| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
17,419 |
15,309 |
$2.41M |
| 90834 |
Psychotherapy, 45 minutes with patient |
6,747 |
5,074 |
$426K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
1,718 |
1,515 |
$164K |
| 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 |
3,830 |
3,353 |
$126K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,211 |
3,898 |
$85K |
| 90791 |
Psychiatric diagnostic evaluation |
747 |
745 |
$73K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
3,591 |
3,406 |
$72K |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
391 |
275 |
$51K |
| 90832 |
Psychotherapy, 30 minutes with patient |
973 |
912 |
$35K |
| 99050 |
|
556 |
542 |
$22K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
908 |
708 |
$18K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
424 |
212 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,162 |
3,907 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
296 |
287 |
$7K |
| 90686 |
|
435 |
432 |
$6K |
| 90715 |
|
172 |
171 |
$5K |
| 0064A |
|
133 |
133 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
545 |
525 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
388 |
287 |
$4K |
| 0071A |
|
82 |
82 |
$4K |
| 90677 |
|
27 |
27 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
309 |
187 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
18 |
12 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,057 |
1,025 |
$2K |
| 0004A |
|
43 |
43 |
$2K |
| 90688 |
|
117 |
117 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
15 |
15 |
$1K |
| 0002A |
|
24 |
24 |
$1K |
| D1110 |
Prophylaxis - adult |
19 |
19 |
$819.00 |
| 81025 |
|
114 |
97 |
$757.77 |
| 81002 |
|
267 |
260 |
$616.19 |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
13 |
$587.40 |
| 0072A |
|
12 |
12 |
$504.57 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
14 |
$459.29 |
| 93000 |
|
27 |
26 |
$356.01 |
| 99215 |
Prolong outpt/office vis |
125 |
119 |
$342.66 |
| D0120 |
Periodic oral evaluation - established patient |
18 |
18 |
$336.00 |
| D0220 |
Intraoral - periapical first radiographic image |
18 |
17 |
$250.00 |
| 0003A |
|
13 |
13 |
$229.35 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
15 |
$157.90 |
| 87275 |
|
15 |
14 |
$142.22 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
108 |
105 |
$79.47 |
| 81003 |
|
15 |
15 |
$27.72 |
| 36416 |
|
331 |
320 |
$2.00 |
| 82962 |
|
862 |
803 |
$1.28 |
| 99051 |
|
43 |
43 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
377 |
370 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,278 |
2,100 |
$0.00 |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
51 |
49 |
$0.00 |
| 91300 |
|
495 |
472 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$0.00 |
| 99001 |
|
607 |
583 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$0.00 |
| 0054A |
|
25 |
25 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
38 |
38 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
33 |
32 |
$0.00 |
| 1000F |
|
762 |
723 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,450 |
1,346 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
471 |
432 |
$0.00 |
| 99000 |
|
418 |
379 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
219 |
210 |
$0.00 |
| 91301 |
|
324 |
323 |
$0.00 |
| D9450 |
|
154 |
134 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
19 |
19 |
$0.00 |
| 91307 |
|
138 |
135 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
22 |
22 |
$0.00 |