| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
36,988 |
32,045 |
$4.76M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,550 |
2,535 |
$139K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,725 |
1,717 |
$117K |
| 92551 |
|
3,629 |
3,609 |
$75K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,339 |
1,316 |
$71K |
| 90686 |
|
2,268 |
2,254 |
$39K |
| G9920 |
Screening performed and negative |
822 |
821 |
$33K |
| 90739 |
|
239 |
239 |
$29K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,115 |
1,114 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39,153 |
34,597 |
$24K |
| 99173 |
|
3,564 |
3,545 |
$22K |
| 90715 |
|
602 |
602 |
$17K |
| 90651 |
|
448 |
447 |
$17K |
| 85018 |
|
4,948 |
4,886 |
$11K |
| 90688 |
|
536 |
536 |
$10K |
| 98960 |
|
191 |
187 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
180 |
176 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,389 |
6,066 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
653 |
646 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
133 |
130 |
$5K |
| 90670 |
|
137 |
134 |
$4K |
| 90656 |
|
191 |
191 |
$4K |
| 59425 |
|
39 |
24 |
$4K |
| 90734 |
|
174 |
173 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,744 |
4,555 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
210 |
207 |
$2K |
| 90677 |
|
13 |
13 |
$2K |
| H0049 |
Alcohol and/or drug screening |
40 |
40 |
$1K |
| 99188 |
|
65 |
65 |
$1K |
| 90633 |
|
102 |
102 |
$1K |
| 81002 |
|
641 |
583 |
$1K |
| 90648 |
|
88 |
88 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
38 |
38 |
$1K |
| 90700 |
|
72 |
72 |
$994.50 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
109 |
107 |
$992.08 |
| 86580 |
|
133 |
131 |
$722.76 |
| 99215 |
Prolong outpt/office vis |
167 |
163 |
$710.84 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
19 |
18 |
$684.76 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
59 |
59 |
$670.51 |
| 81025 |
|
186 |
179 |
$638.36 |
| 90710 |
|
27 |
27 |
$382.50 |
| 90713 |
|
27 |
27 |
$378.00 |
| 90707 |
|
16 |
16 |
$326.96 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
37 |
37 |
$310.05 |
| 90685 |
|
13 |
13 |
$269.39 |
| 90716 |
|
14 |
14 |
$189.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
45 |
45 |
$154.35 |
| 90680 |
|
13 |
13 |
$126.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
19 |
13 |
$72.33 |
| 69210 |
|
51 |
24 |
$65.79 |
| 82947 |
|
15 |
14 |
$50.55 |
| 99442 |
|
13 |
12 |
$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 |
14 |
13 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
252 |
220 |
$0.00 |