| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
29,199 |
21,029 |
$3.76M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,047 |
7,192 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,281 |
4,028 |
$27K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,103 |
2,858 |
$15K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,882 |
2,620 |
$8K |
| 3008F |
|
14,325 |
12,778 |
$5K |
| 97802 |
|
2,885 |
2,857 |
$4K |
| 92552 |
|
5,270 |
5,198 |
$3K |
| 97803 |
|
19,789 |
15,809 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
464 |
434 |
$2K |
| 99385 |
|
1,172 |
1,164 |
$2K |
| 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 |
1,369 |
1,162 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,001 |
600 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
275 |
275 |
$2K |
| 87110 |
|
4,316 |
4,264 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
630 |
597 |
$1K |
| 99000 |
|
6,315 |
6,028 |
$897.45 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
21,955 |
17,462 |
$649.85 |
| 99401 |
|
32 |
29 |
$610.24 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
526 |
520 |
$369.00 |
| 81000 |
|
485 |
480 |
$261.34 |
| 92551 |
|
68 |
68 |
$246.74 |
| 81003 |
|
1,925 |
1,901 |
$216.31 |
| 36415 |
Collection of venous blood by venipuncture |
8,687 |
8,453 |
$195.00 |
| 88141 |
|
684 |
654 |
$150.00 |
| 88150 |
|
1,166 |
1,154 |
$127.42 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
261 |
248 |
$106.95 |
| G9920 |
Screening performed and negative |
5,229 |
4,913 |
$87.00 |
| 1159F |
|
3,612 |
3,218 |
$70.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
36 |
36 |
$66.49 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,461 |
1,420 |
$59.90 |
| 1125F |
|
1,041 |
1,027 |
$59.00 |
| 82270 |
|
432 |
424 |
$47.11 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
70 |
65 |
$46.00 |
| 99173 |
|
5,058 |
4,992 |
$36.00 |
| 3725F |
|
8,397 |
7,651 |
$35.00 |
| 77066 |
Tomosynthesis, mammo |
50 |
50 |
$24.00 |
| 82948 |
|
927 |
856 |
$24.00 |
| 3078F |
|
876 |
821 |
$0.00 |
| 99442 |
|
2,411 |
2,259 |
$0.00 |
| 99408 |
|
10,061 |
8,262 |
$0.00 |
| 90461 |
|
302 |
286 |
$0.00 |
| 3050F |
|
349 |
324 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
342 |
325 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
459 |
398 |
$0.00 |
| 3077F |
|
418 |
389 |
$0.00 |
| 83655 |
|
424 |
418 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
329 |
314 |
$0.00 |
| 90658 |
|
125 |
116 |
$0.00 |
| 90715 |
|
58 |
56 |
$0.00 |
| 90707 |
|
50 |
50 |
$0.00 |
| 81025 |
|
38 |
38 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
12 |
12 |
$0.00 |
| 1160F |
|
46 |
45 |
$0.00 |
| 81002 |
|
28 |
28 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
290 |
277 |
$0.00 |
| 99409 |
|
85 |
83 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
101 |
101 |
$0.00 |
| 90734 |
|
15 |
14 |
$0.00 |
| 90713 |
|
14 |
14 |
$0.00 |
| 99406 |
|
7,978 |
6,869 |
$0.00 |
| 81099 |
|
1,925 |
1,859 |
$0.00 |
| 3079F |
|
757 |
713 |
$0.00 |
| 99441 |
|
5,707 |
5,147 |
$0.00 |
| 90651 |
|
85 |
85 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
352 |
302 |
$0.00 |
| 3074F |
|
840 |
782 |
$0.00 |
| 82962 |
|
465 |
448 |
$0.00 |
| 99386 |
|
246 |
245 |
$0.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
446 |
375 |
$0.00 |
| 3351F |
|
3,638 |
3,491 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,173 |
1,096 |
$0.00 |
| 3080F |
|
216 |
197 |
$0.00 |
| 3352F |
|
761 |
736 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
360 |
338 |
$0.00 |
| 85018 |
|
470 |
456 |
$0.00 |
| 3049F |
|
250 |
239 |
$0.00 |
| 3075F |
|
464 |
435 |
$0.00 |
| 3048F |
|
54 |
53 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
165 |
158 |
$0.00 |
| 36416 |
|
110 |
110 |
$0.00 |
| 1000F |
|
6,284 |
5,687 |
$0.00 |
| 3354F |
|
169 |
148 |
$0.00 |
| 3044F |
|
98 |
96 |
$0.00 |
| 3060F |
|
68 |
66 |
$0.00 |
| 99443 |
|
121 |
118 |
$0.00 |
| 3353F |
|
16 |
15 |
$0.00 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
26 |
24 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
15 |
$0.00 |
| 90620 |
|
20 |
20 |
$0.00 |
| 99383 |
|
12 |
12 |
$0.00 |
| 99384 |
|
14 |
13 |
$0.00 |