| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
64,327 |
44,941 |
$8.54M |
| 00003 |
Internal/system code - not a standard HCPCS code |
29,113 |
22,024 |
$4.84M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44,689 |
28,467 |
$761K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24,826 |
17,219 |
$571K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,910 |
2,584 |
$196K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,706 |
1,807 |
$173K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,583 |
2,315 |
$154K |
| 59425 |
|
1,457 |
923 |
$116K |
| 99215 |
Prolong outpt/office vis |
3,219 |
2,215 |
$115K |
| 92551 |
|
7,857 |
5,215 |
$96K |
| 90686 |
|
7,303 |
5,359 |
$95K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,234 |
1,511 |
$79K |
| 0012A |
|
1,454 |
1,448 |
$58K |
| 0011A |
|
1,423 |
1,408 |
$44K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
820 |
618 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,759 |
1,467 |
$28K |
| 90670 |
|
1,773 |
1,233 |
$28K |
| 90715 |
|
1,448 |
1,129 |
$28K |
| 90651 |
|
1,168 |
851 |
$25K |
| 0064A |
|
628 |
627 |
$25K |
| 99173 |
|
7,534 |
5,047 |
$23K |
| 90750 |
|
166 |
138 |
$21K |
| 90716 |
|
1,110 |
832 |
$18K |
| 90648 |
|
1,295 |
920 |
$16K |
| 99401 |
|
729 |
510 |
$14K |
| 96158 |
|
727 |
457 |
$14K |
| 90633 |
|
1,132 |
806 |
$13K |
| 90677 |
|
477 |
354 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
199 |
149 |
$13K |
| 90707 |
|
854 |
634 |
$13K |
| J3490 |
Unclassified drugs |
228 |
161 |
$12K |
| 0001A |
|
293 |
293 |
$12K |
| 0002A |
|
270 |
270 |
$11K |
| 0071A |
|
256 |
256 |
$10K |
| 0072A |
|
239 |
239 |
$10K |
| 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 |
2,078 |
1,601 |
$9K |
| 85018 |
|
6,424 |
4,327 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,468 |
1,247 |
$8K |
| 90734 |
|
479 |
339 |
$6K |
| 90680 |
|
648 |
431 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
167 |
109 |
$6K |
| 0004A |
|
143 |
143 |
$6K |
| 97803 |
|
286 |
226 |
$5K |
| 81002 |
|
5,187 |
3,636 |
$4K |
| 90700 |
|
366 |
246 |
$4K |
| 81025 |
|
1,843 |
1,530 |
$4K |
| 90723 |
|
331 |
243 |
$4K |
| 96156 |
|
220 |
178 |
$3K |
| 90620 |
|
203 |
146 |
$3K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
168 |
150 |
$3K |
| 83655 |
|
437 |
270 |
$3K |
| 90656 |
|
402 |
351 |
$3K |
| 90697 |
|
337 |
224 |
$3K |
| 0134A |
|
65 |
58 |
$2K |
| 90619 |
|
142 |
100 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
275 |
213 |
$2K |
| 92552 |
|
53 |
52 |
$2K |
| 0031A |
|
41 |
40 |
$2K |
| 0054A |
|
33 |
33 |
$1K |
| 0013A |
|
28 |
28 |
$1K |
| 0052A |
|
28 |
28 |
$1K |
| 92250 |
|
13 |
13 |
$821.60 |
| 0051A |
|
18 |
18 |
$720.00 |
| 90713 |
|
58 |
42 |
$684.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
28 |
27 |
$542.47 |
| 90696 |
|
25 |
25 |
$436.50 |
| 90688 |
|
23 |
23 |
$414.00 |
| 99188 |
|
43 |
43 |
$405.00 |
| 90662 |
|
13 |
13 |
$363.00 |
| 86580 |
|
51 |
47 |
$327.93 |
| 90685 |
|
13 |
13 |
$234.00 |
| 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 |
3,041 |
2,976 |
$127.11 |
| Z6400 |
|
464 |
411 |
$0.00 |
| Z6304 |
|
1,075 |
720 |
$0.00 |
| 99442 |
|
21 |
20 |
$0.00 |
| Z6302 |
|
14 |
12 |
$0.00 |
| Z6200 |
|
24 |
24 |
$0.00 |
| Z6204 |
|
556 |
442 |
$0.00 |
| Z1034 |
|
1,963 |
1,283 |
$0.00 |
| Z6404 |
|
44 |
27 |
$0.00 |
| Z6406 |
|
818 |
588 |
$0.00 |
| Z1032 |
|
49 |
41 |
$0.00 |
| Z6402 |
|
13 |
13 |
$0.00 |