| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
49,858 |
41,356 |
$3.82M |
| 00003 |
Internal/system code - not a standard HCPCS code |
23,620 |
11,704 |
$3.61M |
| 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 |
1,292 |
1,125 |
$38K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,614 |
1,408 |
$30K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
1,006 |
1,004 |
$12K |
| 92081 |
|
6,850 |
6,734 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,484 |
27,685 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,164 |
6,733 |
$3K |
| 90686 |
|
3,705 |
3,660 |
$2K |
| 99000 |
|
18,510 |
17,094 |
$2K |
| 90651 |
|
353 |
341 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
821 |
812 |
$1K |
| 92551 |
|
6,652 |
6,535 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,288 |
1,266 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14,149 |
12,422 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,084 |
1,075 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
978 |
957 |
$898.20 |
| 90620 |
|
89 |
84 |
$836.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
766 |
743 |
$775.80 |
| 90670 |
|
331 |
328 |
$520.74 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,252 |
6,047 |
$397.47 |
| 90632 |
|
280 |
280 |
$344.90 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
638 |
612 |
$255.45 |
| 90715 |
|
271 |
265 |
$254.50 |
| 99401 |
|
305 |
176 |
$250.30 |
| 90688 |
|
56 |
56 |
$185.00 |
| 90654 |
|
32 |
32 |
$180.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,795 |
1,745 |
$163.86 |
| 36415 |
Collection of venous blood by venipuncture |
12,936 |
12,526 |
$153.00 |
| 90739 |
|
319 |
319 |
$134.25 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
196 |
195 |
$105.24 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
9,099 |
9,009 |
$102.48 |
| 90716 |
|
59 |
59 |
$90.00 |
| H0049 |
Alcohol and/or drug screening |
4,355 |
4,265 |
$89.50 |
| 90633 |
|
244 |
243 |
$81.00 |
| 90734 |
|
149 |
140 |
$81.00 |
| 81001 |
|
2,018 |
1,993 |
$77.18 |
| 99441 |
|
10,785 |
9,706 |
$36.00 |
| 81003 |
|
498 |
457 |
$29.24 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
57 |
55 |
$26.53 |
| 85018 |
|
2,274 |
2,247 |
$22.77 |
| 81025 |
|
196 |
190 |
$22.40 |
| 99442 |
|
7,301 |
6,446 |
$21.00 |
| 90723 |
|
78 |
78 |
$18.00 |
| 90714 |
|
27 |
27 |
$18.00 |
| 90707 |
|
69 |
69 |
$18.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
272 |
267 |
$17.70 |
| 99443 |
|
1,597 |
1,504 |
$15.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
10,182 |
9,677 |
$9.30 |
| S9451 |
Exercise classes, non-physician provider, per session |
9,708 |
9,242 |
$8.70 |
| 86580 |
|
32 |
32 |
$7.91 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,947 |
1,927 |
$6.00 |
| 96151 |
|
1,699 |
1,682 |
$3.00 |
| 96156 |
|
1,936 |
1,934 |
$1.00 |
| 3044F |
|
3,456 |
3,445 |
$0.30 |
| 3074F |
|
1,337 |
1,259 |
$0.30 |
| 96160 |
|
572 |
556 |
$0.30 |
| 3078F |
|
1,077 |
1,021 |
$0.30 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,937 |
4,889 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
7,423 |
7,401 |
$0.00 |
| 86592 |
|
790 |
789 |
$0.00 |
| 82607 |
|
4,819 |
4,810 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,124 |
1,112 |
$0.00 |
| 88142 |
|
171 |
167 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
826 |
806 |
$0.00 |
| 84153 |
|
711 |
710 |
$0.00 |
| 85027 |
|
2,830 |
2,826 |
$0.00 |
| 82746 |
|
3,029 |
