| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
125,925 |
93,329 |
$67.99M |
| 00003 |
Internal/system code - not a standard HCPCS code |
89,602 |
68,362 |
$47.33M |
| 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 |
26,261 |
21,021 |
$8.07M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
79,511 |
66,611 |
$1.99M |
| 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 |
5,646 |
3,947 |
$1.71M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,291 |
1,243 |
$462K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,169 |
1,121 |
$458K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25,753 |
22,780 |
$441K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,924 |
11,070 |
$284K |
| 90832 |
Psychotherapy, 30 minutes with patient |
10,210 |
7,432 |
$219K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,190 |
1,863 |
$143K |
| 0900 |
|
1,710 |
1,133 |
$108K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,582 |
3,540 |
$50K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,462 |
1,996 |
$44K |
| 0012A |
|
908 |
908 |
$36K |
| 0011A |
|
984 |
983 |
$34K |
| 0064A |
|
548 |
547 |
$25K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,282 |
1,061 |
$23K |
| 0134A |
|
346 |
346 |
$23K |
| 80305 |
|
5,156 |
3,934 |
$23K |
| 86703 |
|
494 |
476 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,370 |
1,267 |
$21K |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
59 |
59 |
$18K |
| 91322 |
|
58 |
58 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,302 |
2,209 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,702 |
1,670 |
$6K |
| 0071A |
|
113 |
108 |
$5K |
| 90686 |
|
255 |
255 |
$4K |
| 90715 |
|
1,014 |
1,006 |
$3K |
| 90480 |
|
87 |
86 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,072 |
994 |
$3K |
| 90688 |
|
178 |
177 |
$2K |
| 0003A |
|
41 |
40 |
$2K |
| 90723 |
|
270 |
260 |
$2K |
| 0002A |
|
39 |
39 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,382 |
1,363 |
$1K |
| 87650 |
|
2,468 |
2,382 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
353 |
347 |
$1K |
| 0001A |
|
28 |
28 |
$1K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
253 |
252 |
$974.00 |
| 99442 |
|
527 |
476 |
$950.83 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,406 |
2,321 |
$753.04 |
| 0072A |
|
16 |
16 |
$640.00 |
| 0031A |
|
15 |
15 |
$600.00 |
| 0054A |
|
12 |
12 |
$480.00 |
| 80061 |
Lipid panel |
669 |
662 |
$455.00 |
| 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 |
19 |
19 |
$403.01 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
290 |
269 |
$300.73 |
| 90651 |
|
235 |
233 |
$144.97 |
| 81003 |
|
3,108 |
2,886 |
$116.00 |
| 92015 |
Determination of refractive state |
2,170 |
2,135 |
$110.87 |
| 90732 |
|
160 |
160 |
$99.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
364 |
363 |
$51.60 |
| 81025 |
|
1,584 |
1,514 |
$47.40 |
| 83655 |
|
575 |
548 |
$19.16 |
| 0561 |
|
377 |
265 |
$14.92 |
| 85018 |
|
793 |
759 |
$3.74 |
| J3490 |
Unclassified drugs |
51 |
51 |
$1.18 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
997 |
992 |
$0.00 |
| 90750 |
|
81 |
79 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
187 |
183 |
$0.00 |
| 90670 |
|
505 |
482 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
31 |
31 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,033 |
415 |
$0.00 |
| 90633 |
|
306 |
299 |
$0.00 |
| 90682 |
|
12 |
12 |
$0.00 |
| 98926 |
|
101 |
85 |
$0.00 |
| 90734 |
|
32 |
31 |
$0.00 |
| 90756 |
|
42 |
42 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
90 |
90 |
$0.00 |
| 90710 |
|
37 |
37 |
$0.00 |
| 17110 |
|
35 |
29 |
$0.00 |
| 90658 |
|
22 |
22 |
$0.00 |
| 90700 |
|
26 |
25 |
$0.00 |
| 90707 |
|
27 |
27 |
$0.00 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
30 |
18 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
977 |
940 |
$0.00 |
| 97014 |
|
833 |
335 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,048 |
418 |
$0.00 |
| 90647 |
|
288 |
279 |
$0.00 |
| 92551 |
|
179 |
178 |
$0.00 |
| 99443 |
|
100 |
79 |
$0.00 |
| 93000 |
|
463 |
449 |
$0.00 |
| 97750 |
|
148 |
104 |
$0.00 |
| 90680 |
|
137 |
130 |
$0.00 |
| 99384 |
|
14 |
14 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
137 |
119 |
$0.00 |
| 20610 |
|
27 |
24 |
$0.00 |
| 90716 |
|
64 |
59 |
$0.00 |
| 90656 |
|
31 |
31 |
$0.00 |
| 92250 |
|
30 |
30 |
$0.00 |
| 99383 |
|
29 |
29 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |