| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
18,603 |
16,268 |
$2.05M |
| 99199 |
Unlisted special service, procedure or report |
181,827 |
78,089 |
$1.36M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
14 |
14 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
793 |
722 |
$6K |
| 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 |
268 |
216 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
857 |
808 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
257 |
181 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
41 |
28 |
$2K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
16 |
15 |
$2K |
| 0012A |
|
33 |
32 |
$2K |
| 82962 |
|
663 |
601 |
$2K |
| 0011A |
|
47 |
37 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
55 |
44 |
$1K |
| 81025 |
|
115 |
105 |
$779.88 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$672.21 |
| 59025 |
Fetal non-stress test |
16 |
16 |
$467.86 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
53 |
44 |
$457.03 |
| 92551 |
|
186 |
115 |
$414.11 |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$323.74 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$174.84 |
| 99173 |
|
253 |
167 |
$166.78 |
| 81003 |
|
71 |
65 |
$160.71 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
75 |
71 |
$0.00 |
| 3074F |
|
418 |
387 |
$0.00 |
| 3008F |
|
355 |
335 |
$0.00 |
| 1000F |
|
23 |
19 |
$0.00 |
| 90656 |
|
13 |
12 |
$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 |
199 |
195 |
$0.00 |
| 91301 |
|
132 |
119 |
$0.00 |
| 3079F |
|
39 |
38 |
$0.00 |
| 3078F |
|
311 |
289 |
$0.00 |
| 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 |
43 |
43 |
$0.00 |