| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00003 |
Internal/system code - not a standard HCPCS code |
69,685 |
54,669 |
$37.43M |
| T1015 |
Clinic visit/encounter, all-inclusive |
41,290 |
28,983 |
$21.88M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,897 |
19,053 |
$3.22M |
| 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 |
6,321 |
4,764 |
$1.90M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,176 |
5,719 |
$1.04M |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
1,596 |
1,139 |
$987K |
| 97810 |
|
785 |
504 |
$564K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,414 |
5,877 |
$495K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,385 |
2,455 |
$336K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,584 |
835 |
$141K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,300 |
1,007 |
$122K |
| 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 |
793 |
639 |
$119K |
| 98940 |
|
197 |
149 |
$119K |
| 0561 |
|
516 |
346 |
$116K |
| 3074F |
|
1,735 |
1,578 |
$97K |
| 97813 |
|
127 |
85 |
$91K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
404 |
404 |
$75K |
| 90832 |
Psychotherapy, 30 minutes with patient |
983 |
819 |
$56K |
| 99215 |
Prolong outpt/office vis |
377 |
363 |
$46K |
| 3077F |
|
430 |
403 |
$36K |
| 97035 |
|
161 |
98 |
$28K |
| 90791 |
Psychiatric diagnostic evaluation |
279 |
271 |
$21K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
104 |
102 |
$20K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
749 |
397 |
$15K |
| 90686 |
|
879 |
873 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
178 |
119 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
27 |
$12K |
| 3075F |
|
281 |
273 |
$11K |
| 99442 |
|
735 |
662 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
777 |
756 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
28 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
60 |
60 |
$5K |
| 90688 |
|
93 |
91 |
$4K |
| 80305 |
|
205 |
195 |
$2K |
| 0001A |
|
55 |
55 |
$2K |
| 0002A |
|
52 |
52 |
$2K |
| 3078F |
|
1,622 |
1,479 |
$2K |
| 81003 |
|
199 |
183 |
$1K |
| 0510 |
|
71 |
67 |
$1K |
| 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 |
32 |
$853.85 |
| 0900 |
|
262 |
189 |
$479.00 |
| 90651 |
|
12 |
12 |
$427.00 |
| 90715 |
|
27 |
27 |
$427.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
121 |
115 |
$313.07 |
| 85018 |
|
14 |
14 |
$0.00 |
| 3079F |
|
580 |
553 |
$0.00 |
| 0520 |
|
33 |
30 |
$0.00 |
| 3080F |
|
245 |
231 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$0.00 |
| 97161 |
|
65 |
63 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
42 |
38 |
$0.00 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
63 |
35 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
25 |
25 |
$0.00 |