| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
66,935 |
64,339 |
$10.72M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34,399 |
30,282 |
$997K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
43,499 |
25,481 |
$849K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
56,602 |
33,303 |
$555K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
3,541 |
2,180 |
$259K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13,311 |
7,254 |
$176K |
| 0761 |
|
6,529 |
5,626 |
$165K |
| 0760 |
|
2,896 |
2,649 |
$122K |
| 0510 |
|
2,566 |
2,287 |
$74K |
| 87428 |
|
1,419 |
822 |
$57K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,477 |
1,374 |
$38K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,453 |
1,359 |
$34K |
| 20610 |
|
776 |
376 |
$20K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
801 |
436 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
276 |
160 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,531 |
409 |
$8K |
| 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 |
427 |
427 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
359 |
357 |
$7K |
| 90791 |
Psychiatric diagnostic evaluation |
83 |
37 |
$5K |
| 73564 |
|
191 |
184 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,005 |
515 |
$4K |
| 99442 |
|
844 |
439 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
110 |
57 |
$3K |
| 90686 |
|
253 |
160 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
131 |
68 |
$3K |
| 99215 |
Prolong outpt/office vis |
91 |
76 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
54 |
29 |
$1K |
| 90750 |
|
19 |
12 |
$1K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
23 |
12 |
$1K |
| 99243 |
|
24 |
14 |
$966.94 |
| A4649 |
Surgical supply; miscellaneous |
73 |
72 |
$913.82 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
457 |
277 |
$803.45 |
| 99441 |
|
599 |
347 |
$724.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
83 |
32 |
$669.72 |
| 81003 |
|
534 |
316 |
$667.36 |
| 92551 |
|
261 |
135 |
$398.99 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
55 |
31 |
$372.36 |
| 90715 |
|
64 |
32 |
$306.00 |
| 73630 |
|
12 |
12 |
$293.02 |
| 90651 |
|
58 |
29 |
$279.00 |
| 73610 |
|
12 |
12 |
$242.22 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
30 |
12 |
$176.74 |
| 90734 |
|
35 |
18 |
$162.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
23 |
13 |
$147.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
37 |
30 |
$117.28 |
| 85018 |
|
531 |
280 |
$116.82 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
37 |
19 |
$80.75 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
236 |
134 |
$32.11 |
| H0049 |
Alcohol and/or drug screening |
25 |
14 |
$0.11 |
| 99173 |
|
215 |
215 |
$0.00 |
| 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 |
15 |
13 |
$0.00 |
| 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 |
3,277 |
3,051 |
$0.00 |
| 1036F |
|
13 |
13 |
$0.00 |
| 99070 |
|
12 |
12 |
$0.00 |