| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
28,625 |
18,708 |
$7.00M |
| 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 |
5,544 |
4,203 |
$413K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,002 |
7,753 |
$48K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
743 |
403 |
$45K |
| 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 |
597 |
277 |
$43K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
1,774 |
1,113 |
$26K |
| 98940 |
|
1,996 |
1,312 |
$25K |
| 90837 |
Psychotherapy, 53 minutes with patient |
4,264 |
2,116 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,317 |
2,843 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,823 |
2,616 |
$15K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
530 |
483 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,926 |
1,793 |
$5K |
| 99215 |
Prolong outpt/office vis |
505 |
439 |
$3K |
| 97032 |
|
1,624 |
981 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,057 |
597 |
$2K |
| 99442 |
|
26 |
25 |
$2K |
| 99000 |
|
495 |
450 |
$1K |
| 99443 |
|
13 |
12 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
128 |
127 |
$894.05 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
176 |
158 |
$861.06 |
| 90834 |
Psychotherapy, 45 minutes with patient |
175 |
105 |
$427.49 |
| 99173 |
|
220 |
209 |
$417.46 |
| 36415 |
Collection of venous blood by venipuncture |
437 |
390 |
$406.90 |
| 11721 |
|
12 |
12 |
$370.11 |
| D0120 |
Periodic oral evaluation - established patient |
1,303 |
1,215 |
$266.03 |
| D0140 |
Limited oral evaluation - problem focused |
82 |
76 |
$266.03 |
| D1110 |
Prophylaxis - adult |
784 |
735 |
$266.03 |
| D1120 |
Prophylaxis - child |
555 |
530 |
$238.18 |
| G0127 |
Trimming of dystrophic nails, any number |
214 |
189 |
$205.38 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
97 |
77 |
$152.57 |
| 11056 |
|
67 |
55 |
$115.23 |
| 92015 |
Determination of refractive state |
2,095 |
1,952 |
$12.15 |
| 87807 |
|
44 |
37 |
$10.63 |
| 92133 |
|
13 |
12 |
$7.81 |
| 97035 |
|
25 |
13 |
$1.81 |
| D1206 |
Topical application of fluoride varnish |
59 |
56 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
66 |
60 |
$0.00 |
| 90686 |
|
38 |
38 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
131 |
124 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |
| 90688 |
|
16 |
15 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
23 |
23 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$0.00 |
| D9110 |
|
132 |
112 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$0.00 |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
14 |
13 |
$0.00 |