| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
143,755 |
120,774 |
$15.95M |
| 00003 |
Internal/system code - not a standard HCPCS code |
13,675 |
10,675 |
$2.27M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
77,346 |
58,754 |
$206K |
| 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 |
2,232 |
1,824 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,878 |
7,430 |
$39K |
| 90791 |
Psychiatric diagnostic evaluation |
4,029 |
3,501 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,748 |
1,601 |
$8K |
| 90832 |
Psychotherapy, 30 minutes with patient |
10,829 |
7,646 |
$7K |
| 98940 |
|
4,069 |
2,646 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,165 |
2,652 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,085 |
983 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,147 |
1,068 |
$5K |
| 99000 |
|
4,266 |
3,793 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
653 |
603 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
466 |
423 |
$3K |
| 85018 |
|
4,509 |
4,152 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
268 |
239 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
106 |
91 |
$1K |
| 0031A |
|
25 |
15 |
$1K |
| 90686 |
|
2,159 |
1,981 |
$1K |
| 92551 |
|
2,989 |
2,747 |
$837.82 |
| 90723 |
|
1,071 |
990 |
$780.41 |
| J3490 |
Unclassified drugs |
33 |
29 |
$751.61 |
| 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 |
53 |
53 |
$725.57 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
542 |
470 |
$598.25 |
| 99381 |
|
211 |
202 |
$462.20 |
| 99215 |
Prolong outpt/office vis |
86 |
78 |
$411.84 |
| 99173 |
|
2,868 |
2,646 |
$287.92 |
| 90633 |
|
738 |
681 |
$270.55 |
| 3074F |
|
3,393 |
3,198 |
$216.93 |
| 90651 |
|
225 |
198 |
$215.68 |
| 81025 |
|
614 |
544 |
$168.13 |
| 83655 |
|
401 |
370 |
$165.67 |
| 90648 |
|
1,202 |
1,111 |
$123.75 |
| 90670 |
|
1,296 |
1,206 |
$112.42 |
| 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 |
27 |
26 |
$93.45 |
| 90680 |
|
505 |
466 |
$93.38 |
| 90696 |
|
97 |
86 |
$90.63 |
| 99383 |
|
15 |
12 |
$75.08 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
15 |
$68.90 |
| 81005 |
|
629 |
514 |
$66.91 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
293 |
291 |
$36.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
153 |
148 |
$18.00 |
| 81003 |
|
209 |
150 |
$12.91 |
| 90716 |
|
62 |
57 |
$6.75 |
| 90707 |
|
58 |
54 |
$6.75 |
| 3044F |
|
107 |
90 |
$0.00 |
| 3008F |
|
10,550 |
8,643 |
$0.00 |
| 3079F |
|
1,513 |
1,401 |
$0.00 |
| 3049F |
|
1,317 |
1,057 |
$0.00 |
| Z1034 |
|
1,233 |
915 |
$0.00 |
| 1111F |
|
9,988 |
8,286 |
$0.00 |
| 2001F |
|
10,547 |
8,641 |
$0.00 |
| 1036F |
|
8,659 |
7,070 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
829 |
650 |
$0.00 |
| 3048F |
|
1,974 |
1,556 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
4,161 |
3,896 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
38 |
38 |
$0.00 |
| 86580 |
|
28 |
27 |
$0.00 |
| 90744 |
|
43 |
43 |
$0.00 |
| 3075F |
|
439 |
416 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
174 |
157 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
25 |
24 |
$0.00 |
| 90677 |
|
165 |
159 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$0.00 |
| 90698 |
|
70 |
70 |
$0.00 |
| 3080F |
|
119 |
106 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| Z1032 |
|
46 |
46 |
$0.00 |
| 90656 |
|
103 |
102 |
$0.00 |
| Z6410 |
|
13 |
13 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
4,009 |
3,763 |
$0.00 |
| 90734 |
|
135 |
126 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
338 |
294 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
20 |
20 |
$0.00 |
| 90715 |
|
179 |
166 |
$0.00 |
| 3078F |
|
2,647 |
2,509 |
$0.00 |
| 3050F |
|
799 |
631 |
$0.00 |
| 90710 |
|
191 |
168 |
$0.00 |
| 3077F |
|
381 |
330 |
$0.00 |
| Z6400 |
|
124 |
123 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
71 |
69 |
$0.00 |
| 90700 |
|
29 |
27 |
$0.00 |
| 3051F |
|
15 |
14 |
$0.00 |
| 90662 |
|
12 |
12 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
15 |
15 |
$0.00 |