3,026 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
8,640 |
8,568 |
$0.00 |
| 1031F |
|
858 |
857 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
7,597 |
7,536 |
$0.00 |
| 1000F |
|
465 |
465 |
$0.00 |
| 3008F |
|
1,194 |
1,194 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
136 |
134 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
797 |
790 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
163 |
157 |
$0.00 |
| 3079F |
|
474 |
459 |
$0.00 |
| 86593 |
|
236 |
235 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
158 |
158 |
$0.00 |
| 83550 |
|
55 |
55 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
121 |
119 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
297 |
288 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
46 |
46 |
$0.00 |
| Z5220 |
|
30 |
30 |
$0.00 |
| 1036F |
|
1,281 |
1,280 |
$0.00 |
| 86706 |
|
31 |
31 |
$0.00 |
| 87490 |
|
107 |
107 |
$0.00 |
| Z6406 |
|
48 |
32 |
$0.00 |
| 82728 |
|
241 |
240 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
221 |
221 |
$0.00 |
| 87510 |
|
13 |
13 |
$0.00 |
| 82043 |
|
109 |
109 |
$0.00 |
| 86803 |
|
107 |
107 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
82 |
82 |
$0.00 |
| Z1034 |
|
99 |
73 |
$0.00 |
| 3075F |
|
184 |
181 |
$0.00 |
| 1034F |
|
56 |
56 |
$0.00 |
| 90656 |
|
104 |
104 |
$0.00 |
| 87088 |
|
15 |
14 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
137 |
115 |
$0.00 |
| 81000 |
|
152 |
152 |
$0.00 |
| 87340 |
|
12 |
12 |
$0.00 |
| 87070 |
|
29 |
29 |
$0.00 |
| 84480 |
|
30 |
30 |
$0.00 |
| 86701 |
|
114 |
114 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
24 |
24 |
$0.00 |
| 86695 |
|
43 |
43 |
$0.00 |
| 4000F |
|
66 |
66 |
$0.00 |
| 85652 |
|
15 |
15 |
$0.00 |
| 87480 |
|
13 |
13 |
$0.00 |
| 0012A |
|
51 |
51 |
$0.00 |
| 0011A |
|
118 |
118 |
$0.00 |
| 0001A |
|
36 |
36 |
$0.00 |
| 96150 |
|
12 |
12 |
$0.00 |
| 91307 |
|
15 |
15 |
$0.00 |
| 99408 |
|
320 |
320 |
$0.00 |
| 84439 |
|
3,535 |
3,529 |
$0.00 |
| 86480 |
|
709 |
709 |
$0.00 |
| 80061 |
Lipid panel |
9,474 |
9,409 |
$0.00 |
| 86696 |
|
44 |
44 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
39 |
39 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
256 |
256 |
$0.00 |
| 90648 |
|
126 |
126 |
$0.00 |
| 80074 |
|
238 |
233 |
$0.00 |
| 87338 |
|
47 |
47 |
$0.00 |
| 83540 |
|
136 |
136 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,066 |
1,056 |
$0.00 |
| 1033F |
|
413 |
413 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
347 |
344 |
$0.00 |
| 82565 |
|
119 |
119 |
$0.00 |
| 3725F |
|
1,020 |
1,017 |
$0.00 |
| 84460 |
|
78 |
78 |
$0.00 |
| 90461 |
|
423 |
420 |
$0.00 |
| 90662 |
|
14 |
14 |
$0.00 |
| 1032F |
|
68 |
68 |
$0.00 |
| 90746 |
|
74 |
74 |
$0.00 |
| 81513 |
|
111 |
111 |
$0.00 |
| 90750 |
|
105 |
105 |
$0.00 |
| 86431 |
|
12 |
12 |
$0.00 |
| 86708 |
|
25 |
25 |
$0.00 |
| 87481 |
|
94 |
94 |
$0.00 |
| 99347 |
|
61 |
61 |
$0.00 |
| 99348 |
|
21 |
21 |
$0.00 |
| 84520 |
|
24 |
24 |
$0.00 |
| 83655 |
|
29 |
26 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
12 |
12 |
$0.00 |
| 82274 |
|
94 |
93 |
$0.00 |
| 84450 |
|
28 |
28 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
12 |
12 |
$0.00 |
| 87660 |
|
13 |
13 |
$0.00 |
| 82977 |
|
13 |
13 |
$0.00 |
| 1160F |
|
14 |
14 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
29 |
29 |
$0.00 |
| 0071A |
|
14 |
14 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |
| 3045F |
|
12 |
12 |
$0.00 |
| 84550 |
|
15 |
15 |
$0.00 |