| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
180,011 |
138,249 |
$27.26M |
| 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 |
12,605 |
11,537 |
$889K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
84,053 |
70,112 |
$624K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
2,593 |
1,749 |
$130K |
| 90834 |
Psychotherapy, 45 minutes with patient |
8,692 |
3,978 |
$106K |
| 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 |
7,760 |
5,762 |
$100K |
| 99442 |
|
30,194 |
24,411 |
$56K |
| 82962 |
|
10,581 |
8,954 |
$51K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,602 |
869 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,020 |
2,820 |
$14K |
| 99443 |
|
1,393 |
1,306 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,329 |
2,955 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,793 |
3,697 |
$6K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
190 |
165 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
756 |
608 |
$1K |
| 85610 |
|
42 |
24 |
$818.85 |
| 0134A |
|
32 |
30 |
$753.84 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
518 |
484 |
$730.10 |
| 0124A |
|
26 |
26 |
$508.22 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
629 |
598 |
$312.84 |
| 91313 |
|
19 |
18 |
$251.28 |
| 0012A |
|
309 |
303 |
$160.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,440 |
5,258 |
$89.60 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,051 |
4,856 |
$83.90 |
| 99215 |
Prolong outpt/office vis |
520 |
494 |
$78.54 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
916 |
903 |
$30.82 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
290 |
275 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18,413 |
17,777 |
$0.00 |
| 90647 |
|
2,081 |
2,031 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
9,108 |
8,602 |
$0.00 |
| 90686 |
|
6,993 |
6,787 |
$0.00 |
| 90723 |
|
2,071 |
2,029 |
$0.00 |
| 92551 |
|
10,478 |
10,074 |
$0.00 |
| 96127 |
|
9,732 |
9,275 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
3,000 |
2,736 |
$0.00 |
| 99381 |
|
294 |
272 |
$0.00 |
| 90680 |
|
901 |
883 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
3,007 |
2,734 |
$0.00 |
| 0072A |
|
302 |
299 |
$0.00 |
| 90674 |
|
1,451 |
1,437 |
$0.00 |
| 0064A |
|
191 |
189 |
$0.00 |
| 0011A |
|
308 |
300 |
$0.00 |
| 91301 |
|
653 |
620 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
96 |
93 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
26 |
25 |
$0.00 |
| 90696 |
|
45 |
44 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
158 |
150 |
$0.00 |
| 0001A |
|
529 |
509 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
194 |
155 |
$0.00 |
| 91307 |
|
632 |
585 |
$0.00 |
| 90697 |
|
54 |
53 |
$0.00 |
| 0031A |
|
21 |
21 |
$0.00 |
| 90716 |
|
150 |
149 |
$0.00 |
| 91306 |
|
189 |
187 |
$0.00 |
| D0601 |
|
52 |
37 |
$0.00 |
| 90651 |
|
13 |
12 |
$0.00 |
| 90732 |
|
13 |
13 |
$0.00 |
| 91303 |
|
21 |
21 |
$0.00 |
| 99173 |
|
9,296 |
8,943 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
8,353 |
8,089 |
$0.00 |
| 81025 |
|
2,157 |
2,023 |
$0.00 |
| 83026 |
|
15,783 |
15,173 |
$0.00 |
| 81002 |
|
6,536 |
3,961 |
$0.00 |
| 90670 |
|
2,769 |
2,720 |
$0.00 |
| 90734 |
|
303 |
296 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,110 |
1,089 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,445 |
3,330 |
$0.00 |
| 90700 |
|
92 |
84 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,719 |
2,604 |
$0.00 |
| 90649 |
|
326 |
321 |
$0.00 |
| 91300 |
|
1,284 |
1,207 |
$0.00 |
| 90633 |
|
538 |
516 |
$0.00 |
| D1120 |
Prophylaxis - child |
2,677 |
2,442 |
$0.00 |
| 90715 |
|
130 |
125 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
265 |
255 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
825 |
551 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
141 |
127 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
228 |
218 |
$0.00 |
| 90707 |
|
127 |
126 |
$0.00 |
| 90671 |
|
870 |
838 |
$0.00 |
| 90685 |
|
883 |
871 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
416 |
296 |
$0.00 |
| 83655 |
|
543 |
527 |
$0.00 |
| 90681 |
|
49 |
48 |
$0.00 |
| 0004A |
|
189 |
180 |
$0.00 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$0.00 |
| 0002A |
|
523 |
512 |
$0.00 |
| 0071A |
|
309 |
304 |
$0.00 |
| 90658 |
|
27 |
27 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
21 |
12 |
$0.00 |
| 98968 |
|
114 |
63 |
$0.00 |
| 91312 |
|
26 |
26 |
$0.00 |
| 59025 |
Fetal non-stress test |
21 |
13 |
$0.00 |