| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
218,765 |
202,113 |
$2.59M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
187,398 |
128,016 |
$151K |
| 0002A |
|
1,165 |
1,165 |
$78K |
| 0001A |
|
886 |
885 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
53,751 |
36,649 |
$54K |
| 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 |
904 |
744 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,402 |
3,275 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,335 |
3,156 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20,716 |
13,967 |
$13K |
| H1011 |
Family assessment by licensed behavioral health professional for state defined purposes |
191 |
191 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,420 |
6,035 |
$11K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
52,292 |
48,582 |
$9K |
| 0082A |
|
120 |
120 |
$8K |
| 0003A |
|
127 |
127 |
$8K |
| 0081A |
|
109 |
109 |
$7K |
| 90677 |
|
701 |
701 |
$7K |
| 0173A |
|
95 |
95 |
$6K |
| 0124A |
|
63 |
63 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
78 |
74 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,720 |
5,011 |
$3K |
| 0053A |
|
52 |
52 |
$3K |
| 87428 |
|
3,126 |
3,039 |
$3K |
| G9919 |
Screening performed and positive and provision of recommendations |
1,900 |
1,891 |
$3K |
| 59025 |
Fetal non-stress test |
822 |
463 |
$3K |
| 99215 |
Prolong outpt/office vis |
1,730 |
1,323 |
$3K |
| G9920 |
Screening performed and negative |
2,471 |
2,467 |
$3K |
| H2015 |
Comprehensive community support services, per 15 minutes |
215 |
215 |
$2K |
| 99205 |
Prolong outpt/office vis |
414 |
304 |
$2K |
| T1027 |
Family training and counseling for child development, per 15 minutes |
210 |
210 |
$2K |
| H2027 |
Psychoeducational service, per 15 minutes |
211 |
211 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,236 |
1,206 |
$2K |
| 0154A |
|
22 |
22 |
$1K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
678 |
668 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
881 |
868 |
$1K |
| 90686 |
|
219 |
219 |
$964.40 |
| 0052A |
|
13 |
13 |
$871.00 |
| 0071A |
|
12 |
12 |
$804.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
680 |
551 |
$724.98 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,806 |
2,762 |
$669.43 |
| 81002 |
|
3,101 |
2,630 |
$651.46 |
| 57454 |
|
28 |
28 |
$427.26 |
| 90715 |
|
60 |
60 |
$377.05 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,713 |
2,688 |
$375.44 |
| 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 |
$371.40 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
286 |
284 |
$369.55 |
| 90651 |
|
150 |
150 |
$348.14 |
| 90723 |
|
369 |
369 |
$224.50 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,469 |
1,070 |
$217.49 |
| 90716 |
|
131 |
131 |
$187.93 |
| 97802 |
|
115 |
109 |
$175.18 |
| 90681 |
|
201 |
201 |
$174.90 |
| 81025 |
|
1,129 |
1,108 |
$172.52 |
| 90832 |
Psychotherapy, 30 minutes with patient |
826 |
338 |
$157.02 |
| 83655 |
|
231 |
231 |
$136.87 |
| 81003 |
|
1,369 |
1,324 |
$134.32 |
| 90633 |
|
366 |
366 |
$110.98 |
| 85018 |
|
1,311 |
1,299 |
$94.20 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
162 |
161 |
$91.92 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
353 |
338 |
$58.76 |
| 90656 |
|
335 |
335 |
$56.90 |
| 90647 |
|
352 |
352 |
$48.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
214 |
196 |
$39.90 |
| 99173 |
|
1,288 |
1,284 |
$29.10 |
| 90734 |
|
70 |
70 |
$28.90 |
| 95251 |
|
59 |
59 |
$28.71 |
| 90670 |
|
172 |
172 |
$27.00 |
| 82962 |
|
176 |
175 |
$19.80 |
| H0049 |
Alcohol and/or drug screening |
32,574 |
30,865 |
$17.14 |
| 90707 |
|
115 |
115 |
$9.90 |
| 90696 |
|
105 |
105 |
$9.90 |
| 90710 |
|
91 |
91 |
$9.00 |
| 86580 |
|
14 |
14 |
$3.33 |
| 3078F |
|
22,902 |
21,948 |
$0.00 |
| 99442 |
|
261 |
242 |
$0.00 |
| 96160 |
|
1,837 |
1,828 |
$0.00 |
| 3077F |
|
5,202 |
4,983 |
$0.00 |
| Z6300 |
|
271 |
271 |
$0.00 |
| Z6200 |
|
365 |
364 |
$0.00 |
| 99188 |
|
85 |
85 |
$0.00 |
| Z6202 |
|
308 |
308 |
$0.00 |
| 3046F |
|
65 |
63 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
195 |
129 |
$0.00 |
| Z6400 |
|
380 |
379 |
$0.00 |
| Z6208 |
|
41 |
36 |
$0.00 |
| Z6304 |
|
65 |
65 |
$0.00 |
| 90700 |
|
77 |
77 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
166 |
62 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
79 |
52 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
41 |
27 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
12 |
12 |
$0.00 |
| 3051F |
|
21 |
12 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
15 |
$0.00 |
| 3079F |
|
15,447 |
14,964 |
$0.00 |
| 3074F |
|
29,575 |
28,219 |
$0.00 |
| 3080F |
|
2,592 |
2,502 |
$0.00 |
| 3075F |
|
5,701 |
5,600 |
$0.00 |
| Z6204 |
|
718 |
559 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
209 |
209 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
1,239 |
1,057 |
$0.00 |
| Z6402 |
|
365 |
364 |
$0.00 |
| 3044F |
|
991 |
732 |
$0.00 |
| 88720 |
|
15 |
14 |
$0.00 |
| Z6406 |
|
148 |
135 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
172 |
67 |
$0.00 |
| 99385 |
|
160 |
93 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
46 |
45 |
$0.00 |
| 99386 |
|
16 |
12 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
91 |
53 |
$0.00 |
| 99024 |
|
37 |
36 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
44 |
44 |
$0.00 |