| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53,332 |
48,596 |
$841K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,046 |
11,242 |
$293K |
| 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 |
9,218 |
7,691 |
$242K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,027 |
1,981 |
$61K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,349 |
1,239 |
$54K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,901 |
7,747 |
$36K |
| 90651 |
|
929 |
915 |
$36K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,032 |
1,024 |
$32K |
| 0012A |
|
628 |
628 |
$24K |
| 91320 |
|
284 |
281 |
$23K |
| 90713 |
|
2,411 |
2,357 |
$22K |
| 0011A |
|
645 |
645 |
$21K |
| 90688 |
|
3,205 |
3,173 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,147 |
2,005 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
564 |
508 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,156 |
1,150 |
$19K |
| 90686 |
|
3,995 |
3,962 |
$17K |
| 0001A |
|
330 |
329 |
$13K |
| 0002A |
|
306 |
304 |
$12K |
| 90480 |
|
427 |
422 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
146 |
143 |
$10K |
| 90715 |
|
787 |
762 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,963 |
1,919 |
$9K |
| 0124A |
|
224 |
224 |
$8K |
| 90834 |
Psychotherapy, 45 minutes with patient |
124 |
116 |
$8K |
| 97802 |
|
364 |
348 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
356 |
355 |
$7K |
| 90746 |
|
337 |
329 |
$6K |
| T1015 |
Clinic visit/encounter, all-inclusive |
42 |
36 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
337 |
337 |
$6K |
| 87428 |
|
158 |
158 |
$5K |
| 0013A |
|
133 |
133 |
$5K |
| 0071A |
|
132 |
132 |
$5K |
| 0072A |
|
129 |
129 |
$5K |
| 99442 |
|
354 |
327 |
$5K |
| 90714 |
|
537 |
530 |
$5K |
| 90716 |
|
271 |
268 |
$5K |
| 0031A |
|
100 |
100 |
$4K |
| 99441 |
|
477 |
435 |
$4K |
| 0134A |
|
84 |
84 |
$3K |
| 90707 |
|
113 |
112 |
$3K |
| 0053A |
|
77 |
75 |
$3K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
198 |
165 |
$3K |
| 0121A |
|
77 |
67 |
$3K |
| 90670 |
|
327 |
324 |
$2K |
| 0003A |
|
57 |
56 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
47 |
47 |
$2K |
| 90656 |
|
509 |
508 |
$2K |
| 90619 |
|
70 |
63 |
$2K |
| 90633 |
|
417 |
410 |
$2K |
| 99385 |
|
24 |
24 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
17 |
17 |
$1K |
| 0051A |
|
29 |
29 |
$1K |
| 0154A |
|
32 |
32 |
$1K |
| 96152 |
|
79 |
75 |
$895.90 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
305 |
293 |
$840.42 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
27 |
27 |
$830.05 |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
47 |
37 |
$743.07 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
188 |
157 |
$732.53 |
| 90744 |
|
172 |
166 |
$702.26 |
| 99443 |
|
13 |
13 |
$680.10 |
| 90677 |
|
13 |
12 |
$388.19 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
31 |
31 |
$349.57 |
| 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 |
89 |
72 |
$345.69 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$244.44 |
| 90710 |
|
16 |
16 |
$196.90 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
72 |
69 |
$171.38 |
| 90685 |
|
33 |
32 |
$162.19 |
| 90700 |
|
34 |
34 |
$137.83 |
| 90732 |
|
12 |
12 |
$89.98 |
| 90648 |
|
29 |
29 |
$80.82 |
| 91321 |
|
27 |
27 |
$48.00 |
| 91318 |
|
12 |
12 |
$35.76 |
| 90680 |
|
12 |
12 |
$20.62 |
| 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 |
12 |
12 |
$12.15 |
| 3078F |
|
6,963 |
6,575 |
$0.00 |
| 90662 |
|
85 |
84 |
$0.00 |
| 3077F |
|
900 |
843 |
$0.00 |
| 91300 |
|
694 |
640 |
$0.00 |
| 3044F |
|
623 |
564 |
$0.00 |
| 3079F |
|
3,508 |
3,324 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
476 |
468 |
$0.00 |
| 91301 |
|
1,481 |
1,458 |
$0.00 |
| 3074F |
|
8,386 |
7,871 |
$0.00 |
| 3075F |
|
1,598 |
1,545 |
$0.00 |
| 3080F |
|
497 |
476 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
29 |
29 |
$0.00 |
| 91303 |
|
100 |
100 |
$0.00 |