| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
32,323 |
28,423 |
$3.13M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,969 |
16,851 |
$395K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,248 |
7,607 |
$204K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,470 |
6,192 |
$90K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,046 |
834 |
$35K |
| 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 |
82 |
77 |
$14K |
| 90837 |
Psychotherapy, 53 minutes with patient |
516 |
195 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
299 |
243 |
$10K |
| 90686 |
|
942 |
793 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
151 |
112 |
$3K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
47 |
42 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,524 |
1,257 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
207 |
196 |
$2K |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
16 |
12 |
$2K |
| 90656 |
|
176 |
174 |
$2K |
| 90715 |
|
201 |
180 |
$2K |
| 99383 |
|
46 |
38 |
$1K |
| 90658 |
|
95 |
93 |
$1K |
| 90670 |
|
141 |
114 |
$1K |
| 83655 |
|
165 |
138 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
178 |
156 |
$1K |
| 90630 |
|
143 |
105 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
33 |
26 |
$983.65 |
| 92552 |
|
388 |
338 |
$859.83 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
57 |
44 |
$786.47 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
21 |
16 |
$728.12 |
| 85018 |
|
605 |
459 |
$435.33 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
26 |
$328.69 |
| 90710 |
|
179 |
146 |
$309.15 |
| 90647 |
|
84 |
61 |
$281.25 |
| 92551 |
|
32 |
27 |
$250.38 |
| 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 |
16 |
14 |
$229.18 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
12 |
12 |
$225.50 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$197.72 |
| 99384 |
|
19 |
17 |
$170.39 |
| 81025 |
|
262 |
210 |
$163.12 |
| 80305 |
|
12 |
12 |
$143.64 |
| 90748 |
|
13 |
13 |
$129.00 |
| 90649 |
|
26 |
24 |
$123.75 |
| 90734 |
|
87 |
70 |
$112.50 |
| 82948 |
|
151 |
96 |
$91.14 |
| 90723 |
|
63 |
55 |
$78.75 |
| 81002 |
|
98 |
86 |
$62.01 |
| 90696 |
|
21 |
13 |
$45.00 |
| 36415 |
Collection of venous blood by venipuncture |
261 |
247 |
$29.82 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
93 |
67 |
$25.03 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
130 |
129 |
$7.81 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
987 |
820 |
$4.46 |
| 3008F |
|
1,215 |
1,161 |
$0.00 |
| 3074F |
|
289 |
284 |
$0.00 |
| 82962 |
|
231 |
171 |
$0.00 |
| 3044F |
|
38 |
26 |
$0.00 |
| 93000 |
|
110 |
81 |
$0.00 |
| 3079F |
|
109 |
105 |
$0.00 |
| 3080F |
|
56 |
53 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 1159F |
|
1,981 |
1,829 |
$0.00 |
| 3078F |
|
334 |
333 |
$0.00 |
| 3077F |
|
224 |
209 |
$0.00 |
| Z7500 |
|
46 |
45 |
$0.00 |
| 1160F |
|
1,821 |
1,682 |
$0.00 |
| 90633 |
|
52 |
42 |
$0.00 |
| 99442 |
|
49 |
48 |
$0.00 |