| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
77,922 |
62,879 |
$13.06M |
| 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 |
7,582 |
5,948 |
$167K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
627 |
287 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,573 |
24,869 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,769 |
15,962 |
$11K |
| 90832 |
Psychotherapy, 30 minutes with patient |
12,647 |
6,481 |
$4K |
| 99310 |
Prolong nursin fac eval 15m |
91 |
62 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
168 |
116 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
538 |
462 |
$835.14 |
| 3074F |
|
6,539 |
5,878 |
$494.12 |
| 99215 |
Prolong outpt/office vis |
54 |
50 |
$469.70 |
| 3078F |
|
6,082 |
5,475 |
$414.12 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,242 |
1,981 |
$356.50 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
839 |
686 |
$125.00 |
| 96127 |
|
2,013 |
1,865 |
$102.20 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
302 |
234 |
$81.08 |
| 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 |
17 |
17 |
$79.35 |
| 36416 |
|
89 |
81 |
$71.66 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,858 |
3,671 |
$18.98 |
| 92551 |
|
130 |
124 |
$15.96 |
| 3079F |
|
142 |
127 |
$10.00 |
| 96160 |
|
400 |
366 |
$8.94 |
| 99173 |
|
2,308 |
2,225 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,574 |
1,521 |
$0.00 |
| 90670 |
|
102 |
98 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,136 |
1,100 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
509 |
492 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
29 |
28 |
$0.00 |
| 2014F |
|
1,306 |
1,201 |
$0.00 |
| 90838 |
|
33 |
27 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,278 |
1,113 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
454 |
384 |
$0.00 |
| 90461 |
|
1,443 |
1,365 |
$0.00 |
| 3077F |
|
39 |
37 |
$0.00 |
| 99307 |
|
266 |
217 |
$0.00 |
| 90633 |
|
49 |
42 |
$0.00 |
| 90671 |
|
26 |
26 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
29 |
29 |
$0.00 |
| 90661 |
|
24 |
24 |
$0.00 |
| 3008F |
|
7,149 |
6,481 |
$0.00 |
| 90698 |
|
24 |
24 |
$0.00 |
| 90677 |
|
13 |
13 |
$0.00 |
| 90686 |
|
284 |
275 |
$0.00 |
| 90656 |
|
77 |
76 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
57 |
55 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
12 |
$0.00 |
| 87428 |
|
57 |
57 |
$0.00 |
| 99000 |
|
77 |
70 |
$0.00 |
| 3080F |
|
39 |
36 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$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 |
13 |
13 |
$0.00 |
| 90619 |
|
14 |
13 |
$0.00 |