| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,405 |
26,332 |
$1.09M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,375 |
9,989 |
$459K |
| 99442 |
|
5,660 |
5,257 |
$218K |
| 90832 |
Psychotherapy, 30 minutes with patient |
5,188 |
4,117 |
$207K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,337 |
2,305 |
$153K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,086 |
1,960 |
$131K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,893 |
1,873 |
$115K |
| 90686 |
|
7,595 |
7,500 |
$83K |
| 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 |
5,888 |
4,345 |
$76K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,444 |
992 |
$69K |
| 99441 |
|
2,555 |
2,412 |
$62K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,763 |
1,723 |
$47K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,367 |
2,323 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
366 |
363 |
$22K |
| 99443 |
|
337 |
328 |
$15K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,001 |
798 |
$14K |
| 91322 |
|
137 |
135 |
$12K |
| 90670 |
|
1,164 |
1,144 |
$12K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,334 |
1,275 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
130 |
109 |
$6K |
| T1015 |
Clinic visit/encounter, all-inclusive |
155 |
134 |
$5K |
| G9149 |
National committee for quality assurance - level 2 medical home |
26 |
26 |
$4K |
| 85018 |
|
2,960 |
2,911 |
$4K |
| 90656 |
|
346 |
343 |
$4K |
| 91321 |
|
107 |
106 |
$4K |
| 90688 |
|
234 |
232 |
$3K |
| 90651 |
|
303 |
299 |
$3K |
| 90480 |
|
103 |
101 |
$3K |
| 90633 |
|
307 |
302 |
$3K |
| 90647 |
|
292 |
282 |
$3K |
| 0134A |
|
66 |
66 |
$2K |
| 90677 |
|
128 |
128 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
163 |
160 |
$2K |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
110 |
78 |
$2K |
| 0124A |
|
54 |
54 |
$2K |
| 90710 |
|
159 |
154 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
26 |
25 |
$2K |
| 90680 |
|
131 |
127 |
$1K |
| 80050 |
General health panel |
40 |
40 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
37 |
37 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
37 |
37 |
$1K |
| 90723 |
|
110 |
106 |
$1K |
| 83655 |
|
108 |
107 |
$1K |
| 90715 |
|
32 |
32 |
$1K |
| 80061 |
Lipid panel |
82 |
82 |
$983.18 |
| 82962 |
|
382 |
368 |
$964.14 |
| 90734 |
|
93 |
93 |
$905.61 |
| 0004A |
|
31 |
31 |
$900.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$867.97 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
208 |
204 |
$816.61 |
| 80053 |
Comprehensive metabolic panel |
81 |
81 |
$766.26 |
| 36415 |
Collection of venous blood by venipuncture |
232 |
232 |
$518.24 |
| 84443 |
Thyroid stimulating hormone (TSH) |
32 |
32 |
$481.60 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
63 |
63 |
$438.48 |
| 99201 |
|
21 |
20 |
$421.63 |
| 0144A |
|
13 |
13 |
$400.00 |
| 0054A |
|
13 |
13 |
$390.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
46 |
46 |
$332.58 |
| 90697 |
|
25 |
25 |
$327.35 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
21 |
21 |
$289.44 |
| 90619 |
|
25 |
25 |
$287.47 |
| 92551 |
|
57 |
55 |
$283.24 |
| 0071A |
|
14 |
12 |
$280.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
12 |
12 |
$258.72 |
| 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 |
51 |
44 |
$227.94 |
| 36416 |
|
185 |
179 |
$226.69 |
| 0001A |
|
13 |
13 |
$160.00 |
| 84439 |
|
19 |
19 |
$145.26 |
| 81002 |
|
39 |
39 |
$115.27 |
| 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 |
12 |
12 |
$96.00 |
| 87081 |
|
16 |
16 |
$94.88 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
12 |
12 |
$82.20 |
| 81000 |
|
12 |
12 |
$37.24 |
| 99173 |
|
12 |
12 |
$9.10 |
| 3078F |
|
6,412 |
6,193 |
$0.00 |
| 3077F |
|
46 |
43 |
$0.00 |
| 91312 |
|
56 |
56 |
$0.00 |
| 91300 |
|
126 |
126 |
$0.00 |
| 90662 |
|
14 |
14 |
$0.00 |
| 91311 |
|
109 |
109 |
$0.00 |
| 91313 |
|
38 |
38 |
$0.00 |
| 3008F |
|
10,480 |
10,131 |
$0.00 |
| 3074F |
|
7,127 |
6,888 |
$0.00 |
| 91307 |
|
128 |
120 |
$0.00 |
| 91314 |
|
93 |
91 |
$0.00 |
| 3079F |
|
638 |
617 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
160 |
160 |
$0.00 |
| 3080F |
|
13 |
13 |
$0.00 |
| 91305 |
|
31 |
31 |
$0.00 |
| 3075F |
|
71 |
70 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
39 |
39 |
$0.00 |
| 3044F |
|
27 |
27 |
$0.00 |