| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
97,142 |
79,525 |
$9.01M |
| 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 |
3,366 |
2,995 |
$100K |
| G9012 |
Other specified case management service not elsewhere classified |
229 |
122 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,397 |
26,175 |
$4K |
| 0064A |
|
99 |
92 |
$3K |
| 98940 |
|
5,081 |
3,034 |
$3K |
| 0072A |
|
65 |
65 |
$3K |
| 0071A |
|
37 |
37 |
$1K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
1,403 |
863 |
$836.00 |
| 0001A |
|
17 |
17 |
$560.00 |
| 0002A |
|
15 |
15 |
$560.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,133 |
4,341 |
$523.28 |
| 0011A |
|
268 |
247 |
$470.01 |
| 0012A |
|
227 |
207 |
$463.52 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,409 |
4,151 |
$443.12 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
743 |
664 |
$395.15 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
16 |
12 |
$270.19 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,564 |
8,236 |
$195.42 |
| 97803 |
|
3,315 |
3,124 |
$171.31 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
41 |
37 |
$141.32 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,445 |
1,226 |
$137.11 |
| 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 |
46 |
40 |
$124.33 |
| 90674 |
|
497 |
457 |
$68.09 |
| 90686 |
|
1,694 |
1,518 |
$45.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
742 |
710 |
$37.39 |
| 92552 |
|
2,627 |
2,423 |
$33.66 |
| 81025 |
|
1,007 |
955 |
$16.80 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
115 |
115 |
$12.39 |
| 82947 |
|
1,777 |
1,574 |
$9.90 |
| 90734 |
|
119 |
115 |
$9.00 |
| 90670 |
|
443 |
438 |
$9.00 |
| 90715 |
|
70 |
66 |
$9.00 |
| 90649 |
|
275 |
255 |
$9.00 |
| 99401 |
|
4,404 |
4,149 |
$7.09 |
| 85018 |
|
3,405 |
3,101 |
$6.19 |
| 86580 |
|
507 |
464 |
$0.00 |
| 90696 |
|
93 |
89 |
$0.00 |
| Z1032 |
|
14 |
14 |
$0.00 |
| 97802 |
|
653 |
610 |
$0.00 |
| 90647 |
|
457 |
427 |
$0.00 |
| Z1034 |
|
1,420 |
925 |
$0.00 |
| 90732 |
|
218 |
184 |
$0.00 |
| 90723 |
|
445 |
410 |
$0.00 |
| 3079F |
|
57 |
51 |
$0.00 |
| 3044F |
|
13 |
12 |
$0.00 |
| 90716 |
|
26 |
25 |
$0.00 |
| 93000 |
|
209 |
179 |
$0.00 |
| 3080F |
|
52 |
33 |
$0.00 |
| 3075F |
|
27 |
26 |
$0.00 |
| 90620 |
|
18 |
17 |
$0.00 |
| J3490 |
Unclassified drugs |
13 |
13 |
$0.00 |
| 3074F |
|
74 |
64 |
$0.00 |
| 99383 |
|
152 |
135 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 99384 |
|
25 |
24 |
$0.00 |
| 88147 |
|
617 |
578 |
$0.00 |
| 90633 |
|
547 |
522 |
$0.00 |
| 99173 |
|
3,163 |
2,911 |
$0.00 |
| 83037 |
|
750 |
689 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
386 |
343 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
267 |
232 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,750 |
1,244 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
772 |
728 |
$0.00 |
| 81002 |
|
813 |
724 |
$0.00 |
| 90710 |
|
355 |
343 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
510 |
473 |
$0.00 |
| 99382 |
|
24 |
24 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
272 |
259 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
341 |
282 |
$0.00 |
| 3077F |
|
148 |
110 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
147 |
138 |
$0.00 |
| 3078F |
|
107 |
93 |
$0.00 |
| 90700 |
|
14 |
14 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
80 |
73 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
19 |
17 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19 |
17 |
$0.00 |
| 90681 |
|
56 |
51 |
$0.00 |