| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
50,972 |
37,934 |
$6.25M |
| Q3014 |
Telehealth originating site facility fee |
646 |
511 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,145 |
8,565 |
$264.80 |
| 90715 |
|
323 |
204 |
$43.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,365 |
3,025 |
$22.22 |
| 90647 |
|
1,644 |
929 |
$11.58 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,325 |
1,933 |
$11.01 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,050 |
663 |
$8.18 |
| 90723 |
|
1,530 |
880 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
292 |
144 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,133 |
12,399 |
$0.00 |
| 90474 |
|
750 |
430 |
$0.00 |
| 90686 |
|
1,529 |
844 |
$0.00 |
| 96161 |
|
43 |
34 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
212 |
143 |
$0.00 |
| 90680 |
|
1,187 |
689 |
$0.00 |
| 99384 |
|
38 |
17 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
340 |
226 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
147 |
140 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
21 |
15 |
$0.00 |
| 84703 |
|
208 |
135 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
13 |
13 |
$0.00 |
| 86317 |
|
52 |
34 |
$0.00 |
| 90696 |
|
32 |
13 |
$0.00 |
| 99381 |
|
42 |
26 |
$0.00 |
| 99383 |
|
93 |
50 |
$0.00 |
| 96127 |
|
15 |
13 |
$0.00 |
| 90710 |
|
526 |
293 |
$0.00 |
| 81002 |
|
3,942 |
2,203 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
33 |
26 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
476 |
270 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,111 |
1,381 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,466 |
977 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
807 |
578 |
$0.00 |
| 90670 |
|
1,826 |
1,032 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,446 |
897 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,934 |
1,169 |
$0.00 |
| 90633 |
|
670 |
371 |
$0.00 |
| 90649 |
|
48 |
28 |
$0.00 |
| 0502F |
|
221 |
152 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
81 |
25 |
$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 |
195 |
162 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
81 |
60 |
$0.00 |
| 99307 |
|
37 |
24 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
655 |
414 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
409 |
235 |
$0.00 |
| 11721 |
|
183 |
159 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
73 |
68 |
$0.00 |
| 90734 |
|
33 |
14 |
$0.00 |
| 90461 |
|
53 |
41 |
$0.00 |
| 99382 |
|
42 |
26 |
$0.00 |
| 99442 |
|
12 |
12 |
$0.00 |