| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
86,318 |
79,773 |
$13.19M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47,479 |
38,341 |
$7K |
| 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 |
349 |
347 |
$5K |
| 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 |
264 |
246 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,549 |
1,215 |
$3K |
| 99385 |
|
919 |
814 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,576 |
3,274 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
843 |
668 |
$1K |
| 99386 |
|
312 |
271 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
47,650 |
44,213 |
$800.80 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
12 |
12 |
$447.31 |
| 90686 |
|
120 |
114 |
$215.81 |
| 93000 |
|
13 |
13 |
$190.89 |
| 3078F |
|
1,150 |
1,089 |
$160.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
321 |
294 |
$155.42 |
| 3077F |
|
616 |
579 |
$140.00 |
| 3079F |
|
402 |
372 |
$140.00 |
| 3074F |
|
677 |
629 |
$120.00 |
| 3008F |
|
351 |
346 |
$115.00 |
| 3075F |
|
202 |
195 |
$80.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
28 |
28 |
$60.00 |
| 3080F |
|
147 |
143 |
$60.00 |
| 99201 |
|
248 |
248 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
49 |
43 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
49 |
31 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
153 |
135 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
56 |
56 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
220 |
220 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
203 |
167 |
$0.00 |
| 90688 |
|
15 |
15 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
13 |
12 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
29 |
29 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
12 |
12 |
$0.00 |
| 1111F |
|
18 |
18 |
$0.00 |
| G0102 |
Prostate cancer screening; digital rectal examination |
19 |
19 |
$0.00 |
| 1170F |
|
17 |
17 |
$0.00 |
| 1126F |
|
12 |
12 |
$0.00 |
| G9012 |
Other specified case management service not elsewhere classified |
14 |
14 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
16 |
16 |
$0.00 |