| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
75,368 |
62,941 |
$16.67M |
| 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 |
3,921 |
3,190 |
$505K |
| 98940 |
|
539 |
372 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,671 |
28,228 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,493 |
11,038 |
$5K |
| 0012A |
|
95 |
54 |
$4K |
| 0011A |
|
84 |
56 |
$2K |
| 11721 |
|
2,164 |
1,810 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,841 |
2,875 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
440 |
351 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
409 |
300 |
$744.01 |
| 99242 |
|
43 |
43 |
$708.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
985 |
798 |
$274.72 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
63 |
47 |
$239.52 |
| 99381 |
|
162 |
153 |
$224.40 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,554 |
1,091 |
$213.59 |
| 81025 |
|
3,050 |
2,210 |
$147.28 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,640 |
2,095 |
$132.73 |
| 59425 |
|
87 |
65 |
$128.94 |
| 99441 |
|
295 |
284 |
$124.00 |
| 11056 |
|
582 |
448 |
$113.07 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
128 |
44 |
$103.87 |
| 90686 |
|
2,242 |
1,823 |
$98.62 |
| 90715 |
|
240 |
187 |
$78.34 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,150 |
906 |
$37.02 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,384 |
1,088 |
$35.66 |
| 90688 |
|
29 |
26 |
$22.08 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
65 |
55 |
$3.56 |
| 81002 |
|
32 |
25 |
$3.48 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
47 |
45 |
$2.88 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
121 |
115 |
$0.00 |
| 1159F |
|
7,226 |
6,328 |
$0.00 |
| 3078F |
|
872 |
781 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
528 |
415 |
$0.00 |
| 81003 |
|
369 |
288 |
$0.00 |
| 92552 |
|
1,077 |
853 |
$0.00 |
| 1160F |
|
6,884 |
6,057 |
$0.00 |
| 90707 |
|
165 |
136 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,020 |
818 |
$0.00 |
| 90670 |
|
813 |
654 |
$0.00 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
30 |
25 |
$0.00 |
| 90633 |
|
241 |
199 |
$0.00 |
| 90649 |
|
87 |
69 |
$0.00 |
| 90734 |
|
173 |
135 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
49 |
41 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
137 |
105 |
$0.00 |
| 99442 |
|
287 |
278 |
$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 |
23 |
13 |
$0.00 |
| Z7500 |
|
12 |
12 |
$0.00 |
| 92553 |
|
19 |
14 |
$0.00 |
| 90380 |
|
18 |
17 |
$0.00 |
| 90658 |
|
15 |
15 |
$0.00 |
| 90700 |
|
33 |
27 |
$0.00 |
| 90681 |
|
53 |
53 |
$0.00 |
| 90685 |
|
65 |
52 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
14 |
$0.00 |
| 3008F |
|
5,166 |
4,714 |
$0.00 |
| 90647 |
|
596 |
503 |
$0.00 |
| Z1034 |
|
2,333 |
1,505 |
$0.00 |
| 90723 |
|
656 |
534 |
$0.00 |
| 90677 |
|
132 |
124 |
$0.00 |
| 86580 |
|
24 |
16 |
$0.00 |
| 3079F |
|
37 |
37 |
$0.00 |
| 3074F |
|
416 |
374 |
$0.00 |
| 85018 |
|
324 |
246 |
$0.00 |
| 90656 |
|
225 |
189 |
$0.00 |
| Z6410 |
|
180 |
127 |
$0.00 |
| J3490 |
Unclassified drugs |
15 |
15 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
65 |
51 |
$0.00 |
| 90680 |
|
268 |
214 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 92250 |
|
17 |
15 |
$0.00 |
| 90716 |
|
170 |
143 |
$0.00 |
| 3075F |
|
54 |
54 |
$0.00 |
| 90651 |
|
49 |
40 |
$0.00 |
| 90674 |
|
46 |
46 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
16 |
14 |
$0.00 |
| 99383 |
|
18 |
14 |
$0.00 |