| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
672,157 |
471,303 |
$93.01M |
| 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 |
37,362 |
28,525 |
$1.18M |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
7,105 |
5,508 |
$320K |
| 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 |
17,772 |
14,116 |
$219K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
147,891 |
125,812 |
$139K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
92,696 |
77,156 |
$134K |
| 82962 |
|
24,406 |
21,516 |
$64K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
46,389 |
40,476 |
$47K |
| 99442 |
|
50,704 |
41,768 |
$45K |
| 90834 |
Psychotherapy, 45 minutes with patient |
59,898 |
35,781 |
$44K |
| 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 |
2,337 |
1,620 |
$42K |
| 90832 |
Psychotherapy, 30 minutes with patient |
39,869 |
25,362 |
$18K |
| 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 |
148 |
95 |
$7K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
17,996 |
6,963 |
$5K |
| 99443 |
|
4,476 |
3,809 |
$3K |
| 98967 |
|
1,345 |
897 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,000 |
3,651 |
$1K |
| 98968 |
|
2,118 |
1,200 |
$941.99 |
| 81002 |
|
18,914 |
15,031 |
$941.37 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
10,414 |
9,612 |
$768.63 |
| 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 |
59 |
55 |
$717.09 |
| 90791 |
Psychiatric diagnostic evaluation |
5,463 |
4,713 |
$680.49 |
| 99215 |
Prolong outpt/office vis |
1,926 |
1,737 |
$663.96 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,132 |
1,029 |
$587.60 |
| 97803 |
|
4,347 |
3,999 |
$395.69 |
| 85018 |
|
34,741 |
32,507 |
$345.31 |
| 99201 |
|
315 |
298 |
$288.26 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
532 |
466 |
$174.80 |
| 11721 |
|
292 |
272 |
$129.23 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
715 |
682 |
$126.50 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,726 |
1,586 |
$124.82 |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,555 |
1,966 |
$92.51 |
| 81025 |
|
9,506 |
8,692 |
$50.26 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,719 |
1,642 |
$49.73 |
| 99397 |
|
18 |
12 |
$35.32 |
| 0011A |
|
305 |
298 |
$13.23 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15,820 |
15,136 |
$10.00 |
| 1036F |
|
59,463 |
49,016 |
$0.00 |
| 3074F |
|
68,766 |
58,168 |
$0.00 |
| 1126F |
|
60,780 |
52,754 |
$0.00 |
| 96127 |
|
29,295 |
27,607 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,495 |
1,394 |
$0.00 |
| 84703 |
|
5,806 |
5,394 |
$0.00 |
| 99000 |
|
1,122 |
1,063 |
$0.00 |
| 1125F |
|
12,694 |
9,707 |
$0.00 |
| 3079F |
|
20,884 |
18,358 |
$0.00 |
| 90723 |
|
2,515 |
2,429 |
$0.00 |
| 92551 |
|
12,818 |
12,391 |
$0.00 |
| 90651 |
|
2,331 |
2,262 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,610 |
4,921 |
$0.00 |
| 90686 |
|
24,120 |
22,939 |
$0.00 |
| 90647 |
|
2,634 |
2,488 |
$0.00 |
| 1034F |
|
5,949 |
5,138 |
$0.00 |
| 97802 |
|
3,489 |
3,304 |
$0.00 |
| 90716 |
|
1,606 |
1,459 |
$0.00 |
| 3080F |
|
1,872 |
1,705 |
$0.00 |
| 87590 |
|
2,499 |
2,387 |
$0.00 |
| 1170F |
|
5,364 |
4,749 |
$0.00 |
| 3075F |
|
9,378 |
8,392 |
$0.00 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
2,426 |
1,669 |
$0.00 |
| 87490 |
|
2,501 |
2,391 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
346 |
325 |
$0.00 |
| 90677 |
|
1,220 |
1,178 |
$0.00 |
| 91301 |
|
649 |
632 |
$0.00 |
| 90619 |
|
440 |
431 |
$0.00 |
