| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
78,254 |
39,929 |
$44.89M |
| 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 |
32,765 |
17,757 |
$8.14M |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
33,526 |
6,815 |
$2.31M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,792 |
24,185 |
$1.85M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,442 |
14,841 |
$1.27M |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
1,635 |
1,142 |
$474K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
13,044 |
4,091 |
$352K |
| A0390 |
Als mileage (per mile) |
6,353 |
2,237 |
$290K |
| 97750 |
|
3,384 |
2,369 |
$206K |
| A0130 |
Non-emergency transportation: wheelchair van |
3,053 |
989 |
$203K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
33,831 |
6,862 |
$162K |
| A0380 |
Bls mileage (per mile) |
3,059 |
989 |
$124K |
| 0900 |
|
1,024 |
549 |
$60K |
| G0469 |
Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health 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 mental health visit |
103 |
87 |
$51K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,545 |
2,380 |
$49K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
401 |
398 |
$29K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,152 |
2,023 |
$19K |
| 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 |
28 |
28 |
$12K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
106 |
88 |
$8K |
| 97035 |
|
31,270 |
6,424 |
$2K |
| 97014 |
|
31,544 |
6,449 |
$1K |
| 82962 |
|
309 |
299 |
$913.86 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
613 |
501 |
$895.05 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
386 |
376 |
$495.87 |
| 99215 |
Prolong outpt/office vis |
1,028 |
914 |
$495.87 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
654 |
620 |
$427.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
68 |
68 |
$19.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
412 |
395 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
25 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
422 |
406 |
$0.00 |
| 90686 |
|
399 |
390 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
417 |
350 |
$0.00 |
| 001 |
Comm hlth intg svs add 30 m |
46 |
30 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
134 |
130 |
$0.00 |
| 92551 |
|
48 |
48 |
$0.00 |
| 90688 |
|
31 |
31 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
26 |
$0.00 |
| 88142 |
|
13 |
13 |
$0.00 |
| 90694 |
|
14 |
13 |
$0.00 |
| 88738 |
|
73 |
72 |
$0.00 |
| 99173 |
|
108 |
107 |
$0.00 |
| 90662 |
|
41 |
41 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
141 |
138 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
436 |
322 |
$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 |
285 |
236 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
80 |
79 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
31 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
117 |
117 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
130 |
128 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
34 |
31 |
$0.00 |
| 81003 |
|
16 |
15 |
$0.00 |
| 97164 |
|
20 |
20 |
$0.00 |