| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
37,563 |
33,822 |
$5.84M |
| 00003 |
Internal/system code - not a standard HCPCS code |
16,248 |
12,881 |
$3.84M |
| 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 |
7,237 |
5,365 |
$319K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,486 |
8,558 |
$300K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,596 |
11,307 |
$286K |
| 99215 |
Prolong outpt/office vis |
886 |
847 |
$35K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,412 |
4,104 |
$29K |
| Q3014 |
Telehealth originating site facility fee |
1,820 |
1,690 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
552 |
497 |
$9K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
305 |
292 |
$6K |
| 90686 |
|
238 |
235 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
69 |
66 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
341 |
331 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
32 |
$2K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
23 |
13 |
$1K |
| 81003 |
|
588 |
488 |
$1K |
| 92551 |
|
102 |
102 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16 |
15 |
$806.93 |
| 92081 |
|
30 |
30 |
$750.00 |
| 99406 |
|
67 |
64 |
$678.53 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
26 |
$506.26 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$450.97 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
238 |
219 |
$343.88 |
| 81025 |
|
56 |
52 |
$156.80 |
| 90648 |
|
12 |
12 |
$108.00 |
| 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 |
13 |
13 |
$46.97 |