| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
54,707 |
46,241 |
$10.12M |
| 00003 |
Internal/system code - not a standard HCPCS code |
16,964 |
13,079 |
$3.50M |
| 98940 |
|
1,680 |
1,193 |
$127K |
| 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 |
4,299 |
2,869 |
$99K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,408 |
16,650 |
$40K |
| 0011A |
|
186 |
95 |
$10K |
| 0012A |
|
149 |
77 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,811 |
1,479 |
$6K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
165 |
121 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,259 |
2,191 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
290 |
289 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
427 |
425 |
$370.20 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
147 |
139 |
$46.92 |
| 3079F |
|
505 |
496 |
$39.51 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
36 |
35 |
$35.76 |
| 99406 |
|
1,404 |
1,293 |
$34.09 |
| 90697 |
|
41 |
40 |
$26.03 |
| 90715 |
|
95 |
94 |
$17.82 |
| H0049 |
Alcohol and/or drug screening |
25 |
24 |
$13.50 |
| 92551 |
|
310 |
309 |
$11.02 |
| 99000 |
|
1,040 |
1,018 |
$3.59 |
| 99401 |
|
4,391 |
3,914 |
$0.00 |
| 1159F |
|
29 |
29 |
$0.00 |
| 3077F |
|
285 |
270 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
267 |
263 |
$0.00 |
| G9920 |
Screening performed and negative |
210 |
210 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
100 |
99 |
$0.00 |
| 3078F |
|
307 |
301 |
$0.00 |
| 90633 |
|
60 |
60 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
240 |
238 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
144 |
144 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
250 |
250 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
50 |
49 |
$0.00 |
| 4004F |
|
26 |
26 |
$0.00 |
| 81002 |
|
12 |
12 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
30 |
30 |
$0.00 |
| 90670 |
|
126 |
126 |
$0.00 |
| 90734 |
|
30 |
30 |
$0.00 |
| 99173 |
|
28 |
28 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
57 |
57 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
12 |
12 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |
| 1160F |
|
25 |
25 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
222 |
220 |
$0.00 |
| 3080F |
|
210 |
204 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
209 |
173 |
$0.00 |
| 90686 |
|
562 |
561 |
$0.00 |
| 3074F |
|
486 |
474 |
$0.00 |
| 3044F |
|
112 |
110 |
$0.00 |
| 81001 |
|
72 |
72 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
535 |
535 |
$0.00 |
| 3075F |
|
233 |
232 |
$0.00 |
| 90647 |
|
26 |
26 |
$0.00 |
| 90651 |
|
72 |
72 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
30 |
30 |
$0.00 |
| 90619 |
|
15 |
15 |
$0.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
133 |
132 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
14 |
13 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$0.00 |
| 90677 |
|
13 |
13 |
$0.00 |