| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
42,648 |
36,798 |
$7.09M |
| 00003 |
Internal/system code - not a standard HCPCS code |
20,161 |
17,482 |
$5.22M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,210 |
6,554 |
$56K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,463 |
13,714 |
$30K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,189 |
573 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
436 |
277 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
350 |
322 |
$6K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
49 |
29 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
141 |
82 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,376 |
1,397 |
$3K |
| 90686 |
|
265 |
197 |
$3K |
| 90688 |
|
123 |
78 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,528 |
3,825 |
$870.89 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
79 |
28 |
$782.64 |
| 0013A |
|
20 |
20 |
$670.00 |
| H0049 |
Alcohol and/or drug screening |
151 |
151 |
$625.00 |
| 87430 |
|
143 |
74 |
$613.50 |
| 90658 |
|
49 |
27 |
$612.90 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
217 |
141 |
$493.47 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
48 |
45 |
$375.76 |
| 98940 |
|
32 |
12 |
$326.10 |
| 90716 |
|
14 |
12 |
$241.03 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
77 |
41 |
$219.25 |
| 90656 |
|
20 |
12 |
$169.61 |
| 90651 |
|
17 |
17 |
$153.00 |
| 90734 |
|
14 |
14 |
$126.00 |
| 99215 |
Prolong outpt/office vis |
127 |
74 |
$75.89 |
| 92552 |
|
47 |
47 |
$67.32 |
| 81025 |
|
22 |
22 |
$59.52 |
| 81002 |
|
196 |
165 |
$58.45 |
| 92551 |
|
174 |
116 |
$56.10 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26 |
13 |
$37.39 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
150 |
147 |
$13.38 |
| 85018 |
|
63 |
50 |
$4.14 |
| 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 |
28 |
26 |
$3.75 |
| 3074F |
|
4,835 |
4,461 |
$0.00 |
| 99000 |
|
335 |
316 |
$0.00 |
| 3075F |
|
242 |
235 |
$0.00 |
| 3079F |
|
1,181 |
1,119 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
14 |
12 |
$0.00 |
| 3080F |
|
66 |
62 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
94 |
93 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
20 |
20 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 3078F |
|
4,137 |
3,830 |
$0.00 |
| 99173 |
|
170 |
169 |
$0.00 |
| 3077F |
|
418 |
395 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
41 |
41 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
51 |
31 |
$0.00 |