| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
253,107 |
221,778 |
$48.93M |
| 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 |
2,447 |
1,807 |
$62K |
| 0002A |
|
473 |
472 |
$31K |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
617 |
515 |
$29K |
| 0011A |
|
385 |
367 |
$22K |
| 0001A |
|
345 |
345 |
$18K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,172 |
2,119 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
84,078 |
77,501 |
$18K |
| 0012A |
|
287 |
269 |
$17K |
| 0072A |
|
193 |
192 |
$13K |
| 90791 |
Psychiatric diagnostic evaluation |
2,073 |
2,032 |
$12K |
| 0071A |
|
201 |
201 |
$10K |
| 0004A |
|
84 |
84 |
$6K |
| 90832 |
Psychotherapy, 30 minutes with patient |
6,273 |
5,740 |
$5K |
| 0064A |
|
47 |
47 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,952 |
1,901 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,179 |
2,857 |
$2K |
| 0054A |
|
29 |
29 |
$2K |
| 0074A |
|
16 |
16 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,777 |
15,192 |
$829.34 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
50,223 |
45,173 |
$408.40 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
162 |
153 |
$386.06 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,641 |
2,581 |
$239.69 |
| 85018 |
|
909 |
814 |
$180.09 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,175 |
5,166 |
$98.43 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,501 |
2,484 |
$92.61 |
| 99173 |
|
1,019 |
938 |
$78.02 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,829 |
4,790 |
$68.67 |
| 90656 |
|
965 |
830 |
$24.23 |
| 90686 |
|
323 |
296 |
$15.22 |
| 81003 |
|
1,380 |
1,187 |
$1.80 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,597 |
1,588 |
$0.00 |
| 98940 |
|
2,261 |
1,773 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,419 |
3,416 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,522 |
1,513 |
$0.00 |
| Z6400 |
|
479 |
456 |
$0.00 |
| 86703 |
|
68 |
60 |
$0.00 |
| 92015 |
Determination of refractive state |
814 |
814 |
$0.00 |
| 11721 |
|
292 |
289 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,646 |
1,630 |
$0.00 |
| 81025 |
|
363 |
336 |
$0.00 |
| 11720 |
|
199 |
196 |
$0.00 |
| 90670 |
|
146 |
146 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
391 |
356 |
$0.00 |
| 11056 |
|
480 |
471 |
$0.00 |
| 90715 |
|
134 |
124 |
$0.00 |
| 90681 |
|
25 |
25 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
243 |
241 |
$0.00 |
| 11057 |
|
69 |
69 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
44 |
44 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
938 |
927 |
$0.00 |
| 92134 |
|
42 |
42 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
66 |
54 |
$0.00 |
| 99201 |
|
191 |
190 |
$0.00 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
45 |
40 |
$0.00 |
| 99382 |
|
12 |
12 |
$0.00 |
| 90633 |
|
17 |
17 |
$0.00 |
| 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 |
109 |
98 |
$0.00 |
| Z6200 |
|
13 |
13 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 92551 |
|
692 |
625 |
$0.00 |
| Z1034 |
|
1,961 |
1,675 |
$0.00 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
23,255 |
15,297 |
$0.00 |
| Z1032 |
|
379 |
379 |
$0.00 |
| 99385 |
|
473 |
462 |
$0.00 |
| 99383 |
|
40 |
40 |
$0.00 |
| 99384 |
|
12 |
12 |
$0.00 |
| 99381 |
|
140 |
140 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 90651 |
|
84 |
70 |
$0.00 |
| 99000 |
|
208 |
208 |
$0.00 |
| 82962 |
|
146 |
108 |
$0.00 |
| 90647 |
|
155 |
155 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
378 |
312 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
57 |
57 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,217 |
1,109 |
$0.00 |
| Z6402 |
|
59 |
58 |
$0.00 |
| 90474 |
|
25 |
25 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
12 |
12 |
$0.00 |
| 90723 |
|
159 |
159 |
$0.00 |
| 11055 |
|
12 |
12 |
$0.00 |
| J3490 |
Unclassified drugs |
57 |
53 |
$0.00 |
| 99386 |
|
81 |
79 |
$0.00 |
| 98943 |
|
75 |
67 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
47 |
40 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| 90620 |
|
13 |
12 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
16 |
16 |
$0.00 |
| Z6406 |
|
25 |
25 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |