| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
32,741 |
22,226 |
$18.12M |
| 00003 |
Internal/system code - not a standard HCPCS code |
19,283 |
15,380 |
$10.28M |
| 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 |
3,986 |
3,009 |
$1.56M |
| 97810 |
|
666 |
457 |
$439K |
| A0390 |
Als mileage (per mile) |
4,105 |
1,805 |
$171K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
4,117 |
1,809 |
$144K |
| 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 |
158 |
82 |
$74K |
| 98940 |
|
389 |
263 |
$15K |
| 90837 |
Psychotherapy, 53 minutes with patient |
4,252 |
2,275 |
$479.00 |
| 90791 |
Psychiatric diagnostic evaluation |
341 |
304 |
$126.80 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,207 |
804 |
$103.25 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,123 |
14,101 |
$72.03 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,107 |
1,019 |
$19.91 |
| 99000 |
|
740 |
683 |
$3.64 |
| 36415 |
Collection of venous blood by venipuncture |
622 |
570 |
$0.01 |
| 11721 |
|
105 |
105 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,342 |
853 |
$0.00 |
| 99177 |
|
509 |
491 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
373 |
358 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
274 |
249 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,113 |
1,013 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
56 |
52 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
199 |
193 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
87 |
73 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
30 |
$0.00 |
| 81003 |
|
45 |
44 |
$0.00 |
| 80061 |
Lipid panel |
30 |
30 |
$0.00 |
| 90630 |
|
125 |
124 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
12 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
311 |
294 |
$0.00 |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
19 |
12 |
$0.00 |
| 90461 |
|
16 |
16 |
$0.00 |
| 99173 |
|
208 |
195 |
$0.00 |
| 81025 |
|
12 |
12 |
$0.00 |
| 83721 |
|
51 |
50 |
$0.00 |
| 90715 |
|
72 |
72 |
$0.00 |
| 90662 |
|
12 |
12 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
116 |
75 |
$0.00 |
| 90658 |
|
20 |
18 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
86 |
85 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
804 |
757 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,180 |
2,916 |
$0.00 |
| 82043 |
|
36 |
35 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,216 |
826 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
142 |
138 |
$0.00 |
| 92551 |
|
385 |
378 |
$0.00 |
| 97124 |
|
14 |
12 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
132 |
108 |
$0.00 |
| 86701 |
|
76 |
76 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
94 |
83 |
$0.00 |
| 96127 |
|
450 |
416 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
655 |
597 |
$0.00 |
| 82962 |
|
100 |
94 |
$0.00 |
| 36416 |
|
95 |
94 |
$0.00 |
| 90686 |
|
82 |
81 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
92 |
90 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$0.00 |
| 90674 |
|
23 |
23 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
39 |
38 |
$0.00 |
| 81000 |
|
17 |
17 |
$0.00 |