
121 |
108 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
96 |
93 |
$6K |
| 99050 |
|
638 |
610 |
$6K |
| 81025 |
|
1,148 |
970 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
125 |
120 |
$4K |
| 99215 |
Prolong outpt/office vis |
58 |
55 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
78 |
72 |
$3K |
| 59025 |
Fetal non-stress test |
150 |
72 |
$3K |
| 81002 |
|
2,901 |
1,895 |
$3K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
602 |
533 |
$2K |
| 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 |
161 |
157 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
955 |
832 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
970 |
843 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
752 |
699 |
$1K |
| 87081 |
|
921 |
769 |
$1K |
| 81001 |
|
800 |
615 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,149 |
496 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
306 |
298 |
$968.67 |
| 59430 |
|
18 |
16 |
$924.70 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
35 |
34 |
$887.76 |
| 76801 |
|
18 |
18 |
$770.80 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
128 |
118 |
$741.51 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
17 |
12 |
$735.90 |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
90 |
83 |
$704.04 |
| 85018 |
|
703 |
627 |
$618.99 |
| 80053 |
Comprehensive metabolic panel |
366 |
348 |
$603.16 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
13 |
$603.04 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
101 |
88 |
$600.48 |
| 0011A |
|
15 |
15 |
$576.94 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
654 |
601 |
$450.60 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
58 |
57 |
$389.15 |
| 90715 |
|
49 |
41 |
$361.90 |
| 86592 |
|
545 |
479 |
$354.19 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
53 |
40 |
$332.45 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
132 |
102 |
$324.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
102 |
82 |
$317.12 |
| 90686 |
|
393 |
345 |
$315.46 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
132 |
119 |
$290.55 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
649 |
306 |
$241.44 |
| 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 |
210 |
210 |
$227.42 |
| 86762 |
|
42 |
42 |
$181.35 |
| 92552 |
|
136 |
108 |
$181.31 |
| 82950 |
|
245 |
220 |
$171.57 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
237 |
222 |
$148.07 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
212 |
189 |
$131.57 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
14 |
12 |
$124.14 |
| 80061 |
Lipid panel |
352 |
334 |
$123.75 |
| 84479 |
|
58 |
58 |
$119.46 |
| 93000 |
|
14 |
14 |
$104.76 |
| 87210 |
|
65 |
40 |
$78.24 |
| 87340 |
|
26 |
26 |
$78.12 |
| 86850 |
|
28 |
28 |
$66.16 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
356 |
325 |
$43.10 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
12 |
12 |
$24.86 |
| 86901 |
|
27 |
27 |
$23.18 |
| 86900 |
|
27 |
27 |
$22.59 |
| 96160 |
|
146 |
134 |
$17.82 |
| 84439 |
|
13 |
13 |
$15.16 |
| 86803 |
|
12 |
12 |
$11.99 |
| 3078F |
|
4,283 |
2,919 |
$0.00 |
| 3725F |
|
978 |
747 |
$0.00 |
| 1160F |
|
844 |
689 |
$0.00 |
| 1159F |
|
3,498 |
2,420 |
$0.00 |
| 99051 |
|
781 |
678 |
$0.00 |
| 99173 |
|
286 |
240 |
$0.00 |
| 0502F |
|
413 |
240 |
$0.00 |
| 3077F |
|
67 |
58 |
$0.00 |
| 90461 |
|
266 |
164 |
$0.00 |
| 99497 |
|
50 |
49 |
$0.00 |
| S4993 |
Contraceptive pills for birth control |
61 |
60 |
$0.00 |
| 90670 |
|
53 |
40 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$0.00 |
| 90662 |
|
41 |
41 |
$0.00 |
| 3051F |
|
12 |
12 |
$0.00 |
| 3008F |
|
4,041 |
2,774 |
$0.00 |
| 1125F |
|
77 |
74 |
$0.00 |
| 1126F |
|
381 |
326 |
$0.00 |
| 3074F |
|
4,391 |
2,981 |
$0.00 |
| 3080F |
|
47 |
38 |
$0.00 |
| 1036F |
|
3,071 |
2,064 |
$0.00 |
| 3044F |
|
618 |
506 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
112 |
112 |
$0.00 |
| 3075F |
|
138 |
124 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
200 |
200 |
$0.00 |
| 96127 |
|
662 |
440 |
$0.00 |
| 3079F |
|
195 |
172 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
195 |
184 |
$0.00 |
| 1034F |
|
18 |
13 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
12 |
12 |
$0.00 |
| 91301 |
|
31 |
31 |
$0.00 |
| 90677 |
|
15 |
13 |
$0.00 |
| 90697 |
|
32 |
25 |
$0.00 |
| 90680 |
|
15 |
12 |
$0.00 |
| 90620 |
|
33 |
32 |
$0.00 |