| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
74,642 |
66,529 |
$15.49M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58,775 |
36,717 |
$537K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25,862 |
14,433 |
$120K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,497 |
4,085 |
$57K |
| 90746 |
|
1,769 |
1,547 |
$31K |
| 91320 |
|
698 |
608 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,553 |
2,803 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,029 |
661 |
$12K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,080 |
574 |
$11K |
| 90480 |
|
810 |
711 |
$11K |
| 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 |
2,363 |
1,750 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
836 |
691 |
$8K |
| 90715 |
|
962 |
838 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
873 |
561 |
$8K |
| 92552 |
|
2,259 |
1,619 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
652 |
395 |
$7K |
| G9920 |
Screening performed and negative |
1,096 |
769 |
$7K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
56 |
40 |
$6K |
| 90686 |
|
4,456 |
3,573 |
$6K |
| 0124A |
|
100 |
100 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
213 |
174 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
228 |
175 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
372 |
237 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
715 |
560 |
$4K |
| 99490 |
Ccm add 20min |
360 |
360 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
137 |
105 |
$3K |
| 90632 |
|
251 |
220 |
$3K |
| 90651 |
|
291 |
250 |
$3K |
| 99385 |
|
52 |
37 |
$3K |
| 90662 |
|
790 |
616 |
$3K |
| 99386 |
|
36 |
24 |
$3K |
| 90714 |
|
359 |
316 |
$2K |
| 90688 |
|
1,233 |
1,036 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,565 |
1,897 |
$2K |
| 90656 |
|
747 |
598 |
$2K |
| 90677 |
|
50 |
37 |
$2K |
| 85018 |
|
3,471 |
2,429 |
$1K |
| 81002 |
|
1,808 |
1,186 |
$1K |
| 91319 |
|
16 |
15 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
135 |
87 |
$898.18 |
| 90649 |
|
111 |
96 |
$882.00 |
| 92227 |
|
27 |
27 |
$724.00 |
| 90674 |
|
152 |
152 |
$555.00 |
| 82948 |
|
1,297 |
997 |
$391.29 |
| 59425 |
|
130 |
89 |
$333.40 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
22 |
12 |
$322.68 |
| 99173 |
|
2,020 |
1,575 |
$217.20 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
77 |
46 |
$210.00 |
| 90732 |
|
37 |
30 |
$200.00 |
| 99384 |
|
20 |
16 |
$118.10 |
| 81025 |
|
83 |
64 |
$100.58 |
| 83655 |
|
42 |
25 |
$70.00 |
| 99397 |
|
22 |
12 |
$69.98 |
| G0008 |
Administration of influenza virus vaccine |
406 |
303 |
$54.09 |
| 86580 |
|
53 |
53 |
$46.90 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
13 |
$41.80 |
| 90707 |
|
20 |
14 |
$40.00 |
| 86403 |
|
13 |
12 |
$35.20 |
| 93000 |
|
15 |
15 |
$25.77 |
| 90670 |
|
162 |
107 |
$15.00 |
| 90697 |
|
38 |
24 |
$15.00 |
| 90680 |
|
20 |
12 |
$15.00 |
| 2028F |
|
443 |
401 |
$0.00 |
| 99442 |
|
1,485 |
1,370 |
$0.00 |
| 90734 |
|
40 |
36 |
$0.00 |
| 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 |
245 |
245 |
$0.00 |
| 90633 |
|
178 |
142 |
$0.00 |
| 90685 |
|
40 |
39 |
$0.00 |
| 90710 |
|
16 |
12 |
$0.00 |
| Z1034 |
|
668 |
489 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,402 |
898 |
$0.00 |
| 99441 |
|
401 |
392 |
$0.00 |
| 99443 |
|
46 |
44 |
$0.00 |
| 90698 |
|
46 |
36 |
$0.00 |
| 90620 |
|
28 |
27 |
$0.00 |
| 90696 |
|
18 |
12 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
18 |
12 |
$0.00 |
| A4467 |
Belt, strap, sleeve, garment, or covering, any type |
43 |
27 |
$0.00 |