| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
148,015 |
117,782 |
$18.86M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
72,849 |
62,411 |
$820K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14,624 |
12,798 |
$127K |
| 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 |
29,713 |
26,140 |
$89K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,724 |
6,460 |
$70K |
| 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 |
1,803 |
1,408 |
$53K |
| 92081 |
|
6,940 |
6,701 |
$40K |
| 90834 |
Psychotherapy, 45 minutes with patient |
880 |
478 |
$39K |
| 92552 |
|
4,843 |
4,658 |
$19K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
4,661 |
3,144 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
839 |
802 |
$15K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
374 |
369 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
728 |
693 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
419 |
417 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,724 |
3,699 |
$13K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
191 |
189 |
$12K |
| 3008F |
|
59,795 |
52,741 |
$10K |
| 90837 |
Psychotherapy, 53 minutes with patient |
187 |
140 |
$10K |
| 90674 |
|
631 |
624 |
$10K |
| 99457 |
|
1,846 |
1,846 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
640 |
599 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
653 |
612 |
$7K |
| 97803 |
|
2,003 |
1,955 |
$5K |
| 94760 |
|
10,077 |
8,394 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
115 |
104 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
477 |
434 |
$4K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
47 |
46 |
$4K |
| 90686 |
|
1,242 |
1,196 |
$3K |
| 99215 |
Prolong outpt/office vis |
502 |
453 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
196 |
169 |
$3K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,905 |
1,794 |
$3K |
| 99188 |
|
721 |
649 |
$2K |
| 99406 |
|
904 |
842 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
239 |
233 |
$2K |
| H1000 |
Prenatal care, at-risk assessment |
84 |
84 |
$2K |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
1,950 |
1,838 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
277 |
245 |
$1K |
| 99458 |
|
541 |
541 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
149 |
148 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,199 |
5,001 |
$1K |
| 0012A |
|
25 |
13 |
$965.00 |
| 93000 |
|
174 |
174 |
$894.84 |
| 90688 |
|
406 |
325 |
$812.11 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
492 |
488 |
$659.56 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
40 |
39 |
$654.68 |
| 90670 |
|
182 |
167 |
$628.16 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
519 |
506 |
$499.89 |
| 90661 |
|
105 |
104 |
$495.72 |
| 99000 |
|
1,073 |
1,060 |
$424.40 |
| 88142 |
|
140 |
140 |
$410.66 |
| 90715 |
|
47 |
47 |
$374.10 |
| 90651 |
|
257 |
245 |
$312.73 |
| 90756 |
|
42 |
42 |
$302.26 |
| 81025 |
|
401 |
394 |
$201.36 |
| 90633 |
|
44 |
44 |
$189.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
210 |
185 |
$138.68 |
| 99454 |
|
209 |
209 |
$117.84 |
| 90680 |
|
24 |
24 |
$109.00 |
| 90733 |
|
85 |
81 |
$106.00 |
| 97802 |
|
32 |
30 |
$98.62 |
| 99401 |
|
103 |
102 |
$85.88 |
| 59430 |
|
36 |
28 |
$85.24 |
| 85018 |
|
255 |
244 |
$63.62 |
| 1160F |
|
1,941 |
1,842 |
$60.00 |
| 86703 |
|
95 |
94 |
$58.58 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
599 |
327 |
$58.31 |
| 99001 |
|
849 |
838 |
$56.56 |
| 1159F |
|
2,138 |
2,018 |
$53.84 |
| 99453 |
|
57 |
57 |
$53.13 |
| 3044F |
|
692 |
692 |
$48.62 |
| 1125F |
|
597 |
538 |
$48.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
160 |
159 |
$42.77 |
| 96156 |
|
129 |
126 |
$41.82 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
320 |
318 |
$28.62 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
13 |
13 |
$28.23 |
| 96161 |
|
278 |
277 |
$27.00 |
| 90647 |
|
13 |
12 |
$27.00 |
| 90697 |
|
13 |
13 |
$27.00 |
| 81003 |
|
353 |
331 |
$25.44 |
| 90685 |
|
41 |
30 |
$18.00 |
| 82270 |
|
33 |
33 |
$17.52 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
131 |
130 |
$14.44 |
| 86803 |
|
64 |
61 |
$12.57 |
| 86704 |
|
45 |
45 |
$10.71 |
| 81002 |
|
14 |
14 |
$9.70 |
| 86706 |
|
57 |
57 |
$9.51 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,119 |
2,070 |
$1.66 |
| 3078F |
|
1,356 |
1,263 |
$0.08 |
| 3074F |
|
1,492 |
1,385 |
$0.05 |
| 4010F |
|
348 |
345 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,935 |
1,914 |
$0.00 |
| 0500F |
|
509 |
499 |
$0.00 |
| Z1032 |
|
151 |
151 |
$0.00 |
| 0501F |
|
159 |
143 |
$0.00 |
| 3079F |
|
127 |
123 |
$0.00 |
| Z1034 |
|
2,126 |
1,509 |
$0.00 |
| 3048F |
|
59 |
59 |
$0.00 |
| 1111F |
|
135 |
135 |
$0.00 |
| 99385 |
|
12 |
12 |
$0.00 |
| 90656 |
|
46 |
45 |
$0.00 |
| 0503F |
|
28 |
28 |
$0.00 |
| 99386 |
|
12 |
12 |
$0.00 |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
77 |
77 |
$0.00 |
| 3075F |
|
13 |
12 |
$0.00 |
| 0001F |
|
17 |
17 |
$0.00 |
| 3061F |
|
14 |
14 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| 3017F |
|
14 |
13 |
$0.00 |
| 91301 |
|
12 |
12 |
$0.00 |
| P3000 |
Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision |
12 |
12 |
$0.00 |
| 18 |
F18 fdg |
112,815 |
90,029 |
$0.00 |
| 0502F |
|
5,760 |
4,048 |
$0.00 |
| 3077F |
|
78 |
69 |
$0.00 |
| 3725F |
|
601 |
563 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
24 |
24 |
$0.00 |
| 99173 |
|
15 |
15 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$0.00 |
| 3015F |
|
53 |
53 |
$0.00 |
| G9016 |
Smoking cessation counseling, individual, in the absence of or in addition to any other evaluation and management service, per session (6-10 minutes) [demo project code only] |
29 |
29 |
$0.00 |
| 90863 |
|
42 |
35 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
13 |
12 |
$0.00 |