| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
16,784 |
15,811 |
$1.49M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42,607 |
39,248 |
$9K |
| 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 |
1,794 |
1,737 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
53,147 |
49,064 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,516 |
7,866 |
$5K |
| 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 |
1,876 |
1,872 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,373 |
1,124 |
$3K |
| 99385 |
|
1,751 |
1,580 |
$3K |
| 99386 |
|
761 |
617 |
$2K |
| 0012A |
|
108 |
89 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,361 |
1,311 |
$989.80 |
| 0011A |
|
76 |
64 |
$950.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
650 |
649 |
$742.37 |
| 93000 |
|
604 |
525 |
$615.44 |
| 99381 |
|
74 |
73 |
$493.68 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,001 |
1,893 |
$440.80 |
| 90716 |
|
201 |
201 |
$326.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,376 |
1,365 |
$317.52 |
| 90723 |
|
171 |
171 |
$304.32 |
| 90648 |
|
122 |
122 |
$197.82 |
| 90677 |
|
66 |
66 |
$181.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
116 |
100 |
$180.00 |
| 92551 |
|
1,995 |
1,859 |
$178.71 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,107 |
1,531 |
$175.05 |
| 99201 |
|
153 |
148 |
$158.92 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,081 |
1,013 |
$140.40 |
| 88150 |
|
243 |
209 |
$118.05 |
| 90686 |
|
126 |
126 |
$48.74 |
| 90700 |
|
24 |
24 |
$45.00 |
| 90674 |
|
32 |
26 |
$36.00 |
| 90681 |
|
12 |
12 |
$35.91 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
722 |
625 |
$32.54 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
621 |
594 |
$28.70 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
98 |
97 |
$28.70 |
| 3078F |
|
1,922 |
1,878 |
$24.00 |
| 3074F |
|
1,299 |
1,269 |
$20.00 |
| 3079F |
|
689 |
671 |
$20.00 |
| 3008F |
|
2,868 |
2,785 |
$10.00 |
| 99383 |
|
118 |
107 |
$9.50 |
| 90707 |
|
16 |
16 |
$9.00 |
| 90633 |
|
27 |
27 |
$9.00 |
| 85018 |
|
857 |
806 |
$6.15 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
582 |
554 |
$0.00 |
| 99173 |
|
2,117 |
1,979 |
$0.00 |
| 3077F |
|
1,272 |
1,209 |
$0.00 |
| 90461 |
|
670 |
643 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
130 |
127 |
$0.00 |
| 90670 |
|
39 |
38 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
253 |
244 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
202 |
188 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
92 |
85 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
12 |
12 |
$0.00 |
| 1158F |
|
31 |
31 |
$0.00 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
14 |
14 |
$0.00 |
| 3075F |
|
434 |
427 |
$0.00 |
| 3080F |
|
321 |
307 |
$0.00 |
| 1126F |
|
71 |
67 |
$0.00 |
| G0102 |
Prostate cancer screening; digital rectal examination |
110 |
110 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
253 |
243 |
$0.00 |
| 88141 |
|
66 |
65 |
$0.00 |
| 1170F |
|
146 |
143 |
$0.00 |
| 1111F |
|
154 |
146 |
$0.00 |
| 0064A |
|
13 |
13 |
$0.00 |
| G9012 |
Other specified case management service not elsewhere classified |
30 |
30 |
$0.00 |
| 1123F |
|
31 |
31 |
$0.00 |
| 91301 |
|
160 |
155 |
$0.00 |
| 91306 |
|
13 |
13 |
$0.00 |
| 99384 |
|
13 |
13 |
$0.00 |
| 90688 |
|
15 |
15 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
14 |
$0.00 |