| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00003 |
Internal/system code - not a standard HCPCS code |
32,934 |
25,204 |
$6.02M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
77,586 |
61,660 |
$3.54M |
| T1015 |
Clinic visit/encounter, all-inclusive |
55,272 |
45,676 |
$2.91M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,784 |
6,936 |
$580K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,434 |
2,552 |
$377K |
| 96156 |
|
3,298 |
3,270 |
$292K |
| G9012 |
Other specified case management service not elsewhere classified |
417 |
417 |
$240K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,333 |
1,291 |
$184K |
| 0002A |
|
3,467 |
1,971 |
$113K |
| 0001A |
|
3,475 |
1,926 |
$106K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,108 |
3,994 |
$98K |
| 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 |
6,780 |
5,592 |
$80K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,992 |
2,672 |
$64K |
| 90750 |
|
354 |
353 |
$57K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
220 |
220 |
$55K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
665 |
506 |
$51K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
447 |
447 |
$49K |
| 0012A |
|
1,514 |
867 |
$48K |
| 93000 |
|
1,094 |
1,088 |
$47K |
| 0011A |
|
1,479 |
817 |
$43K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
2,056 |
1,743 |
$37K |
| 90791 |
Psychiatric diagnostic evaluation |
233 |
233 |
$35K |
| 99385 |
|
265 |
202 |
$22K |
| 90746 |
|
298 |
298 |
$20K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
348 |
346 |
$16K |
| 90677 |
|
50 |
50 |
$13K |
| 97811 |
|
945 |
464 |
$10K |
| 81003 |
|
520 |
494 |
$8K |
| 0004A |
|
199 |
199 |
$8K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
269 |
269 |
$8K |
| 97810 |
|
671 |
451 |
$8K |
| 90715 |
|
224 |
223 |
$7K |
| 99495 |
|
14 |
13 |
$6K |
| 86704 |
|
206 |
203 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
1,055 |
1,021 |
$6K |
| 81001 |
|
1,108 |
1,078 |
$6K |
| 86803 |
|
194 |
194 |
$6K |
| 99215 |
Prolong outpt/office vis |
163 |
98 |
$5K |
| 0064A |
|
121 |
121 |
$5K |
| 86317 |
|
174 |
174 |
$5K |
| 90656 |
|
281 |
281 |
$5K |
| 81025 |
|
232 |
221 |
$4K |
| 86708 |
|
158 |
158 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
195 |
190 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
218 |
216 |
$3K |
| 90732 |
|
38 |
38 |
$3K |
| 0031A |
|
69 |
39 |
$2K |
| 99386 |
|
14 |
14 |
$2K |
| 99205 |
Prolong outpt/office vis |
46 |
31 |
$2K |
| 90688 |
|
69 |
69 |
$1K |
| 85018 |
|
173 |
169 |
$992.31 |
| 87341 |
|
13 |
13 |
$960.00 |
| 97026 |
|
78 |
55 |
$828.81 |
| 92553 |
|
28 |
27 |
$739.88 |
| 88141 |
|
12 |
12 |
$707.00 |
| 99407 |
|
47 |
46 |
$677.28 |
| 0013A |
|
14 |
14 |
$560.00 |
| 0003A |
|
12 |
12 |
$480.00 |
| H0049 |
Alcohol and/or drug screening |
15 |
15 |
$457.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19 |
15 |
$380.49 |
| 80061 |
Lipid panel |
24 |
24 |
$359.67 |
| 80053 |
Comprehensive metabolic panel |
28 |
28 |
$326.97 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
14 |
14 |
$270.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
19 |
19 |
$262.42 |
| 84443 |
Thyroid stimulating hormone (TSH) |
16 |
16 |
$248.08 |
| 82962 |
|
31 |
26 |
$191.16 |
| 36410 |
|
33 |
32 |
$171.01 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
13 |
$170.00 |
| 1159F |
|
3,166 |
2,940 |
$168.50 |
| 3725F |
|
703 |
692 |
$164.72 |
| 99173 |
|
12 |
12 |
$62.26 |
| 2010F |
|
2,491 |
2,299 |
$9.02 |
| 2000F |
|
941 |
880 |
$9.01 |
| 3075F |
|
138 |
136 |
$9.00 |
| 1160F |
|
3,203 |
2,968 |
$2.03 |
| 1033F |
|
1,165 |
1,064 |
$1.30 |
| 90686 |
|
49 |
49 |
$0.29 |
| 1030F |
|
805 |
753 |
$0.12 |
| 3079F |
|
121 |
117 |
$0.02 |
| 4013F |
|
187 |
184 |
$0.01 |
| 3074F |
|
268 |
265 |
$0.01 |
| 3077F |
|
88 |
78 |
$0.00 |
| 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 |
96 |
74 |
$0.00 |
| 3078F |
|
464 |
450 |
$0.00 |
| 0521 |
|
387 |
287 |
$0.00 |
| 3015F |
|
14 |
14 |
$0.00 |
| 1158F |
|
12 |
12 |
$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 |
15 |
14 |
$0.00 |
| 3008F |
|
2,554 |
2,361 |
$0.00 |
| 1126F |
|
322 |
302 |
$0.00 |
| 1125F |
|
221 |
212 |
$0.00 |
| 0001F |
|
55 |
55 |
$0.00 |
| 1111F |
|
207 |
200 |
$0.00 |
| 3044F |
|
30 |
29 |
$0.00 |
| 3061F |
|
14 |
12 |
$0.00 |
| 1036F |
|
36 |
35 |
$0.00 |
| 3017F |
|
30 |
30 |
$0.00 |