| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
338,617 |
253,846 |
$42.00M |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
14,686 |
11,414 |
$304K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
3,797 |
2,192 |
$95K |
| 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 |
16,060 |
12,133 |
$64K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
175,389 |
144,459 |
$37K |
| 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 |
1,601 |
1,173 |
$4K |
| 11720 |
|
6,328 |
4,752 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,857 |
2,300 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18,174 |
15,838 |
$2K |
| 98940 |
|
19,425 |
6,573 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,423 |
11,641 |
$1K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
9,618 |
2,999 |
$797.86 |
| 11721 |
|
3,663 |
2,999 |
$707.90 |
| 97803 |
|
3,612 |
2,918 |
$667.48 |
| 92015 |
Determination of refractive state |
1,002 |
905 |
$558.47 |
| 81002 |
|
4,114 |
3,689 |
$354.96 |
| 97802 |
|
1,537 |
1,451 |
$200.82 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,934 |
1,641 |
$181.34 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
247 |
221 |
$120.74 |
| G0127 |
Trimming of dystrophic nails, any number |
14 |
14 |
$95.90 |
| 0031A |
|
413 |
400 |
$78.81 |
| 0012A |
|
872 |
842 |
$53.23 |
| 0064A |
|
404 |
384 |
$40.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19,422 |
18,612 |
$32.55 |
| 0011A |
|
956 |
902 |
$30.17 |
| 99442 |
|
25,129 |
21,895 |
$23.28 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,474 |
2,349 |
$18.64 |
| 90734 |
|
890 |
865 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,409 |
1,349 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
658 |
488 |
$0.00 |
| 82947 |
|
113 |
89 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,426 |
1,337 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,649 |
1,501 |
$0.00 |
| 90633 |
|
1,036 |
991 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,897 |
3,817 |
$0.00 |
| 90685 |
|
408 |
405 |
$0.00 |
| 99408 |
|
1,133 |
1,047 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,477 |
3,401 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,036 |
1,999 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12,552 |
6,700 |
$0.00 |
| 96160 |
|
2,495 |
2,404 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
260 |
247 |
$0.00 |
| 11056 |
|
815 |
664 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,253 |
1,167 |
$0.00 |
| 90658 |
|
1,287 |
1,231 |
$0.00 |
| 2028F |
|
12,803 |
9,814 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
570 |
550 |
$0.00 |
| 90670 |
|
861 |
834 |
$0.00 |
| 90648 |
|
132 |
122 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
197 |
186 |
$0.00 |
| 72100 |
|
12 |
12 |
$0.00 |
| 0071A |
|
303 |
292 |
$0.00 |
| 91313 |
|
34 |
28 |
$0.00 |
| 90681 |
|
99 |
98 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
506 |
434 |
$0.00 |
| 90715 |
|
881 |
832 |
$0.00 |
| 0002A |
|
150 |
146 |
$0.00 |
| 91300 |
|
437 |
386 |
$0.00 |
| 59426 |
|
229 |
147 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
142 |
123 |
$0.00 |
| 91322 |
|
35 |
34 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
302 |
288 |
$0.00 |
| 99397 |
|
42 |
28 |
$0.00 |
| 91321 |
|
61 |
60 |
$0.00 |
| 0054A |
|
48 |
46 |
$0.00 |
| 90655 |
|
29 |
29 |
$0.00 |
| 11057 |
|
40 |
37 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| Q2034 |
Influenza virus vaccine, split virus, for intramuscular use (agriflu) |
20 |
20 |
$0.00 |
| 1000F |
|
2,646 |
2,492 |
$0.00 |
| 96127 |
|
4,363 |
4,171 |
$0.00 |
| 90651 |
|
1,708 |
1,668 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
54 |
50 |
$0.00 |
| 4000F |
|
1,204 |
1,094 |
$0.00 |
| 4450F |
|
716 |
554 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
4,967 |
4,808 |
$0.00 |
| 90686 |
|
7,826 |
7,434 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
446 |
416 |
$0.00 |
| 85018 |
|
10,263 |
10,010 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,469 |
4,310 |
$0.00 |
| 90656 |
|
1,734 |
1,682 |
$0.00 |
| 93000 |
|
2,214 |
1,887 |
$0.00 |
| 91301 |
|
2,193 |
2,085 |
$0.00 |
| 84703 |
|
1,939 |
1,834 |
$0.00 |
| 0072A |
|
198 |
194 |
$0.00 |
| 99000 |
|
299 |
292 |
$0.00 |
| 90619 |
|
278 |
273 |
$0.00 |
| 91307 |
|
616 |
568 |
$0.00 |
| 91303 |
|
411 |
398 |
$0.00 |
| 90480 |
|
121 |
118 |
$0.00 |
| 72040 |
|
25 |
25 |
$0.00 |
| 90654 |
|
52 |
51 |
$0.00 |
| 91305 |
|
101 |
97 |
$0.00 |
| 97804 |
|
1,188 |
487 |
$0.00 |
| 91306 |
|
404 |
384 |
$0.00 |
| 90739 |
|
94 |
93 |
$0.00 |
| 90620 |
|
535 |
529 |
$0.00 |
| 90716 |
|
109 |
105 |
$0.00 |
| 0134A |
|
34 |
27 |
$0.00 |
| 90697 |
|
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
301 |
297 |
$0.00 |
| 90723 |
|
203 |
194 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
541 |
405 |
$0.00 |
| 90677 |
|
139 |
138 |
$0.00 |
| 99443 |
|
1,192 |
1,068 |
$0.00 |
| 81001 |
|
83 |
79 |
$0.00 |
| 90657 |
|
42 |
39 |
$0.00 |
| 11055 |
|
77 |
64 |
$0.00 |
| 99441 |
|
60 |
58 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
90 |
83 |
$0.00 |
| 11730 |
|
38 |
28 |
$0.00 |
| 0001A |
|
161 |
157 |
$0.00 |
| Q2036 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
121 |
119 |
$0.00 |
| 90732 |
|
60 |
53 |
$0.00 |
| 99386 |
|
18 |
16 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
15 |
15 |
$0.00 |
| 90747 |
|
100 |
88 |
$0.00 |
| 3514F |
|
16 |
14 |
$0.00 |
| 90698 |
|
24 |
24 |
$0.00 |
| 92227 |
|
17 |
12 |
$0.00 |