| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00003 |
Internal/system code - not a standard HCPCS code |
29,526 |
21,137 |
$4.99M |
| T1015 |
Clinic visit/encounter, all-inclusive |
30,964 |
24,276 |
$4.10M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,406 |
13,207 |
$500K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,451 |
13,400 |
$323K |
| 59425 |
|
809 |
546 |
$60K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
970 |
640 |
$60K |
| 92551 |
|
3,668 |
2,512 |
$44K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
671 |
505 |
$41K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
439 |
315 |
$34K |
| 90686 |
|
1,722 |
1,399 |
$27K |
| 99215 |
Prolong outpt/office vis |
687 |
455 |
$25K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
542 |
355 |
$23K |
| 0012A |
|
349 |
347 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,733 |
1,974 |
$13K |
| 0011A |
|
366 |
359 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
522 |
483 |
$12K |
| 99173 |
|
3,304 |
2,294 |
$10K |
| 0064A |
|
184 |
184 |
$7K |
| 85018 |
|
4,777 |
3,172 |
$6K |
| 90750 |
|
40 |
30 |
$6K |
| 90677 |
|
137 |
94 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
142 |
77 |
$4K |
| 99401 |
|
298 |
241 |
$4K |
| 90715 |
|
164 |
118 |
$4K |
| 90651 |
|
156 |
116 |
$4K |
| 99386 |
|
25 |
23 |
$3K |
| 90620 |
|
58 |
58 |
$3K |
| 86580 |
|
1,173 |
779 |
$3K |
| 90656 |
|
205 |
158 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
82 |
48 |
$3K |
| 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 |
634 |
554 |
$2K |
| 0071A |
|
60 |
60 |
$2K |
| 0072A |
|
53 |
53 |
$2K |
| 0002A |
|
50 |
50 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
49 |
40 |
$1K |
| 81002 |
|
1,866 |
1,250 |
$1K |
| 90734 |
|
64 |
54 |
$1K |
| 81025 |
|
446 |
363 |
$1K |
| 0001A |
|
25 |
25 |
$1K |
| 97803 |
|
72 |
66 |
$731.79 |
| 90716 |
|
36 |
31 |
$680.06 |
| 0054A |
|
17 |
17 |
$680.00 |
| 90670 |
|
17 |
12 |
$646.40 |
| 0134A |
|
14 |
14 |
$547.00 |
| 0013A |
|
13 |
13 |
$520.00 |
| 90633 |
|
71 |
59 |
$513.00 |
| 90707 |
|
17 |
12 |
$279.40 |
| 90697 |
|
26 |
12 |
$135.00 |
| 90619 |
|
15 |
13 |
$108.00 |
| 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 |
1,919 |
1,885 |
$28.64 |
| Z1034 |
|
1,207 |
808 |
$0.00 |
| Z6406 |
|
327 |
247 |
$0.00 |
| Z6204 |
|
146 |
117 |
$0.00 |
| Z6402 |
|
16 |
16 |
$0.00 |
| Z6400 |
|
15 |
14 |
$0.00 |
| Z6304 |
|
15 |
13 |
$0.00 |
| 99442 |
|
23 |
23 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
13 |
$0.00 |