| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00003 |
Internal/system code - not a standard HCPCS code |
219,682 |
157,767 |
$115.94M |
| T1015 |
Clinic visit/encounter, all-inclusive |
162,923 |
119,509 |
$88.53M |
| 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 |
15,188 |
12,011 |
$3.84M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58,127 |
50,867 |
$2.53M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32,768 |
28,905 |
$1.12M |
| 0561 |
|
4,862 |
1,988 |
$581K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
11,635 |
10,832 |
$481K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
11,108 |
10,256 |
$474K |
| 90837 |
Psychotherapy, 53 minutes with patient |
7,102 |
3,862 |
$461K |
| 59425 |
|
2,251 |
1,547 |
$446K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
9,016 |
7,927 |
$443K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,837 |
8,321 |
$406K |
| 90834 |
Psychotherapy, 45 minutes with patient |
8,330 |
4,544 |
$383K |
| 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 |
1,632 |
875 |
$214K |
| 90832 |
Psychotherapy, 30 minutes with patient |
5,255 |
2,500 |
$168K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,979 |
4,938 |
$157K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
12,983 |
8,886 |
$123K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
9,041 |
5,563 |
$74K |
| 85018 |
|
11,373 |
10,718 |
$63K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,415 |
2,396 |
$60K |
| 90670 |
|
8,622 |
8,100 |
$55K |
| 90686 |
|
11,835 |
11,462 |
$47K |
| 90791 |
Psychiatric diagnostic evaluation |
1,002 |
928 |
$46K |
| 0002A |
|
1,122 |
1,113 |
$41K |
| 90723 |
|
6,852 |
6,468 |
$36K |
| 0001A |
|
1,049 |
1,037 |
$33K |
| 99381 |
|
1,420 |
1,329 |
$29K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
796 |
766 |
$27K |
| 99382 |
|
113 |
107 |
$22K |
| 90710 |
|
3,837 |
3,680 |
$21K |
| 90633 |
|
4,326 |
4,043 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,664 |
3,245 |
$18K |
| 99215 |
Prolong outpt/office vis |
1,002 |
966 |
$18K |
| 59430 |
|
1,110 |
1,058 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,018 |
1,007 |
$12K |
| 99383 |
|
233 |
230 |
$10K |
| 0502F |
|
11,936 |
7,657 |
$9K |
| 0004A |
|
232 |
232 |
$9K |
| 0071A |
|
241 |
241 |
$9K |
| D1206 |
Topical application of fluoride varnish |
93 |
91 |
$9K |
| 90700 |
|
2,287 |
2,077 |
$9K |
| 90647 |
|
6,630 |
6,249 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
190 |
185 |
$8K |
| 99000 |
|
11,558 |
10,883 |
$7K |
| 90685 |
|
148 |
143 |
$7K |
| 0072A |
|
168 |
168 |
$7K |
| 97802 |
|
306 |
250 |
$5K |
| 0064A |
|
127 |
127 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
124 |
123 |
$5K |
| 0012A |
|
203 |
201 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
148 |
139 |
$3K |
| 90651 |
|
2,195 |
2,179 |
$3K |
| 0011A |
|
197 |
195 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
107 |
92 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,076 |
3,031 |
$2K |
| 90696 |
|
1,571 |
1,547 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,370 |
1,342 |
$2K |
| 0031A |
|
62 |
60 |
$2K |
| 90681 |
|
3,742 |
3,533 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
501 |
470 |
$1K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,148 |
480 |
$1K |
| 90715 |
|
2,597 |
2,572 |
$1K |
| 36416 |
|
13,343 |
12,412 |
$1K |
| J3490 |
Unclassified drugs |
12 |
12 |
$910.00 |
| 92551 |
|
