| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40,197 |
28,408 |
$1.30M |
| 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 |
12,449 |
7,710 |
$227K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,670 |
3,311 |
$193K |
| T1015 |
Clinic visit/encounter, all-inclusive |
18,734 |
12,886 |
$145K |
| 90834 |
Psychotherapy, 45 minutes with patient |
723 |
457 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,076 |
762 |
$29K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,074 |
862 |
$17K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
135 |
107 |
$13K |
| 90832 |
Psychotherapy, 30 minutes with patient |
272 |
200 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
34 |
26 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
35 |
27 |
$2K |
| 90686 |
|
171 |
114 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
33 |
$2K |
| 90756 |
|
167 |
129 |
$1K |
| 90674 |
|
88 |
49 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
313 |
212 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
90 |
80 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
94 |
56 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
77 |
68 |
$958.73 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
54 |
43 |
$665.27 |
| 3008F |
|
3,845 |
3,049 |
$121.63 |
| 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 |
44 |
33 |
$97.98 |
| 96160 |
|
46 |
35 |
$31.08 |
| 1220F |
|
407 |
352 |
$0.00 |
| 3075F |
|
15 |
13 |
$0.00 |
| 1000F |
|
647 |
470 |
$0.00 |
| 3079F |
|
34 |
30 |
$0.00 |
| 1034F |
|
29 |
28 |
$0.00 |
| 4000F |
|
26 |
24 |
$0.00 |
| 97802 |
|
348 |
288 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
12 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
29 |
26 |
$0.00 |
| 3074F |
|
118 |
74 |
$0.00 |
| 1125F |
|
27 |
19 |
$0.00 |
| 2010F |
|
43 |
29 |
$0.00 |
| 3080F |
|
22 |
15 |
$0.00 |
| 1036F |
|
17 |
17 |
$0.00 |
| 3077F |
|
106 |
71 |
$0.00 |
| 3078F |
|
158 |
93 |
$0.00 |
| 3725F |
|
866 |
752 |
$0.00 |
| 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 |
38 |
36 |
$0.00 |
| 1159F |
|
25 |
18 |
$0.00 |
| 97803 |
|
26 |
25 |
$0.00 |
| 96152 |
|
17 |
15 |
$0.00 |
| 99072 |
|
77 |
55 |
$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 |
13 |
12 |
$0.00 |