| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00003 |
Internal/system code - not a standard HCPCS code |
65,682 |
42,027 |
$14.28M |
| T1015 |
Clinic visit/encounter, all-inclusive |
73,705 |
57,042 |
$9.38M |
| 90834 |
Psychotherapy, 45 minutes with patient |
28,776 |
10,819 |
$448K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49,129 |
44,280 |
$132K |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,140 |
1,995 |
$49K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,894 |
6,090 |
$43K |
| 90686 |
|
1,107 |
1,097 |
$22K |
| 99000 |
|
4,712 |
3,554 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,277 |
6,092 |
$15K |
| 90791 |
Psychiatric diagnostic evaluation |
388 |
220 |
$10K |
| 90715 |
|
213 |
213 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
843 |
833 |
$6K |
| 90673 |
|
168 |
168 |
$5K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
44 |
44 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,313 |
1,155 |
$2K |
| 90480 |
|
46 |
45 |
$2K |
| 0124A |
|
104 |
103 |
$1K |
| 81025 |
|
466 |
465 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
56 |
51 |
$1K |
| 99241 |
|
119 |
117 |
$979.20 |
| 98940 |
|
221 |
178 |
$639.30 |
| S4993 |
Contraceptive pills for birth control |
16 |
16 |
$636.00 |
| 92250 |
|
14 |
14 |
$547.69 |
| 0004A |
|
15 |
14 |
$502.50 |
| 0134A |
|
15 |
14 |
$435.50 |
| 81002 |
|
348 |
322 |
$387.65 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,403 |
3,973 |
$325.35 |
| 99215 |
Prolong outpt/office vis |
87 |
70 |
$286.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$240.10 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
12 |
12 |
$55.00 |
| 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 |
1,380 |
860 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
98 |
73 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
18 |
18 |
$0.00 |
| 90662 |
|
95 |
95 |
$0.00 |
| 91312 |
|
20 |
20 |
$0.00 |
| 99307 |
|
29 |
29 |
$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 |
6,243 |
5,811 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
258 |
258 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
2,745 |
2,138 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
188 |
188 |
$0.00 |