| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
64,713 |
50,227 |
$4.34M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
75,494 |
40,808 |
$1.54M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24,935 |
14,988 |
$731K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,320 |
5,103 |
$129K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,014 |
3,316 |
$70K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,796 |
739 |
$64K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,793 |
1,092 |
$55K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,648 |
983 |
$54K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,113 |
928 |
$52K |
| 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 |
3,250 |
2,780 |
$46K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,305 |
762 |
$39K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,326 |
796 |
$35K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,687 |
794 |
$32K |
| 90791 |
Psychiatric diagnostic evaluation |
582 |
324 |
$27K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
708 |
488 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
478 |
270 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,301 |
843 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,423 |
1,451 |
$8K |
| 36416 |
|
4,995 |
3,133 |
$6K |
| 81025 |
|
1,697 |
1,008 |
$5K |
| 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 |
946 |
802 |
$5K |
| 81002 |
|
4,309 |
1,967 |
$5K |
| 80305 |
|
1,416 |
630 |
$4K |
| 82962 |
|
3,460 |
2,013 |
$4K |
| 98926 |
|
398 |
247 |
$4K |
| 99406 |
|
825 |
452 |
$4K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
563 |
236 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
132 |
85 |
$3K |
| 99215 |
Prolong outpt/office vis |
38 |
38 |
$2K |
| 99460 |
|
30 |
30 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
225 |
132 |
$1K |
| 92552 |
|
216 |
112 |
$1K |
| 90686 |
|
1,981 |
1,112 |
$1K |
| 90756 |
|
582 |
337 |
$1K |
| H1000 |
Prenatal care, at-risk assessment |
177 |
100 |
$984.34 |
| 99441 |
|
162 |
85 |
$908.88 |
| 99383 |
|
21 |
12 |
$766.91 |
| 87400 |
|
138 |
71 |
$754.66 |
| 99173 |
|
528 |
296 |
$566.64 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
85 |
50 |
$563.86 |
| D0140 |
Limited oral evaluation - problem focused |
16 |
16 |
$379.36 |
| 97803 |
|
487 |
275 |
$251.58 |
| 85018 |
|
187 |
141 |
$177.32 |
| 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 |
51 |
46 |
$155.18 |
| D0230 |
Intraoral - periapical each additional radiographic image |
27 |
12 |
$141.75 |
| D0220 |
Intraoral - periapical first radiographic image |
21 |
20 |
$110.25 |
| 90661 |
|
53 |
52 |
$73.70 |
| 90863 |
|
1,867 |
1,511 |
$31.99 |
| 3077F |
|
4,430 |
2,360 |
$0.27 |
| 3074F |
|
22,425 |
11,773 |
$0.27 |
| 3078F |
|
19,619 |
10,372 |
$0.26 |
| 3079F |
|
13,073 |
6,970 |
$0.25 |
| 3080F |
|
1,816 |
979 |
$0.13 |
| 3075F |
|
7,636 |
4,092 |
$0.13 |
| 90677 |
|
12 |
12 |
$0.03 |
| G8484 |
Influenza immunization was not administered, reason not given |
670 |
405 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
200 |
136 |
$0.00 |
| 90670 |
|
1,430 |
922 |
$0.00 |
| 4004F |
|
5,554 |
2,907 |
$0.00 |
| 1160F |
|
1,986 |
1,846 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
24 |
$0.00 |
| 90710 |
|
476 |
298 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,699 |
1,320 |
$0.00 |
| 90734 |
|
663 |
411 |
$0.00 |
| 1159F |
|
1,988 |
1,848 |
$0.00 |
| J2315 |
Injection, naltrexone, depot form, 1 mg |
534 |
362 |
$0.00 |
| 90715 |
|
252 |
157 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
235 |
149 |
$0.00 |
| 90633 |
|
448 |
280 |
$0.00 |
| 90649 |
|
137 |
103 |
$0.00 |
| 98960 |
|
397 |
189 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
16 |
14 |
$0.00 |
| 90685 |
|
95 |
58 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
194 |
102 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
38 |
24 |
$0.00 |
| 90698 |
|
1,313 |
825 |
$0.00 |
| 1036F |
|
4,559 |
2,378 |
$0.00 |
| 1111F |
|
11,287 |
5,563 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
538 |
254 |
$0.00 |
| 90651 |
|
374 |
215 |
$0.00 |
| 90688 |
|
45 |
44 |
$0.00 |
| 90680 |
|
256 |
157 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
316 |
185 |
$0.00 |
| 90744 |
|
409 |
257 |
$0.00 |
| 90696 |
|
127 |
76 |
$0.00 |
| 0001F |
|
2,128 |
1,113 |
$0.00 |
| 90650 |
|
123 |
69 |
$0.00 |
| 87110 |
|
116 |
62 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
22 |
12 |
$0.00 |
| 90634 |
|
34 |
26 |
$0.00 |