| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
45,488 |
36,843 |
$4.65M |
| 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 |
2,365 |
1,978 |
$103K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,348 |
11,871 |
$84K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,096 |
10,510 |
$17K |
| 99000 |
|
1,851 |
1,568 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,848 |
5,112 |
$4K |
| 81003 |
|
4,647 |
3,096 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
407 |
380 |
$893.63 |
| 81025 |
|
1,260 |
1,078 |
$459.82 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
406 |
385 |
$175.62 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
215 |
208 |
$64.83 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
613 |
569 |
$0.00 |
| 96161 |
|
508 |
503 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
265 |
262 |
$0.00 |
| 85018 |
|
2,776 |
2,607 |
$0.00 |
| 93000 |
|
58 |
56 |
$0.00 |
| 3510F |
|
578 |
548 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
73 |
64 |
$0.00 |
| 96156 |
|
509 |
500 |
$0.00 |
| 82270 |
|
40 |
38 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
65 |
52 |
$0.00 |
| 85651 |
|
90 |
83 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
346 |
342 |
$0.00 |
| 1036F |
|
218 |
214 |
$0.00 |
| 3352F |
|
46 |
46 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
291 |
289 |
$0.00 |
| 99381 |
|
13 |
13 |
$0.00 |
| 81000 |
|
40 |
35 |
$0.00 |
| G8553 |
|
50 |
49 |
$0.00 |
| Z1034 |
|
39 |
30 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
199 |
189 |
$0.00 |
| 90744 |
|
27 |
27 |
$0.00 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
27 |
24 |
$0.00 |
| 99385 |
|
16 |
16 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 4004F |
|
320 |
316 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
429 |
387 |
$0.00 |
| 81002 |
|
215 |
204 |
$0.00 |
| G9920 |
Screening performed and negative |
643 |
632 |
$0.00 |
| 96160 |
|
581 |
575 |
$0.00 |
| 99173 |
|
166 |
157 |
$0.00 |
| 92552 |
|
98 |
93 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
428 |
412 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
257 |
252 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
13 |
12 |
$0.00 |
| 3016F |
|
165 |
157 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
12 |
12 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
51 |
49 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
48 |
48 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
83 |
82 |
$0.00 |
| 90670 |
|
61 |
61 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
72 |
64 |
$0.00 |
| 90710 |
|
30 |
30 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
53 |
47 |
$0.00 |
| 59025 |
Fetal non-stress test |
37 |
27 |
$0.00 |
| 4551F |
|
34 |
32 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 4553F |
|
25 |
25 |
$0.00 |
| 3078F |
|
12 |
12 |
$0.00 |