| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00003 |
Internal/system code - not a standard HCPCS code |
13,879 |
10,593 |
$2.61M |
| T1015 |
Clinic visit/encounter, all-inclusive |
15,371 |
13,739 |
$2.55M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,959 |
9,068 |
$279K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,666 |
4,583 |
$176K |
| G9012 |
Other specified case management service not elsewhere classified |
220 |
164 |
$55K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,131 |
609 |
$37K |
| 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 |
1,421 |
730 |
$19K |
| Q3014 |
Telehealth originating site facility fee |
896 |
815 |
$17K |
| 99215 |
Prolong outpt/office vis |
319 |
253 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
640 |
371 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
387 |
375 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
89 |
37 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
118 |
113 |
$2K |
| 92552 |
|
187 |
186 |
$2K |
| 90686 |
|
69 |
67 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
42 |
28 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
93 |
91 |
$823.05 |
| 59425 |
|
12 |
12 |
$725.76 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$448.68 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
20 |
13 |
$445.90 |
| 92015 |
Determination of refractive state |
30 |
30 |
$241.36 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
29 |
17 |
$212.16 |
| 90715 |
|
15 |
15 |
$162.53 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$66.90 |
| 81000 |
|
26 |
26 |
$44.42 |
| 85018 |
|
14 |
13 |
$6.99 |
| 99172 |
|
26 |
26 |
$0.00 |