| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
35,649 |
26,549 |
$6.38M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,275 |
8,787 |
$75K |
| 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 |
4,263 |
2,946 |
$56K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,957 |
8,032 |
$49K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,699 |
879 |
$20K |
| T1027 |
Family training and counseling for child development, per 15 minutes |
630 |
275 |
$14K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
237 |
84 |
$13K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
94 |
94 |
$6K |
| 88312 |
|
40 |
40 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
441 |
431 |
$3K |
| 3074F |
|
1,847 |
1,585 |
$3K |
| 90686 |
|
745 |
701 |
$2K |
| 3078F |
|
1,436 |
1,254 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,534 |
1,628 |
$1K |
| 80305 |
|
160 |
133 |
$997.35 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
105 |
102 |
$845.80 |
| 92551 |
|
670 |
654 |
$793.20 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,010 |
1,852 |
$692.59 |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,433 |
1,356 |
$565.21 |
| 80061 |
Lipid panel |
48 |
46 |
$491.48 |
| 81002 |
|
505 |
299 |
$475.45 |
| 85018 |
|
214 |
206 |
$391.22 |
| 99215 |
Prolong outpt/office vis |
28 |
25 |
$321.94 |
| 90670 |
|
33 |
27 |
$289.42 |
| 88311 |
|
16 |
16 |
$250.40 |
| 99177 |
|
52 |
52 |
$234.94 |
| 92081 |
|
12 |
12 |
$234.52 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
174 |
166 |
$216.36 |
| 3079F |
|
156 |
127 |
$200.00 |
| 90461 |
|
978 |
905 |
$199.92 |
| 90656 |
|
87 |
86 |
$116.32 |
| 90480 |
|
13 |
13 |
$88.00 |
| 3075F |
|
14 |
12 |
$50.00 |
| 82948 |
|
31 |
27 |
$2.72 |
| 94760 |
|
18 |
14 |
$0.90 |
| 1159F |
|
1,674 |
1,393 |
$0.02 |
| 1160F |
|
1,676 |
1,393 |
$0.01 |
| 3008F |
|
2,457 |
2,092 |
$0.00 |
| 1036F |
|
472 |
400 |
$0.00 |
| 1034F |
|
278 |
238 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
60 |
57 |
$0.00 |
| 36416 |
|
15 |
15 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
65 |
61 |
$0.00 |
| 90723 |
|
29 |
24 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
606 |
501 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
374 |
304 |
$0.00 |
| 99173 |
|
183 |
179 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
118 |
99 |
$0.00 |
| 3725F |
|
143 |
105 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
100 |
98 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
285 |
258 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
167 |
164 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
19 |
18 |
$0.00 |
| 90868 |
|
64 |
41 |
$0.00 |
| 90648 |
|
68 |
53 |
$0.00 |
| D1120 |
Prophylaxis - child |
14 |
14 |
$0.00 |