| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
36,936 |
23,967 |
$7.80M |
| 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 |
6,589 |
4,934 |
$435K |
| 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 |
2,417 |
1,818 |
$249K |
| 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 |
665 |
657 |
$61K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,288 |
8,348 |
$37K |
| 90837 |
Psychotherapy, 53 minutes with patient |
4,088 |
2,040 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,212 |
6,127 |
$20K |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,966 |
2,409 |
$15K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,423 |
909 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,534 |
2,063 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
604 |
571 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
4,408 |
3,850 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
19 |
12 |
$1K |
| 11721 |
|
486 |
421 |
$922.03 |
| 90688 |
|
166 |
151 |
$852.66 |
| 1160F |
|
2,343 |
1,930 |
$749.47 |
| D0120 |
Periodic oral evaluation - established patient |
1,340 |
1,263 |
$725.54 |
| 3078F |
|
1,814 |
1,562 |
$568.39 |
| 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 |
105 |
105 |
$546.57 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
190 |
176 |
$370.39 |
| D0220 |
Intraoral - periapical first radiographic image |
833 |
778 |
$302.76 |
| 3079F |
|
980 |
862 |
$286.83 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
154 |
144 |
$286.59 |
| D1120 |
Prophylaxis - child |
677 |
628 |
$286.59 |
| 3725F |
|
531 |
450 |
$278.32 |
| D1110 |
Prophylaxis - adult |
751 |
720 |
$261.59 |
| D7140 |
Extraction, erupted tooth or exposed root |
674 |
618 |
$238.47 |
| D1206 |
Topical application of fluoride varnish |
1,262 |
1,187 |
$230.25 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
790 |
742 |
$117.43 |
| 90686 |
|
134 |
113 |
$85.66 |
| D0140 |
Limited oral evaluation - problem focused |
522 |
491 |
$53.75 |
| 92551 |
|
1,680 |
1,600 |
$35.89 |
| 90791 |
Psychiatric diagnostic evaluation |
102 |
69 |
$22.03 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
43 |
43 |
$16.31 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
217 |
203 |
$10.59 |
| 3008F |
|
3,100 |
2,593 |
$10.12 |
| 3075F |
|
404 |
352 |
$9.95 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
60 |
57 |
$9.12 |
| 99173 |
|
834 |
802 |
$7.46 |
| 36416 |
|
53 |
50 |
$7.36 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
111 |
104 |
$3.34 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
31 |
27 |
$1.00 |
| 3074F |
|
2,333 |
1,979 |
$0.15 |
| 96127 |
|
916 |
772 |
$0.11 |
| 3077F |
|
85 |
68 |
$0.02 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
345 |
265 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
91 |
90 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
134 |
129 |
$0.00 |
| 3080F |
|
112 |
101 |
$0.00 |
| 1036F |
|
48 |
38 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
152 |
147 |
$0.00 |
| D0330 |
Panoramic radiographic image |
167 |
157 |
$0.00 |
| 11719 |
|
564 |
452 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
506 |
498 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
95 |
92 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
130 |
120 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
66 |
61 |
$0.00 |
| G0127 |
Trimming of dystrophic nails, any number |
43 |
43 |
$0.00 |
| 81002 |
|
49 |
38 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$0.00 |