| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
30,257 |
25,811 |
$6.08M |
| 00003 |
Internal/system code - not a standard HCPCS code |
7,394 |
6,078 |
$1.41M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,032 |
12,250 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,428 |
6,916 |
$28K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,034 |
1,190 |
$26K |
| 97810 |
|
489 |
293 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,068 |
2,461 |
$5K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
376 |
147 |
$5K |
| 90686 |
|
181 |
142 |
$2K |
| H0049 |
Alcohol and/or drug screening |
83 |
83 |
$1K |
| 99497 |
|
27 |
16 |
$974.26 |
| 80305 |
|
53 |
42 |
$514.71 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,145 |
978 |
$138.76 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
56 |
47 |
$109.66 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
93 |
73 |
$87.70 |
| 92551 |
|
136 |
90 |
$67.32 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
125 |
124 |
$13.38 |
| 81002 |
|
19 |
14 |
$6.45 |
| 85018 |
|
27 |
25 |
$4.14 |
| 36415 |
Collection of venous blood by venipuncture |
79 |
78 |
$0.00 |
| 99000 |
|
79 |
78 |
$0.00 |
| 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 |
491 |
416 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
211 |
175 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$0.00 |
| 99173 |
|
40 |
40 |
$0.00 |
| 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 |
188 |
96 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
192 |
139 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
15 |
15 |
$0.00 |
| 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 |
12 |
12 |
$0.00 |
| 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 |
21 |
12 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
16 |
15 |
$0.00 |