| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
46,436 |
42,404 |
$5.38M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54,514 |
33,768 |
$197K |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,230 |
2,364 |
$48K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,087 |
761 |
$41K |
| 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 |
1,312 |
1,248 |
$32K |
| 90791 |
Psychiatric diagnostic evaluation |
1,265 |
847 |
$24K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,083 |
625 |
$21K |
| 0011A |
|
216 |
216 |
$14K |
| 0012A |
|
189 |
189 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,953 |
1,385 |
$4K |
| 0064A |
|
170 |
153 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,795 |
2,369 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
542 |
422 |
$881.40 |
| 0134A |
|
54 |
36 |
$469.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
203 |
143 |
$202.65 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,640 |
1,388 |
$153.66 |
| 59425 |
|
54 |
37 |
$59.47 |
| 90688 |
|
1,218 |
867 |
$43.86 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
444 |
238 |
$18.75 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,192 |
3,481 |
$16.42 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,536 |
2,730 |
$8.45 |
| 81002 |
|
1,990 |
1,111 |
$2.23 |
| 3078F |
|
8,482 |
8,064 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,158 |
738 |
$0.00 |
| 3077F |
|
1,775 |
1,651 |
$0.00 |
| 90715 |
|
602 |
395 |
$0.00 |
| 3051F |
|
26 |
26 |
$0.00 |
| 90750 |
|
801 |
512 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
172 |
106 |
$0.00 |
| 90746 |
|
269 |
192 |
$0.00 |
| 90658 |
|
266 |
169 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
22 |
14 |
$0.00 |
| 3046F |
|
270 |
167 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
46 |
32 |
$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 |
69 |
69 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
50 |
29 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
79 |
48 |
$0.00 |
| 90670 |
|
16 |
13 |
$0.00 |
| Z6400 |
|
14 |
14 |
$0.00 |
| 3079F |
|
5,797 |
5,573 |
$0.00 |
| 3075F |
|
3,283 |
3,187 |
$0.00 |
| 92250 |
|
231 |
229 |
$0.00 |
| Z1034 |
|
1,288 |
878 |
$0.00 |
| 3044F |
|
1,345 |
797 |
$0.00 |
| 3074F |
|
10,257 |
9,736 |
$0.00 |
| 90739 |
|
379 |
254 |
$0.00 |
| 90677 |
|
373 |
216 |
$0.00 |
| Z1032 |
|
12 |
12 |
$0.00 |
| 3080F |
|
754 |
716 |
$0.00 |
| 90686 |
|
201 |
134 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
266 |
184 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
195 |
182 |
$0.00 |
| 86580 |
|
16 |
14 |
$0.00 |
| Z6204 |
|
14 |
14 |
$0.00 |
| 90732 |
|
197 |
127 |
$0.00 |
| 99000 |
|
46 |
43 |
$0.00 |
| 91306 |
|
67 |
67 |
$0.00 |
| 99443 |
|
13 |
13 |
$0.00 |
| 96127 |
|
37 |
36 |
$0.00 |