| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,631 |
19,566 |
$1.83M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,911 |
7,193 |
$522K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,659 |
1,395 |
$120K |
| 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 |
7,962 |
5,656 |
$70K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
751 |
670 |
$68K |
| 99384 |
|
407 |
310 |
$29K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
277 |
239 |
$25K |
| D0140 |
Limited oral evaluation - problem focused |
272 |
241 |
$23K |
| 90837 |
Psychotherapy, 53 minutes with patient |
320 |
183 |
$23K |
| 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 |
816 |
738 |
$10K |
| 90832 |
Psychotherapy, 30 minutes with patient |
84 |
61 |
$9K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
128 |
107 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
100 |
70 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
47 |
42 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
6,388 |
5,345 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,781 |
2,526 |
$3K |
| D7140 |
Extraction, erupted tooth or exposed root |
19 |
12 |
$2K |
| 99441 |
|
61 |
60 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,935 |
1,683 |
$674.67 |
| 99442 |
|
19 |
17 |
$659.78 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
641 |
566 |
$472.88 |
| 90686 |
|
82 |
78 |
$460.34 |
| 81003 |
|
242 |
205 |
$365.38 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
746 |
602 |
$238.89 |
| 99173 |
|
988 |
813 |
$231.80 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
893 |
834 |
$219.58 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
731 |
672 |
$216.80 |
| 0011A |
|
26 |
25 |
$190.82 |
| 0012A |
|
15 |
15 |
$186.93 |
| 83655 |
|
61 |
59 |
$180.00 |
| 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 |
59 |
42 |
$163.84 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,111 |
933 |
$145.49 |
| J3490 |
Unclassified drugs |
157 |
139 |
$124.84 |
| 96160 |
|
482 |
381 |
$114.00 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
12 |
$112.32 |
| 85018 |
|
822 |
649 |
$112.32 |
| G0008 |
Administration of influenza virus vaccine |
233 |
158 |
$66.81 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
304 |
203 |
$49.56 |
| 81002 |
|
160 |
144 |
$29.59 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
654 |
489 |
$15.00 |
| 96127 |
|
64 |
62 |
$11.84 |
| 3075F |
|
973 |
756 |
$0.01 |
| 3078F |
|
5,273 |
4,479 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
121 |
95 |
$0.00 |
| 1160F |
|
139 |
119 |
$0.00 |
| 90715 |
|
45 |
40 |
$0.00 |
| 1159F |
|
135 |
115 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
68 |
55 |
$0.00 |
| 3077F |
|
433 |
398 |
$0.00 |
| 3725F |
|
1,146 |
1,022 |
$0.00 |
| 90661 |
|
16 |
15 |
$0.00 |
| J0558 |
Injection, penicillin g benzathine and penicillin g procaine, 100,000 units |
23 |
14 |
$0.00 |
| 90756 |
|
47 |
45 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$0.00 |
| 81025 |
|
88 |
77 |
$0.00 |
| 3008F |
|
3,301 |
2,902 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
332 |
272 |
$0.00 |
| 92551 |
|
939 |
761 |
$0.00 |
| 3074F |
|
5,295 |
4,581 |
$0.00 |
| 1125F |
|
300 |
278 |
$0.00 |
| 3079F |
|
1,289 |
1,165 |
$0.00 |
| 1126F |
|
918 |
819 |
$0.00 |
| G0481 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed |
222 |
135 |
$0.00 |
| Q2039 |
Influenza virus vaccine, not otherwise specified |
234 |
157 |
$0.00 |
| 36416 |
|
391 |
271 |
$0.00 |
| 1036F |
|
972 |
856 |
$0.00 |
| 1034F |
|
323 |
275 |
$0.00 |
| 90674 |
|
84 |
75 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
13 |
12 |
$0.00 |
| 91301 |
|
98 |
96 |
$0.00 |
| 1220F |
|
16 |
15 |
$0.00 |
| 3080F |
|
42 |
39 |
$0.00 |