| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
67,282 |
60,631 |
$8.91M |
| 00003 |
Internal/system code - not a standard HCPCS code |
28,806 |
22,818 |
$5.37M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,046 |
22,555 |
$39K |
| 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 |
908 |
679 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,870 |
3,345 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,997 |
1,851 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,119 |
1,991 |
$10K |
| 90791 |
Psychiatric diagnostic evaluation |
210 |
179 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,176 |
3,694 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,921 |
6,651 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,315 |
1,217 |
$5K |
| 92551 |
|
1,230 |
1,038 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
638 |
597 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,081 |
832 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
730 |
694 |
$1K |
| 99173 |
|
1,236 |
1,033 |
$1K |
| 59425 |
|
16 |
14 |
$967.68 |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
16 |
15 |
$756.16 |
| 90715 |
|
70 |
59 |
$611.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
293 |
276 |
$547.02 |
| 99385 |
|
16 |
14 |
$390.56 |
| 99201 |
|
12 |
12 |
$371.04 |
| 81003 |
|
273 |
229 |
$292.19 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
127 |
118 |
$282.31 |
| 85018 |
|
1,024 |
856 |
$277.77 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
65 |
61 |
$165.50 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
19 |
18 |
$132.81 |
| 90670 |
|
792 |
689 |
$86.40 |
| 90723 |
|
688 |
601 |
$84.60 |
| 81025 |
|
42 |
42 |
$84.00 |
| 90686 |
|
277 |
263 |
$82.48 |
| 90647 |
|
608 |
531 |
$64.80 |
| 99215 |
Prolong outpt/office vis |
27 |
26 |
$61.78 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
728 |
530 |
$36.63 |
| 82962 |
|
14 |
14 |
$28.00 |
| 90681 |
|
202 |
168 |
$21.60 |
| 90680 |
|
172 |
163 |
$21.60 |
| 90633 |
|
252 |
220 |
$10.80 |
| 90656 |
|
1,281 |
1,046 |
$10.80 |
| 90707 |
|
61 |
53 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$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 |
70 |
65 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
16 |
16 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90474 |
|
301 |
257 |
$0.00 |
| 90716 |
|
73 |
67 |
$0.00 |
| Z1034 |
|
18 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
43 |
43 |
$0.00 |
| 90651 |
|
40 |
36 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
228 |
205 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
14 |
13 |
$0.00 |
| 99381 |
|
25 |
25 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
125 |
108 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
133 |
106 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
35 |
34 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
15 |
$0.00 |