| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
46,226 |
37,249 |
$9.13M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,700 |
17,005 |
$64K |
| 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 |
2,915 |
1,784 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,969 |
5,751 |
$16K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,018 |
516 |
$14K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
718 |
449 |
$9K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,119 |
1,279 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
254 |
240 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,190 |
1,946 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
225 |
203 |
$2K |
| 90686 |
|
563 |
485 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
166 |
148 |
$1K |
| 81002 |
|
1,133 |
748 |
$1K |
| 80305 |
|
129 |
94 |
$939.39 |
| 90461 |
|
1,044 |
915 |
$545.82 |
| 90688 |
|
45 |
36 |
$483.96 |
| 90661 |
|
30 |
28 |
$392.17 |
| 90674 |
|
15 |
15 |
$303.90 |
| 82947 |
|
85 |
77 |
$272.33 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
74 |
66 |
$235.64 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
308 |
285 |
$203.85 |
| 83655 |
|
33 |
26 |
$182.08 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
32 |
25 |
$160.38 |
| 90670 |
|
161 |
150 |
$144.71 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
107 |
104 |
$135.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
206 |
183 |
$125.76 |
| 85018 |
|
53 |
46 |
$64.09 |
| 87400 |
|
13 |
12 |
$53.92 |
| 90677 |
|
164 |
139 |
$0.00 |
| 90656 |
|
159 |
139 |
$0.00 |
| 90680 |
|
154 |
139 |
$0.00 |
| 90381 |
|
13 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
20 |
12 |
$0.00 |
| 90697 |
|
137 |
125 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
52 |
46 |
$0.00 |
| 90723 |
|
27 |
25 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
42 |
42 |
$0.00 |
| 90634 |
|
13 |
13 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
592 |
525 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
486 |
425 |
$0.00 |
| 90648 |
|
57 |
55 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$0.00 |
| 90633 |
|
16 |
16 |
$0.00 |