| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
229,225 |
181,618 |
$32.26M |
| 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 |
5,958 |
5,337 |
$260K |
| 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 |
13,318 |
10,604 |
$125K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,830 |
1,569 |
$108K |
| 36416 |
|
25,022 |
21,651 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48,374 |
40,328 |
$8K |
| 82962 |
|
6,172 |
4,982 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
82,769 |
68,617 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,643 |
5,639 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12,426 |
10,034 |
$177.04 |
| 90688 |
|
3,516 |
3,052 |
$141.93 |
| 97802 |
|
712 |
623 |
$114.35 |
| 90686 |
|
18,660 |
17,059 |
$21.48 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
192 |
177 |
$3.08 |
| 96127 |
|
16,778 |
15,435 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
11,468 |
10,365 |
$0.00 |
| 3008F |
|
8,145 |
7,208 |
$0.00 |
| 85018 |
|
16,285 |
15,254 |
$0.00 |
| 90723 |
|
2,464 |
2,290 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,675 |
1,605 |
$0.00 |
| 3080F |
|
227 |
214 |
$0.00 |
| 90677 |
|
1,063 |
1,018 |
$0.00 |
| 3079F |
|
2,597 |
2,355 |
$0.00 |
| 90651 |
|
1,457 |
1,321 |
$0.00 |
| 99443 |
|
2,919 |
2,504 |
$0.00 |
| 0011A |
|
399 |
373 |
$0.00 |
| 90619 |
|
396 |
380 |
$0.00 |
| 3074F |
|
6,076 |
5,402 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
187 |
176 |
$0.00 |
| 90680 |
|
2,273 |
2,111 |
$0.00 |
| 90647 |
|
2,461 |
2,274 |
$0.00 |
| 99406 |
|
126 |
109 |
$0.00 |
| 90620 |
|
557 |
524 |
$0.00 |
| 3075F |
|
388 |
364 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
723 |
670 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
102 |
45 |
$0.00 |
| 90656 |
|
843 |
697 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
28 |
$0.00 |
| 91301 |
|
496 |
462 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
17 |
16 |
$0.00 |
| 99383 |
|
18 |
13 |
$0.00 |
| 86580 |
|
249 |
210 |
$0.00 |
| 99441 |
|
100 |
94 |
$0.00 |
| 99381 |
|
30 |
25 |
$0.00 |
| 0012A |
|
107 |
95 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
102 |
65 |
$0.00 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
104 |
44 |
$0.00 |
| 90716 |
|
43 |
36 |
$0.00 |
| 99385 |
|
13 |
12 |
$0.00 |
| 90660 |
|
22 |
14 |
$0.00 |
| 90474 |
|
14 |
14 |
$0.00 |
| 86403 |
|
13 |
12 |
$0.00 |
| 81002 |
|
12,136 |
9,350 |
$0.00 |
| 90670 |
|
2,845 |
2,644 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,746 |
7,350 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,046 |
5,553 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
28,873 |
26,014 |
$0.00 |
| 99442 |
|
2,973 |
2,541 |
$0.00 |
| 3078F |
|
4,325 |
3,875 |
$0.00 |
| 90461 |
|
8,661 |
8,082 |
$0.00 |
| 90633 |
|
1,383 |
1,250 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,265 |
6,782 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,436 |
5,121 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
380 |
293 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
993 |
925 |
$0.00 |
| 83655 |
|
5,806 |
5,472 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
141 |
136 |
$0.00 |
| 99401 |
|
6,995 |
6,606 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
1,259 |
1,085 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
24 |
14 |
$0.00 |
| 90710 |
|
92 |
76 |
$0.00 |
| 90473 |
|
293 |
255 |
$0.00 |
| 90658 |
|
1,838 |
1,517 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
567 |
524 |
$0.00 |
| 99188 |
|
4,802 |
4,529 |
$0.00 |
| 3046F |
|
1,141 |
1,124 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
222 |
196 |
$0.00 |
| 90715 |
|
373 |
341 |
$0.00 |
| 90662 |
|
44 |
42 |
$0.00 |
| 96160 |
|
29 |
28 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
325 |
308 |
$0.00 |
| 90671 |
|
644 |
586 |
$0.00 |
| 90734 |
|
395 |
363 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
144 |
140 |
$0.00 |
| 97803 |
|
55 |
40 |
$0.00 |
| 90380 |
|
73 |
68 |
$0.00 |
| 3077F |
|
235 |
220 |
$0.00 |
| D1120 |
Prophylaxis - child |
140 |
78 |
$0.00 |
| 81025 |
|
420 |
328 |
$0.00 |
| 86703 |
|
63 |
56 |
$0.00 |
| 90707 |
|
13 |
13 |
$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 |
246 |
208 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
35 |
25 |
$0.00 |
| 90700 |
|
25 |
25 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
21 |
12 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
36 |
26 |
$0.00 |