| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
28,055 |
21,460 |
$1.76M |
| 99199 |
Unlisted special service, procedure or report |
69,055 |
40,869 |
$486K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,936 |
1,661 |
$53K |
| 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 |
1,345 |
1,329 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
357 |
299 |
$7K |
| 90686 |
|
849 |
649 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
482 |
197 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
27 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
461 |
387 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
26 |
$2K |
| 96127 |
|
1,900 |
1,536 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
39 |
33 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
139 |
93 |
$1K |
| 90656 |
|
79 |
76 |
$943.56 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
78 |
72 |
$845.06 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
46 |
44 |
$553.47 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48 |
46 |
$399.27 |
| 92552 |
|
206 |
176 |
$278.89 |
| 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 |
14 |
14 |
$223.20 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
28 |
28 |
$195.23 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
383 |
368 |
$192.93 |
| 81002 |
|
74 |
66 |
$157.14 |
| 81025 |
|
25 |
12 |
$88.44 |
| 99490 |
Ccm add 20min |
17 |
16 |
$24.66 |
| 99173 |
|
198 |
169 |
$15.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
81 |
66 |
$11.60 |
| 3074F |
|
1,206 |
1,099 |
$0.17 |
| 3079F |
|
513 |
480 |
$0.12 |
| 3078F |
|
930 |
861 |
$0.11 |
| 3075F |
|
156 |
149 |
$0.08 |
| 3080F |
|
64 |
59 |
$0.01 |
| 3077F |
|
134 |
127 |
$0.01 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
216 |
187 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
286 |
224 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
48 |
43 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
37 |
32 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
800 |
670 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
16 |
12 |
$0.00 |