| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
51,712 |
38,549 |
$4.55M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,117 |
3,950 |
$156K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,080 |
12,938 |
$136K |
| 00003 |
Internal/system code - not a standard HCPCS code |
873 |
873 |
$115K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,513 |
2,402 |
$69K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,288 |
1,287 |
$13K |
| 0012A |
|
430 |
283 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
410 |
410 |
$4K |
| A4267 |
Contraceptive supply, condom, male, each |
501 |
486 |
$4K |
| 0011A |
|
402 |
350 |
$4K |
| J3490 |
Unclassified drugs |
98 |
97 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
120 |
110 |
$2K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
103 |
103 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
149 |
149 |
$1K |
| 81025 |
|
1,215 |
1,181 |
$1K |
| 99000 |
|
669 |
666 |
$605.30 |
| 88142 |
|
387 |
381 |
$595.14 |
| 99401 |
|
594 |
544 |
$553.03 |
| 86592 |
|
45 |
45 |
$64.35 |
| 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 |
13 |
12 |
$4.98 |
| 85018 |
|
987 |
984 |
$3.02 |
| 88164 |
|
14 |
14 |
$1.93 |
| 81002 |
|
3,199 |
2,600 |
$1.72 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
85 |
83 |
$0.18 |
| 90686 |
|
404 |
402 |
$0.00 |
| 99443 |
|
89 |
72 |
$0.00 |
| Z1034 |
|
2,226 |
1,626 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
57 |
57 |
$0.00 |
| HEC1 |
|
528 |
513 |
$0.00 |
| Z6204 |
|
25 |
25 |
$0.00 |
| Z6410 |
|
2,005 |
1,680 |
$0.00 |
| 90651 |
|
90 |
90 |
$0.00 |
| 90723 |
|
755 |
754 |
$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 |
337 |
300 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
466 |
459 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
967 |
966 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,209 |
1,105 |
$0.00 |
| HTD4 |
|
886 |
852 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
80 |
80 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
83 |
83 |
$0.00 |
| 92551 |
|
321 |
321 |
$0.00 |
| 93000 |
|
41 |
41 |
$0.00 |
| 36416 |
|
12 |
12 |
$0.00 |
| 1126F |
|
106 |
96 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
734 |
729 |
$0.00 |
| Z1032 |
|
177 |
177 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
72 |
63 |
$0.00 |
| Z1038 |
|
12 |
12 |
$0.00 |
| HTD1 |
|
44 |
44 |
$0.00 |
| 99429 |
|
2,769 |
2,565 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
31 |
31 |
$0.00 |
| 90716 |
|
53 |
53 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
89 |
72 |
$0.00 |
| 90744 |
|
16 |
16 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
36 |
36 |
$0.00 |
| Z6406 |
|
13 |
13 |
$0.00 |
| 90696 |
|
16 |
16 |
$0.00 |
| 90658 |
|
420 |
419 |
$0.00 |
| 90670 |
|
961 |
960 |
$0.00 |
| Z6500 |
|
334 |
334 |
$0.00 |
| 90715 |
|
371 |
371 |
$0.00 |
| 90710 |
|
304 |
303 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
215 |
214 |
$0.00 |
| 99173 |
|
1,036 |
1,036 |
$0.00 |
| 1160F |
|
6,496 |
5,570 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
880 |
880 |
$0.00 |
| 1159F |
|
6,487 |
5,567 |
$0.00 |
| 80061 |
Lipid panel |
414 |
407 |
$0.00 |
| Z6400 |
|
475 |
471 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
119 |
119 |
$0.00 |
| 90700 |
|
96 |
95 |
$0.00 |
| 90633 |
|
538 |
537 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
752 |
749 |
$0.00 |
| 90461 |
|
1,452 |
1,445 |
$0.00 |
| VSY5 |
|
520 |
502 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
67 |
67 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,385 |
2,353 |
$0.00 |
| 99201 |
|
30 |
30 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
32 |
32 |
$0.00 |
| 82948 |
|
859 |
790 |
$0.00 |
| 3078F |
|
17 |
17 |
$0.00 |
| Z6414 |
|
89 |
69 |
$0.00 |
| 2028F |
|
84 |
84 |
$0.00 |
| PROP5 |
|
85 |
71 |
$0.00 |
| 90681 |
|
293 |
293 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
206 |
206 |
$0.00 |
| 90648 |
|
282 |
282 |
$0.00 |
| 90649 |
|
12 |
12 |
$0.00 |
| 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 |
554 |
499 |
$0.00 |
| Z6304 |
|
13 |
13 |
$0.00 |
| 90734 |
|
58 |
58 |
$0.00 |
| 90655 |
|
198 |
198 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
88 |
86 |
$0.00 |
| 90713 |
|
23 |
23 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$0.00 |
| 90707 |
|
43 |
43 |
$0.00 |
| 86328 |
|
51 |
51 |
$0.00 |
| 3725F |
|
83 |
78 |
$0.00 |
| 86318 |
|
58 |
57 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
46 |
46 |
$0.00 |