| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
55,950 |
49,462 |
$7.86M |
| 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 |
13,748 |
10,252 |
$350K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,277 |
20,517 |
$75K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,130 |
4,004 |
$59K |
| 99334 |
|
27,955 |
19,176 |
$24K |
| 99335 |
|
5,078 |
3,903 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,627 |
2,865 |
$7K |
| 90686 |
|
1,922 |
1,474 |
$6K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
447 |
392 |
$4K |
| 92551 |
|
3,196 |
2,606 |
$875.23 |
| 81025 |
|
768 |
667 |
$720.97 |
| 99348 |
|
19 |
12 |
$477.54 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
288 |
240 |
$432.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
70 |
62 |
$386.04 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
208 |
170 |
$232.85 |
| 85018 |
|
3,300 |
2,797 |
$196.25 |
| 96156 |
|
2,529 |
2,014 |
$97.24 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
115 |
93 |
$90.83 |
| 99336 |
|
310 |
218 |
$89.28 |
| 82962 |
|
1,668 |
1,209 |
$87.57 |
| 90685 |
|
219 |
200 |
$81.00 |
| 0064A |
|
14 |
12 |
$80.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
293 |
212 |
$72.44 |
| 90662 |
|
15 |
12 |
$60.47 |
| 59425 |
|
194 |
138 |
$59.88 |
| 90670 |
|
88 |
73 |
$44.55 |
| 99442 |
|
17 |
14 |
$37.72 |
| 11720 |
|
685 |
466 |
$19.53 |
| 99173 |
|
3,367 |
2,752 |
$17.25 |
| 81002 |
|
457 |
376 |
$14.08 |
| 90715 |
|
15 |
13 |
$9.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
64 |
48 |
$0.02 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
81 |
63 |
$0.02 |
| 3078F |
|
2,342 |
2,001 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$0.00 |
| 97803 |
|
13 |
13 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
29 |
24 |
$0.00 |
| 11719 |
|
267 |
164 |
$0.00 |
| 3077F |
|
71 |
59 |
$0.00 |
| 11721 |
|
149 |
101 |
$0.00 |
| Z6400 |
|
110 |
94 |
$0.00 |
| 99401 |
|
47 |
42 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
82 |
63 |
$0.00 |
| 90734 |
|
13 |
12 |
$0.00 |
| 92015 |
Determination of refractive state |
101 |
83 |
$0.00 |
| 90648 |
|
60 |
50 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
21 |
13 |
$0.00 |
| 99337 |
|
33 |
25 |
$0.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
17 |
14 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
20 |
18 |
$0.00 |
| 90633 |
|
15 |
14 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |
| 3074F |
|
2,309 |
1,962 |
$0.00 |
| Z6406 |
|
17 |
15 |
$0.00 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
46 |
36 |
$0.00 |
| Z1034 |
|
853 |
649 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
255 |
178 |
$0.00 |
| 99000 |
|
49 |
45 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
52 |
39 |
$0.00 |
| 97802 |
|
87 |
68 |
$0.00 |
| 3079F |
|
215 |
192 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
125 |
115 |
$0.00 |
| 3075F |
|
70 |
65 |
$0.00 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
16 |
13 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
17 |
13 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
49 |
38 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
23 |
18 |
$0.00 |
| 93000 |
|
20 |
13 |
$0.00 |
| Z6204 |
|
14 |
12 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
16 |
13 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
43 |
40 |
$0.00 |
| 91301 |
|
33 |
27 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
12 |
$0.00 |
| 90651 |
|
16 |
15 |
$0.00 |