| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
39,955 |
34,019 |
$9.36M |
| 00003 |
Internal/system code - not a standard HCPCS code |
6,668 |
4,871 |
$2.00M |
| 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 |
2,115 |
1,748 |
$289K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,983 |
25,186 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,892 |
8,912 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,423 |
1,241 |
$3K |
| 90686 |
|
1,730 |
1,524 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,831 |
2,427 |
$1K |
| 98940 |
|
1,122 |
587 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
593 |
498 |
$723.09 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
421 |
359 |
$631.44 |
| 92552 |
|
418 |
343 |
$571.33 |
| 90715 |
|
450 |
419 |
$521.99 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
403 |
223 |
$516.28 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,810 |
2,837 |
$365.94 |
| 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 |
18 |
13 |
$297.12 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
179 |
150 |
$265.04 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
83 |
74 |
$228.80 |
| 82948 |
|
2,492 |
2,083 |
$219.03 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
75 |
72 |
$215.52 |
| 1159F |
|
9,130 |
7,934 |
$185.68 |
| 81025 |
|
680 |
558 |
$179.88 |
| 90688 |
|
136 |
129 |
$144.28 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,143 |
891 |
$143.97 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
24 |
$108.05 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
944 |
743 |
$72.06 |
| 82962 |
|
1,464 |
1,018 |
$71.23 |
| 86580 |
|
80 |
76 |
$67.14 |
| 85018 |
|
1,273 |
993 |
$56.92 |
| 99215 |
Prolong outpt/office vis |
92 |
66 |
$56.63 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
182 |
158 |
$38.94 |
| 81002 |
|
140 |
132 |
$38.22 |
| 90670 |
|
13 |
13 |
$37.29 |
| 90658 |
|
16 |
16 |
$27.96 |
| 90649 |
|
25 |
25 |
$27.96 |
| 81003 |
|
997 |
800 |
$24.57 |
| 99406 |
|
92 |
65 |
$20.72 |
| 90734 |
|
93 |
71 |
$9.45 |
| Z1034 |
|
173 |
96 |
$0.00 |
| 3008F |
|
7,108 |
6,572 |
$0.00 |
| 3074F |
|
973 |
913 |
$0.00 |
| 3079F |
|
731 |
688 |
$0.00 |
| 3075F |
|
310 |
300 |
$0.00 |
| 90656 |
|
177 |
147 |
$0.00 |
| 3044F |
|
39 |
39 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 90636 |
|
17 |
15 |
$0.00 |
| 90677 |
|
30 |
26 |
$0.00 |
| 3080F |
|
13 |
13 |
$0.00 |
| 3078F |
|
1,118 |
1,031 |
$0.00 |
| 1160F |
|
8,202 |
7,110 |
$0.00 |
| 3077F |
|
256 |
235 |
$0.00 |
| 90707 |
|
16 |
16 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16 |
14 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
51 |
36 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
17 |
13 |
$0.00 |
| Z7500 |
|
30 |
29 |
$0.00 |