| 90696 |
|
26 |
24 |
$0.00 |
| 90656 |
|
3,152 |
3,034 |
$0.00 |
| 90620 |
|
352 |
333 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
367 |
360 |
$0.00 |
| 0064A |
|
35 |
34 |
$0.00 |
| 93000 |
|
74 |
61 |
$0.00 |
| 96161 |
|
255 |
231 |
$0.00 |
| 0012A |
|
371 |
356 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
659 |
630 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
103 |
101 |
$0.00 |
| 90674 |
|
134 |
130 |
$0.00 |
| 59430 |
|
317 |
281 |
$0.00 |
| 3044F |
|
316 |
298 |
$0.00 |
| 99457 |
|
41 |
38 |
$0.00 |
| 87800 |
|
255 |
231 |
$0.00 |
| 36416 |
|
225 |
220 |
$0.00 |
| 0001A |
|
299 |
298 |
$0.00 |
| 90480 |
|
12 |
12 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
12 |
$0.00 |
| 83986 |
|
136 |
133 |
$0.00 |
| 99381 |
|
27 |
27 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
142 |
138 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
465 |
429 |
$0.00 |
| 99383 |
|
65 |
61 |
$0.00 |
| A9150 |
Non-prescription drugs |
28 |
26 |
$0.00 |
| 0503F |
|
138 |
125 |
$0.00 |
| J3490 |
Unclassified drugs |
15 |
15 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
13 |
12 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
31 |
28 |
$0.00 |
| 99384 |
|
15 |
14 |
$0.00 |
| 3078F |
|
61,332 |
52,194 |
$0.00 |
| 1159F |
|
93,330 |
78,164 |
$0.00 |
| 90461 |
|
12,247 |
11,556 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
36,680 |
34,463 |
$0.00 |
| 99173 |
|
13,901 |
13,426 |
$0.00 |
| 90713 |
|
74 |
70 |
$0.00 |
| 83655 |
|
8,275 |
7,592 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,116 |
7,745 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,732 |
6,208 |
$0.00 |
| 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 |
37 |
37 |
$0.00 |
| 90633 |
|
2,464 |
2,220 |
$0.00 |
| 1160F |
|
93,322 |
78,163 |
$0.00 |
| 90670 |
|
3,210 |
3,050 |
$0.00 |
| 59425 |
|
5,184 |
3,670 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,459 |
6,860 |
$0.00 |
| 3077F |
|
6,595 |
5,832 |
$0.00 |
| S9480 |
Intensive outpatient psychiatric services, per diem |
17,154 |
3,695 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,294 |
6,060 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,289 |
3,212 |
$0.00 |
| 90715 |
|
385 |
366 |
$0.00 |
| 59426 |
|
3,641 |
2,163 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
731 |
695 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,625 |
3,442 |
$0.00 |
| 90707 |
|
962 |
906 |
$0.00 |
| 90681 |
|
638 |
616 |
$0.00 |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
654 |
454 |
$0.00 |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
5,808 |
1,562 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
3,116 |
2,965 |
$0.00 |
| 81003 |
|
12,353 |
9,107 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
724 |
705 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
299 |
283 |
$0.00 |
| 0124A |
|
88 |
81 |
$0.00 |
| 80102 |
|
86 |
63 |
$0.00 |
| 91312 |
|
114 |
100 |
$0.00 |
| 3046F |
|
13 |
13 |
$0.00 |
| 91300 |
|
614 |
558 |
$0.00 |
| 0002A |
|
272 |
267 |
$0.00 |
| 90734 |
|
273 |
268 |
$0.00 |
| 90678 |
|
46 |
45 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
40 |
38 |
$0.00 |
| 90473 |
|
219 |
210 |
$0.00 |
| 4004F |
|
141 |
129 |
$0.00 |
| 90685 |
|
14 |
14 |
$0.00 |
| 90687 |
|
12 |
12 |
$0.00 |
| 87210 |
|
26 |
26 |
$0.00 |
| A4550 |
Surgical trays |
12 |
12 |
$0.00 |
| 80101 |
|
15 |
13 |
$0.00 |
| 99382 |
|
16 |
14 |
$0.00 |
| 90700 |
|
14 |
12 |
$0.00 |