| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
44,814 |
35,890 |
$6.53M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,394 |
23,103 |
$517K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
539 |
528 |
$162K |
| J3490 |
Unclassified drugs |
3,520 |
1,736 |
$110K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15,514 |
8,882 |
$74K |
| 99403 |
|
877 |
748 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,662 |
2,763 |
$37K |
| A4267 |
Contraceptive supply, condom, male, each |
3,322 |
3,251 |
$23K |
| S5199 |
Personal care item, nos, each |
3,310 |
3,241 |
$23K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,838 |
1,434 |
$8K |
| 99000 |
|
1,832 |
1,780 |
$7K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
459 |
459 |
$6K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
251 |
247 |
$4K |
| 90658 |
|
147 |
147 |
$2K |
| 81025 |
|
796 |
774 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
404 |
251 |
$2K |
| 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 |
243 |
128 |
$1K |
| H0049 |
Alcohol and/or drug screening |
50 |
50 |
$1K |
| 92552 |
|
370 |
274 |
$269.28 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
818 |
649 |
$94.18 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
23 |
17 |
$43.85 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
2,489 |
2,003 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
19 |
19 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
21 |
15 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
95 |
70 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
33 |
30 |
$0.00 |