6,613 |
6,541 |
$892.00 |
| 99173 |
|
7,007 |
6,922 |
$882.00 |
| 0900 |
|
52 |
32 |
$673.48 |
| 94760 |
|
1,470 |
1,379 |
$653.80 |
| 99177 |
|
2,969 |
2,725 |
$650.37 |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
2,061 |
1,944 |
$640.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14,109 |
13,428 |
$495.14 |
| 81025 |
|
927 |
898 |
$455.00 |
| 81003 |
|
1,884 |
1,796 |
$337.39 |
| 82962 |
|
2,875 |
2,786 |
$313.07 |
| 99188 |
|
9,932 |
9,228 |
$76.60 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,635 |
5,420 |
$70.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,242 |
11,668 |
$39.60 |
| 86580 |
|
26 |
24 |
$11.81 |
| 83655 |
|
803 |
756 |
$10.72 |
| 96160 |
|
20,593 |
19,539 |
$5.04 |
| 90734 |
|
1,530 |
1,519 |
$0.00 |
| 3078F |
|
2,307 |
2,174 |
$0.00 |
| H1000 |
Prenatal care, at-risk assessment |
784 |
776 |
$0.00 |
| 4013F |
|
1,436 |
1,322 |
$0.00 |
| 90746 |
|
214 |
214 |
$0.00 |
| 3077F |
|
1,609 |
1,491 |
$0.00 |
| 2028F |
|
442 |
437 |
$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 |
2,245 |
1,694 |
$0.00 |
| 90750 |
|
482 |
477 |
$0.00 |
| 90662 |
|
190 |
190 |
$0.00 |
| 90461 |
|
7,295 |
6,970 |
$0.00 |
| 86328 |
|
942 |
921 |
$0.00 |
| 90672 |
|
316 |
314 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
25 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
96 |
94 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
515 |
499 |
$0.00 |
| Z6400 |
|
192 |
189 |
$0.00 |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
160 |
131 |
$0.00 |
| 3046F |
|
260 |
250 |
$0.00 |
| 0124A |
|
14 |
14 |
$0.00 |
| 69209 |
|
12 |
12 |
$0.00 |
| 99401 |
|
226 |
220 |
$0.00 |
| 3051F |
|
72 |
71 |
$0.00 |
| 17110 |
|
25 |
24 |
$0.00 |
| 90473 |
|
164 |
163 |
$0.00 |
| 3045F |
|
29 |
28 |
$0.00 |
| 90671 |
|
298 |
289 |
$0.00 |
| 97803 |
|
13 |
12 |
$0.00 |
| Z1034 |
|
1,414 |
1,075 |
$0.00 |
| 3074F |
|
2,457 |
2,318 |
$0.00 |
| 96127 |
|
434 |
417 |
$0.00 |
| 3079F |
|
1,712 |
1,647 |
$0.00 |
| 96161 |
|
7,148 |
6,712 |
$0.00 |
| 90474 |
|
913 |
811 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
4,621 |
4,502 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
419 |
405 |
$0.00 |
| 3080F |
|
837 |
792 |
$0.00 |
| 90688 |
|
46 |
43 |
$0.00 |
| 3075F |
|
810 |
793 |
$0.00 |
| 3044F |
|
755 |
737 |
$0.00 |
| 90620 |
|
179 |
178 |
$0.00 |
| 0503F |
|
945 |
889 |
$0.00 |
| 0501F |
|
867 |
856 |
$0.00 |
| 96156 |
|
326 |
295 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
628 |
612 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
179 |
178 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
51 |
39 |
$0.00 |
| 97750 |
|
247 |
238 |
$0.00 |
| 87807 |
|
210 |
178 |
$0.00 |
| 90732 |
|
83 |
81 |
$0.00 |
| 90739 |
|
194 |
192 |
$0.00 |
| 90677 |
|
206 |
206 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
55 |
42 |
$0.00 |
| 99384 |
|
27 |
26 |
$0.00 |
| 1220F |
|
86 |
86 |
$0.00 |
| 87428 |
|
28 |
27 |
$0.00 |
| 99417 |
Prolong home eval add 15m |
47 |
45 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
20 |
17 |
$0.00 |
| 4010F |
|
46 |
44 |
$0.00 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
31 |
24 |
$0.00 |
| 90480 |
|
13 |
13 |
$0.00 |
| 93000 |
|
59 |
58 |
$0.00 |
| 90743 |
|
78 |
78 |
$0.00 |
| 90680 |
|
131 |
105 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
14 |
13 |
$0.00 |
| 99441 |
|
37 |
34 |
$0.00 |
| 3008F |
|
13 |
13 |
$0.00 |
| 0500F |
|
14 |
14 |
$0.00 |