| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
106,108 |
96,319 |
$9.30M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
89,633 |
54,120 |
$141K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
7,007 |
6,828 |
$103K |
| 90686 |
|
6,501 |
4,516 |
$69K |
| 97802 |
|
903 |
665 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,852 |
11,728 |
$40K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,515 |
1,430 |
$38K |
| 97803 |
|
1,536 |
1,009 |
$35K |
| 90739 |
|
312 |
191 |
$30K |
| 90791 |
Psychiatric diagnostic evaluation |
844 |
567 |
$26K |
| 90677 |
|
332 |
211 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,683 |
1,649 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16,144 |
9,635 |
$18K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,654 |
897 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,161 |
8,132 |
$14K |
| 90715 |
|
540 |
327 |
$9K |
| 90670 |
|
1,468 |
1,134 |
$9K |
| 90651 |
|
219 |
148 |
$8K |
| 0001A |
|
102 |
101 |
$7K |
| 0002A |
|
103 |
103 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
822 |
575 |
$6K |
| 0004A |
|
113 |
112 |
$6K |
| 0064A |
|
88 |
88 |
$6K |
| S9083 |
Global fee urgent care centers |
77 |
76 |
$6K |
| 90750 |
|
84 |
55 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,383 |
1,885 |
$5K |
| 90656 |
|
643 |
456 |
$5K |
| H0049 |
Alcohol and/or drug screening |
719 |
719 |
$4K |
| 90698 |
|
928 |
743 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
284 |
179 |
$3K |
| 90633 |
|
571 |
392 |
$3K |
| 99215 |
Prolong outpt/office vis |
1,693 |
1,001 |
$3K |
| 99381 |
|
160 |
103 |
$2K |
| 90671 |
|
107 |
65 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,317 |
755 |
$2K |
| 90744 |
|
646 |
535 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
160 |
136 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,993 |
2,854 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
696 |
404 |
$1K |
| 90681 |
|
394 |
324 |
$1K |
| 0072A |
|
34 |
34 |
$1K |
| 92551 |
|
3,012 |
1,863 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
586 |
347 |
$1K |
| 0071A |
|
15 |
15 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
129 |
73 |
$945.85 |
| 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 |
103 |
99 |
$944.89 |
| 83655 |
|
175 |
102 |
$914.18 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,026 |
2,742 |
$806.46 |
| 90716 |
|
138 |
92 |
$711.00 |
| 82947 |
|
4,277 |
4,045 |
$623.10 |
| 99188 |
|
65 |
37 |
$571.33 |
| 90707 |
|
112 |
74 |
$558.00 |
| 90700 |
|
86 |
50 |
$482.54 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,655 |
3,550 |
$448.79 |
| 90688 |
|
23 |
23 |
$446.40 |
| 88720 |
|
225 |
123 |
$437.68 |
| 90710 |
|
125 |
88 |
$396.00 |
| 90685 |
|
15 |
15 |
$352.30 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
74 |
39 |
$316.11 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
29 |
14 |
$237.66 |
| 81002 |
|
436 |
348 |
$236.93 |
| 90648 |
|
50 |
33 |
$234.00 |
| 85018 |
|
2,234 |
2,157 |
$169.46 |
| 81025 |
|
84 |
54 |
$159.60 |
| 90696 |
|
25 |
13 |
$117.00 |
| 92552 |
|
150 |
82 |
$100.98 |
| 90619 |
|
23 |
13 |
$99.00 |
| 90734 |
|
26 |
25 |
$90.00 |
| 90697 |
|
22 |
14 |
$81.00 |
| 86580 |
|
166 |
160 |
$67.54 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
83 |
47 |
$24.00 |
| 82962 |
|
173 |
162 |
$20.00 |
| 90480 |
|
43 |
43 |
$9.00 |
| 99383 |
|
32 |
16 |
$0.00 |
| 99384 |
|
14 |
13 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
15 |
$0.00 |
| 99173 |
|
1,345 |
1,342 |
$0.00 |
| 91322 |
|
13 |
13 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
133 |
133 |
$0.00 |
| 99382 |
|
31 |
17 |
$0.00 |
| 91321 |
|
12 |
12 |
$0.00 |