| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
117,354 |
100,249 |
$21.01M |
| 00003 |
Internal/system code - not a standard HCPCS code |
14,396 |
10,860 |
$3.31M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,001 |
26,224 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,495 |
9,948 |
$11K |
| 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 |
73 |
71 |
$5K |
| 0011A |
|
68 |
68 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16,728 |
15,653 |
$4K |
| 0012A |
|
46 |
46 |
$3K |
| 92551 |
|
181 |
181 |
$1K |
| 83655 |
|
90 |
76 |
$990.88 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,055 |
1,017 |
$739.60 |
| 85018 |
|
403 |
402 |
$635.75 |
| 99215 |
Prolong outpt/office vis |
3,249 |
3,114 |
$531.46 |
| 90658 |
|
43 |
43 |
$360.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
92 |
88 |
$337.95 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
286 |
284 |
$327.62 |
| 99173 |
|
113 |
113 |
$165.60 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
584 |
566 |
$157.31 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
614 |
594 |
$101.58 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
74 |
74 |
$56.56 |
| 99383 |
|
30 |
27 |
$54.83 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
65 |
60 |
$37.42 |
| 81025 |
|
12 |
12 |
$30.80 |
| Z6400 |
|
169 |
166 |
$0.00 |
| Z6200 |
|
27 |
27 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
303 |
292 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
12 |
12 |
$0.00 |
| 3078F |
|
83 |
73 |
$0.00 |
| Z6300 |
|
28 |
28 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$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 |
17 |
13 |
$0.00 |
| 90633 |
|
15 |
15 |
$0.00 |
| Z6410 |
|
342 |
316 |
$0.00 |
| Z1034 |
|
3,570 |
2,309 |
$0.00 |
| Z1032 |
|
50 |
50 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
677 |
312 |
$0.00 |
| 3074F |
|
79 |
68 |
$0.00 |
| 90686 |
|
72 |
72 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 99384 |
|
53 |
52 |
$0.00 |
| Z6406 |
|
161 |
147 |
$0.00 |
| 92250 |
|
30 |
30 |
$0.00 |
| 99000 |
|
82 |
82 |
$0.00 |
| Z1038 |
|
13 |
12 |
$0.00 |
| 3008F |
|
41 |
30 |
$0.00 |
| Z6402 |
|
28 |
28 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
15 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
21 |
15 |
$0.00 |