| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
141,780 |
125,277 |
$29.19M |
| 00003 |
Internal/system code - not a standard HCPCS code |
82,161 |
73,584 |
$19.50M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
115,583 |
72,614 |
$835K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37,278 |
21,744 |
$149K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,574 |
8,958 |
$112K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
563 |
422 |
$38K |
| 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 |
6,174 |
4,714 |
$35K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,015 |
1,352 |
$34K |
| 90791 |
Psychiatric diagnostic evaluation |
1,606 |
928 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,956 |
1,252 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,344 |
871 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,235 |
931 |
$20K |
| 91320 |
|
590 |
531 |
$20K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,834 |
911 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,266 |
3,151 |
$17K |
| 90746 |
|
1,296 |
1,171 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,618 |
998 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
614 |
458 |
$15K |
| 59425 |
|
697 |
480 |
$14K |
| 92552 |
|
4,230 |
2,878 |
$14K |
| 90480 |
|
626 |
565 |
$11K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,280 |
529 |
$9K |
| 90686 |
|
6,984 |
5,252 |
$7K |
| 90715 |
|
1,055 |
910 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
676 |
514 |
$7K |
| 99490 |
Ccm add 20min |
616 |
616 |
$6K |
| 90677 |
|
119 |
92 |
$6K |
| 90662 |
|
974 |
806 |
$4K |
| 90688 |
|
1,239 |
1,157 |
$4K |
| G9920 |
Screening performed and negative |
476 |
293 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
151 |
108 |
$3K |
| 85018 |
|
6,465 |
4,405 |
$3K |
| 90656 |
|
668 |
572 |
$2K |
| 99443 |
|
713 |
476 |
$2K |
| 90632 |
|
281 |
278 |
$2K |
| 90649 |
|
294 |
254 |
$2K |
| 81002 |
|
3,899 |
2,487 |
$2K |
| 99385 |
|
45 |
45 |
$2K |
| 99442 |
|
3,174 |
2,890 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
766 |
462 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
193 |
144 |
$903.35 |
| 0124A |
|
12 |
12 |
$737.00 |
| 86580 |
|
288 |
280 |
$645.14 |
| 99454 |
|
77 |
77 |
$484.90 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
29 |
29 |
$484.02 |
| 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 |
35 |
34 |
$476.00 |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$308.10 |
| 81025 |
|
497 |
425 |
$271.45 |
| 90674 |
|
304 |
304 |
$255.00 |
| 99384 |
|
22 |
12 |
$177.15 |
| 90651 |
|
324 |
281 |
$146.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
211 |
195 |
$141.76 |
| 82948 |
|
339 |
302 |
$107.01 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
72 |
51 |
$91.96 |
| 99441 |
|
1,588 |
1,536 |
$89.37 |
| 86403 |
|
56 |
56 |
$84.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
38 |
38 |
$75.50 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
36 |
26 |
$71.66 |
| 99173 |
|
3,631 |
2,827 |
$70.30 |
| 99401 |
|
12 |
12 |
$67.28 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
14 |
$50.00 |
| 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 |
49 |
42 |
$38.40 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
12 |
12 |
$30.00 |
| G0008 |
Administration of influenza virus vaccine |
499 |
414 |
$28.96 |
| 92227 |
|
274 |
241 |
$28.86 |
| 90714 |
|
16 |
13 |
$23.29 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
13 |
13 |
$20.84 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
4,653 |
2,980 |
$18.41 |
| 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 |
379 |
379 |
$15.59 |
| 90734 |
|
281 |
252 |
$15.00 |
| Z1034 |
|
672 |
485 |
$0.00 |
| 90620 |
|
65 |
54 |
$0.00 |
| 99383 |
|
18 |
15 |
$0.00 |
| 90697 |
|
28 |
19 |
$0.00 |
| G9012 |
Other specified case management service not elsewhere classified |
65 |
57 |
$0.00 |
| 90698 |
|
57 |
48 |
$0.00 |
| 90744 |
|
32 |
29 |
$0.00 |
| 90680 |
|
32 |
24 |
$0.00 |
| 36416 |
|
19 |
16 |
$0.00 |
| 90670 |
|
304 |
231 |
$0.00 |
| 2028F |
|
943 |
838 |
$0.00 |
| 90685 |
|
166 |
110 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
36 |
28 |
$0.00 |
| 90633 |
|
68 |
39 |
$0.00 |
| 99201 |
|
13 |
13 |
$0.00 |