| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00003 |
Internal/system code - not a standard HCPCS code |
22,659 |
17,660 |
$5.83M |
| T1015 |
Clinic visit/encounter, all-inclusive |
29,868 |
25,306 |
$4.43M |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,482 |
539 |
$107K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,701 |
3,751 |
$95K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,691 |
13,543 |
$84K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,802 |
3,880 |
$19K |
| 99205 |
Prolong outpt/office vis |
159 |
94 |
$18K |
| 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 |
329 |
271 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
908 |
683 |
$9K |
| 97814 |
|
696 |
297 |
$2K |
| 97813 |
|
693 |
296 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
18 |
15 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
675 |
524 |
$782.03 |
| 90832 |
Psychotherapy, 30 minutes with patient |
38 |
28 |
$753.00 |
| 99215 |
Prolong outpt/office vis |
133 |
85 |
$607.95 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
50 |
41 |
$481.28 |
| 97810 |
|
125 |
65 |
$360.00 |
| 97811 |
|
124 |
65 |
$360.00 |
| 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 |
14 |
14 |
$346.64 |
| 90750 |
|
21 |
14 |
$316.06 |
| 90656 |
|
99 |
82 |
$284.59 |
| 99000 |
|
3,339 |
3,160 |
$227.82 |
| 90686 |
|
176 |
138 |
$150.44 |
| 99347 |
|
72 |
69 |
$22.62 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
25 |
16 |
$10.77 |
| 90746 |
|
15 |
13 |
$8.00 |
| 82948 |
|
20 |
12 |
$5.12 |
| 84443 |
Thyroid stimulating hormone (TSH) |
78 |
77 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
142 |
142 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
176 |
175 |
$0.00 |
| 84480 |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| 99385 |
|
19 |
12 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
128 |
127 |
$0.00 |
| 99341 |
|
41 |
40 |
$0.00 |
| 86706 |
|
12 |
12 |
$0.00 |
| 86592 |
|
25 |
25 |
$0.00 |
| 81000 |
|
25 |
25 |
$0.00 |
| 86704 |
|
12 |
12 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
29 |
29 |
$0.00 |
| 86803 |
|
13 |
13 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
12 |
12 |
$0.00 |
| 84439 |
|
38 |
38 |
$0.00 |
| 80061 |
Lipid panel |
108 |
107 |
$0.00 |
| 99442 |
|
14 |
13 |
$0.00 |
| 86708 |
|
12 |
12 |
$0.00 |