| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00003 |
Internal/system code - not a standard HCPCS code |
58,165 |
42,080 |
$16.98M |
| T1015 |
Clinic visit/encounter, all-inclusive |
32,800 |
27,731 |
$7.50M |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,747 |
776 |
$56K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,070 |
18,859 |
$22K |
| 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 |
4,243 |
3,750 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
860 |
637 |
$14K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,720 |
1,175 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,866 |
3,009 |
$6K |
| 0012A |
|
94 |
79 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
399 |
292 |
$3K |
| 0011A |
|
77 |
77 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,337 |
1,448 |
$2K |
| 99215 |
Prolong outpt/office vis |
486 |
447 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
76 |
28 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
103 |
81 |
$843.78 |
| 90756 |
|
39 |
36 |
$654.36 |
| 90686 |
|
91 |
80 |
$639.09 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
52 |
38 |
$275.60 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
27 |
$219.32 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
12 |
$171.60 |
| 92551 |
|
258 |
176 |
$168.30 |
| 99386 |
|
23 |
14 |
$132.20 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,052 |
3,399 |
$119.13 |
| 99385 |
|
49 |
31 |
$114.10 |
| 81002 |
|
250 |
177 |
$45.15 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
42 |
29 |
$43.85 |
| 81025 |
|
13 |
13 |
$36.40 |
| 85018 |
|
27 |
14 |
$2.07 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
73 |
69 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$0.00 |
| 99442 |
|
35 |
34 |
$0.00 |
| 99173 |
|
72 |
72 |
$0.00 |
| 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 |
31 |
31 |
$0.00 |