| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
63,924 |
39,341 |
$35.80M |
| 00003 |
Internal/system code - not a standard HCPCS code |
42,052 |
29,791 |
$22.21M |
| 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 |
12,835 |
8,030 |
$5.17M |
| 97810 |
|
1,785 |
1,080 |
$1.04M |
| 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 |
223 |
132 |
$87K |
| 98940 |
|
51 |
41 |
$32K |
| 97811 |
|
81 |
43 |
$20K |
| 0001A |
|
313 |
313 |
$12K |
| 0002A |
|
293 |
293 |
$12K |
| 0012A |
|
218 |
217 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,462 |
25,020 |
$6K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
15 |
13 |
$5K |
| 0011A |
|
250 |
250 |
$5K |
| 0064A |
|
122 |
122 |
$4K |
| 0004A |
|
65 |
65 |
$3K |
| 0071A |
|
46 |
46 |
$2K |
| 0072A |
|
28 |
28 |
$1K |
| 90480 |
|
27 |
27 |
$1K |
| 0134A |
|
19 |
19 |
$760.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15,163 |
12,728 |
$612.17 |
| 0124A |
|
15 |
15 |
$600.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
5,879 |
2,847 |
$88.22 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,881 |
7,790 |
$43.03 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
424 |
419 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
187 |
187 |
$0.00 |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
15 |
12 |
$0.00 |
| 81003 |
|
1,884 |
1,491 |
$0.00 |
| 80305 |
|
665 |
585 |
$0.00 |
| 90670 |
|
269 |
252 |
$0.00 |
| 81025 |
|
523 |
492 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
635 |
474 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,179 |
782 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
153 |
150 |
$0.00 |
| 86703 |
|
54 |
53 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
297 |
262 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
848 |
796 |
$0.00 |
| 90715 |
|
195 |
194 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,171 |
1,118 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
188 |
172 |
$0.00 |
| 99173 |
|
885 |
881 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
195 |
186 |
$0.00 |
| 92134 |
|
19 |
19 |
$0.00 |
| 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 |
67 |
56 |
$0.00 |
| 90633 |
|
48 |
46 |
$0.00 |
| 90710 |
|
69 |
67 |
$0.00 |
| 90685 |
|
22 |
19 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$0.00 |
| 80348 |
|
14 |
13 |
$0.00 |
| 90734 |
|
29 |
29 |
$0.00 |
| 90863 |
|
16 |
13 |
$0.00 |
| 90662 |
|
40 |
40 |
$0.00 |
| 97161 |
|
12 |
12 |
$0.00 |
| 90473 |
|
13 |
13 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
913 |
881 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,590 |
2,506 |
$0.00 |
| 97016 |
|
548 |
360 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
102 |
86 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,180 |
1,452 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
4,107 |
2,919 |
$0.00 |
| 36416 |
|
741 |
708 |
$0.00 |
| 90688 |
|
109 |
107 |
$0.00 |
| 90723 |
|
80 |
80 |
$0.00 |
| 90686 |
|
944 |
924 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
271 |
246 |
$0.00 |
| 97026 |
|
215 |
149 |
$0.00 |
| 92551 |
|
747 |
736 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
363 |
359 |
$0.00 |
| 82962 |
|
44 |
40 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
489 |
401 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
86 |
86 |
$0.00 |
| 90647 |
|
90 |
84 |
$0.00 |
| 90651 |
|
46 |
46 |
$0.00 |
| 97014 |
|
31 |
25 |
$0.00 |
| 85018 |
|
56 |
55 |
$0.00 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
40 |
26 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
16 |
12 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
15 |
14 |
$0.00 |