| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
198,755 |
126,593 |
$31.10M |
| 00003 |
Internal/system code - not a standard HCPCS code |
2,849 |
2,219 |
$576K |
| G9012 |
Other specified case management service not elsewhere classified |
7,835 |
3,134 |
$331K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
84,481 |
64,511 |
$102K |
| 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 |
14,238 |
10,858 |
$49K |
| 90832 |
Psychotherapy, 30 minutes with patient |
35,851 |
15,069 |
$38K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
8,411 |
6,462 |
$27K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
4,292 |
2,156 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,289 |
7,289 |
$17K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
3,579 |
2,963 |
$16K |
| 90791 |
Psychiatric diagnostic evaluation |
7,106 |
5,182 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16,450 |
12,457 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,098 |
2,865 |
$9K |
| 98940 |
|
4,031 |
2,383 |
$7K |
| 90461 |
|
1,274 |
1,173 |
$4K |
| 97803 |
|
2,871 |
1,092 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,592 |
2,329 |
$4K |
| 96156 |
|
3,868 |
3,610 |
$2K |
| 99243 |
|
1,998 |
1,837 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,403 |
1,280 |
$1K |
| 97802 |
|
10,938 |
8,724 |
$1K |
| 86689 |
|
4,565 |
3,986 |
$1K |
| 99442 |
|
48,044 |
33,361 |
$1K |
| 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 |
2,359 |
892 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,176 |
714 |
$1K |
| 86702 |
|
4,549 |
3,975 |
$909.05 |
| 86701 |
|
4,560 |
3,983 |
$823.56 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
415 |
400 |
$727.36 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
5,403 |
5,017 |
$717.38 |
| 90756 |
|
664 |
642 |
$693.50 |
| 99215 |
Prolong outpt/office vis |
360 |
330 |
$686.40 |
| 97811 |
|
1,857 |
1,188 |
$640.00 |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
141 |
125 |
$600.00 |
| 97535 |
Self-care/home management training, each 15 minutes |
3,155 |
2,737 |
$560.52 |
| 92552 |
|
2,540 |
2,358 |
$397.33 |
| 90686 |
|
755 |
699 |
$367.18 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,713 |
1,536 |
$364.57 |
| 97810 |
|
1,837 |
1,176 |
$320.00 |
| 97032 |
|
1,809 |
1,070 |
$308.52 |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,392 |
1,371 |
$266.63 |
| 92081 |
|
416 |
382 |
$237.97 |
| 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 |
3,386 |
1,532 |
$196.17 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
119 |
91 |
$181.38 |
| 3725F |
|
815 |
677 |
$170.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
650 |
511 |
$145.69 |
| 0013A |
|
130 |
116 |
$120.00 |
| 3008F |
|
4,794 |
4,024 |
$112.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
481 |
127 |
$106.94 |
| 99422 |
|
2,433 |
2,094 |
$60.61 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,487 |
2,441 |
$49.78 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
496 |
475 |
$43.41 |
| 96127 |
|
1,852 |
1,693 |
$28.81 |
| 0011A |
|
242 |
239 |
$23.76 |
| 99000 |
|
56 |
55 |
$14.40 |
| 82274 |
|
1,347 |
1,170 |
$14.14 |
| 92551 |
|
182 |
173 |
$10.20 |
| 81000 |
|
202 |
188 |
$5.16 |
| 81001 |
|
52 |
44 |
$4.24 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
251 |
178 |
$2.80 |
| 97813 |
|
706 |
460 |
$0.00 |
| 2025F |
|
287 |
283 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
518 |
469 |
$0.00 |
| 97012 |
|
752 |
468 |
$0.00 |
| 90648 |
|
18 |
15 |
$0.00 |
| G9920 |
Screening performed and negative |
126 |
102 |
$0.00 |
| 90658 |
|
54 |
51 |
$0.00 |
| 90700 |
|
28 |
27 |
$0.00 |
| 3077F |
|
31 |
31 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
449 |
386 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |
| 3078F |
|
182 |
182 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
307 |
288 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
72 |
70 |
$0.00 |
| 90633 |
|
122 |
121 |
$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 |
84 |
81 |
$0.00 |
| 2022F |
|
92 |
58 |
$0.00 |
| G0403 |
Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report |
147 |
143 |
$0.00 |
| 0002A |
|
14 |
14 |
$0.00 |
| G0104 |
Colorectal cancer screening; flexible sigmoidoscopy |
310 |
304 |
$0.00 |
| 90670 |
|
125 |
123 |
$0.00 |
| 99411 |
|
43 |
43 |
$0.00 |
| 1160F |
|
20 |
13 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
224 |
185 |
$0.00 |
| 90685 |
|
61 |
57 |
$0.00 |
| 90621 |
|
20 |
20 |
$0.00 |
| 90715 |
|
61 |
52 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
197 |
118 |
$0.00 |
| 2024F |
|
26 |
26 |
$0.00 |
| 99421 |
|
25 |
24 |
$0.00 |
| 99201 |
|
26 |
19 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
41 |
29 |
$0.00 |
| 90653 |
|
13 |
13 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
50 |
29 |
$0.00 |
| 1125F |
|
120 |
120 |
$0.00 |
| 97814 |
|
717 |
468 |
$0.00 |
| 97124 |
|
2,618 |
1,533 |
$0.00 |
| 99443 |
|
14,747 |
11,960 |
$0.00 |
| 99386 |
|
177 |
174 |
$0.00 |
| 3074F |
|
188 |
170 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
4,219 |
3,752 |
$0.00 |
| 90619 |
|
129 |
110 |
$0.00 |
| 86704 |
|
140 |
138 |
$0.00 |
| 90651 |
|
213 |
199 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
585 |
528 |
$0.00 |
| 99441 |
|
1,280 |
1,096 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
24 |
19 |
$0.00 |
| 99495 |
|
57 |
54 |
$0.00 |
| 0012A |
|
54 |
53 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
428 |
269 |
$0.00 |
| 82950 |
|
76 |
69 |
$0.00 |
| 86580 |
|
28 |
25 |
$0.00 |
| 90716 |
|
37 |
37 |
$0.00 |
| 90875 |
|
291 |
261 |
$0.00 |
| 1170F |
|
240 |
240 |
$0.00 |
| 97010 |
|
64 |
28 |
$0.00 |
| 93000 |
|
99 |
99 |
$0.00 |
| 3072F |
|
15 |
15 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
20 |
18 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| 99444 |
|
25 |
24 |
$0.00 |
| 90698 |
|
26 |
26 |
$0.00 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
92 |
42 |
$0.00 |
| 90744 |
|
15 |
14 |
$0.00 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
12 |
12 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 2023F |
|
49 |
44 |
$0.00 |
| 57410 |
|
13 |
12 |
$0.00 |
| 0031A |
|
28 |
28 |
$0.00 |
| 1126F |
|
66 |
60 |
$0.00 |
| 99385 |
|
13 |
13 |
$0.00 |