| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,243 |
15,053 |
$768K |
| T1015 |
Clinic visit/encounter, all-inclusive |
29,759 |
23,974 |
$738K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,453 |
13,122 |
$529K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,009 |
935 |
$119K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
9,252 |
5,497 |
$48K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
149 |
136 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
286 |
236 |
$6K |
| 90832 |
Psychotherapy, 30 minutes with patient |
428 |
257 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
198 |
183 |
$1K |
| 99305 |
|
72 |
59 |
$1K |
| 95886 |
|
14 |
12 |
$1K |
| 90682 |
|
46 |
42 |
$925.07 |
| 62323 |
|
16 |
14 |
$872.42 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
113 |
77 |
$577.26 |
| 94060 |
|
85 |
82 |
$524.73 |
| 99307 |
|
69 |
50 |
$472.48 |
| 94726 |
|
68 |
66 |
$465.83 |
| 94729 |
|
68 |
66 |
$344.17 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
54 |
18 |
$312.38 |
| 90686 |
|
27 |
27 |
$299.12 |
| 20610 |
|
13 |
13 |
$266.97 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
113 |
78 |
$229.01 |
| 99442 |
|
62 |
36 |
$203.55 |
| 90688 |
|
102 |
90 |
$169.43 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
49 |
45 |
$158.86 |
| 81002 |
|
138 |
103 |
$16.50 |
| 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 |
34 |
20 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
79 |
57 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
16 |
14 |
$0.00 |