| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
41,933 |
36,691 |
$9.67M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35,485 |
19,759 |
$391K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,200 |
6,486 |
$267K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,245 |
3,059 |
$74K |
| 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 |
427 |
361 |
$53K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,539 |
815 |
$51K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
3,142 |
3,100 |
$36K |
| 97802 |
|
733 |
470 |
$36K |
| 90791 |
Psychiatric diagnostic evaluation |
324 |
191 |
$19K |
| 97803 |
|
275 |
204 |
$15K |
| G9920 |
Screening performed and negative |
702 |
608 |
$14K |
| 90832 |
Psychotherapy, 30 minutes with patient |
399 |
216 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
388 |
225 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
253 |
160 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
770 |
486 |
$5K |
| 90686 |
|
1,155 |
827 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
112 |
70 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,075 |
2,022 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
215 |
114 |
$2K |
| 0004A |
|
54 |
53 |
$2K |
| 90688 |
|
297 |
237 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
787 |
583 |
$2K |
| 90656 |
|
140 |
94 |
$1K |
| 0031A |
|
25 |
25 |
$1K |
| 85018 |
|
1,355 |
881 |
$881.55 |
| 90651 |
|
98 |
62 |
$245.00 |
| 90620 |
|
23 |
13 |
$194.87 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,193 |
751 |
$125.81 |
| 81002 |
|
88 |
54 |
$73.18 |
| 82947 |
|
15 |
15 |
$45.11 |
| 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 |
12 |
12 |
$28.18 |
| 99173 |
|
301 |
238 |
$0.00 |
| 90670 |
|
27 |
15 |
$0.00 |
| 90648 |
|
16 |
12 |
$0.00 |
| 90734 |
|
21 |
12 |
$0.00 |
| 92551 |
|
319 |
250 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
1,487 |
1,192 |
$0.00 |
| 82962 |
|
26 |
24 |
$0.00 |
| 90619 |
|
19 |
12 |
$0.00 |