| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,697 |
17,705 |
$568K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,417 |
15,663 |
$367K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,682 |
1,256 |
$65K |
| 90686 |
|
7,228 |
7,168 |
$63K |
| 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 |
3,963 |
3,009 |
$54K |
| 99215 |
Prolong outpt/office vis |
1,300 |
1,231 |
$46K |
| 99443 |
|
581 |
556 |
$36K |
| 0012A |
|
1,021 |
998 |
$34K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,017 |
3,948 |
$29K |
| 0011A |
|
1,062 |
1,039 |
$27K |
| 98968 |
|
590 |
586 |
$26K |
| 0064A |
|
674 |
664 |
$22K |
| 99442 |
|
467 |
444 |
$15K |
| 0071A |
|
332 |
329 |
$12K |
| 0072A |
|
319 |
317 |
$12K |
| 90791 |
Psychiatric diagnostic evaluation |
122 |
118 |
$11K |
| 0124A |
|
523 |
512 |
$11K |
| 90834 |
Psychotherapy, 45 minutes with patient |
167 |
151 |
$11K |
| 97803 |
|
214 |
214 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
98 |
96 |
$8K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
401 |
360 |
$7K |
| G9149 |
National committee for quality assurance - level 2 medical home |
34 |
34 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
955 |
804 |
$5K |
| 90656 |
|
440 |
438 |
$4K |
| 96127 |
|
1,373 |
1,295 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
85 |
79 |
$3K |
| 0002A |
|
53 |
51 |
$2K |
| G9150 |
National committee for quality assurance - level 3 medical home |
29 |
29 |
$2K |
| 91320 |
|
16 |
16 |
$2K |
| T1015 |
Clinic visit/encounter, all-inclusive |
94 |
82 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
86 |
86 |
$1K |
| 97802 |
|
26 |
26 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
50 |
50 |
$1K |
| 0001A |
|
28 |
28 |
$1K |
| 0031A |
|
40 |
38 |
$1K |
| 93922 |
|
36 |
36 |
$778.71 |
| 90480 |
|
15 |
15 |
$520.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$494.89 |
| 0081A |
|
15 |
15 |
$480.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$233.56 |
| 90785 |
|
19 |
14 |
$119.71 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
173 |
172 |
$74.60 |
| 92551 |
|
54 |
54 |
$51.80 |
| 36416 |
|
29 |
28 |
$37.25 |
| 90688 |
|
13 |
13 |
$17.88 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,566 |
2,463 |
$0.00 |
| 3074F |
|
4,405 |
4,092 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
177 |
176 |
$0.00 |
| 1036F |
|
1,470 |
1,463 |
$0.00 |
| 91306 |
|
588 |
583 |
$0.00 |
| 91301 |
|
1,926 |
1,911 |
$0.00 |
| 3079F |
|
57 |
56 |
$0.00 |
| 91307 |
|
606 |
596 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
32 |
32 |
$0.00 |
| 91303 |
|
38 |
37 |
$0.00 |
| 91305 |
|
12 |
12 |
$0.00 |
| 3078F |
|
4,262 |
3,959 |
$0.00 |
| 91312 |
|
286 |
276 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
121 |
121 |
$0.00 |
| 0054A |
|
103 |
102 |
$0.00 |
| 91300 |
|
190 |
187 |
$0.00 |
| 0502F |
|
57 |
40 |
$0.00 |
| 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 |
15 |
13 |
$0.00 |
| 91308 |
|
63 |
63 |
$0.00 |
| 4004F |
|
62 |
61 |
$0.00 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
33 |
33 |
$0.00 |
| 90662 |
|
21 |
21 |
$0.00 |