| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
141,108 |
131,527 |
$56.31M |
| 00003 |
Internal/system code - not a standard HCPCS code |
27,397 |
23,040 |
$12.53M |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
1,652 |
1,007 |
$395K |
| 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 |
3,617 |
3,207 |
$338K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
122,642 |
82,164 |
$294K |
| G9012 |
Other specified case management service not elsewhere classified |
1,439 |
992 |
$86K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,054 |
10,580 |
$67K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
41,245 |
25,582 |
$65K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15,446 |
10,122 |
$55K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12,354 |
8,027 |
$52K |
| 91320 |
|
558 |
558 |
$49K |
| 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 |
335 |
270 |
$44K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
8,732 |
5,609 |
$38K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,879 |
6,222 |
$34K |
| 90750 |
|
2,587 |
1,891 |
$33K |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,507 |
2,927 |
$22K |
| 90686 |
|
20,850 |
15,218 |
$14K |
| 90677 |
|
2,168 |
1,622 |
$13K |
| 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 |
3,345 |
3,106 |
$12K |
| 90480 |
|
447 |
447 |
$9K |
| 99188 |
|
4,079 |
2,466 |
$9K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,800 |
1,787 |
$7K |
| 92551 |
|
4,906 |
3,298 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14,948 |
11,595 |
$7K |
| 90670 |
|
6,499 |
4,703 |
$7K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,002 |
1,316 |
$6K |
| 0124A |
|
138 |
138 |
$5K |
| 90715 |
|
2,013 |
1,462 |
$4K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
679 |
483 |
$4K |
| 90651 |
|
5,075 |
3,388 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
425 |
316 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
437 |
284 |
$3K |
| 99215 |
Prolong outpt/office vis |
173 |
135 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
69 |
66 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
69 |
66 |
$1K |
| 99383 |
|
83 |
57 |
$1K |
| 90662 |
|
384 |
329 |
$1K |
| 0154A |
|
27 |
27 |
$1K |
| 99070 |
|
137 |
134 |
$908.96 |
| 90698 |
|
6,528 |
4,702 |
$815.17 |
| 90678 |
|
96 |
68 |
$778.60 |
| 90680 |
|
4,249 |
3,092 |
$694.45 |
| 90633 |
|
5,097 |
3,636 |
$548.92 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
786 |
752 |
$511.93 |
| 99173 |
|
4,142 |
3,680 |
$499.88 |
| 90744 |
|
2,332 |
1,716 |
$461.84 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
82 |
70 |
$418.71 |
| 90697 |
|
1,158 |
822 |
$408.36 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
449 |
395 |
$320.68 |
| 99384 |
|
55 |
41 |
$283.51 |
| 90716 |
|
1,137 |
819 |
$194.46 |
| 82962 |
|
632 |
602 |
$182.32 |
| 90672 |
|
830 |
538 |
$160.15 |
| 99381 |
|
17 |
12 |
$155.26 |
| 81025 |
|
412 |
325 |
$143.61 |
| 90619 |
|
1,239 |
802 |
$111.03 |
| 90746 |
|
35 |
28 |
$97.29 |
| 92229 |
|
12 |
12 |
$69.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
427 |
368 |
$66.04 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
74 |
66 |
$46.26 |
| 90734 |
|
1,592 |
1,050 |
$42.86 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$40.41 |
| 90710 |
|
364 |
236 |
$26.39 |
| 91319 |
|
106 |
106 |
$26.03 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
183 |
156 |
$21.95 |
| 90707 |
|
415 |
313 |
$16.47 |
| 90685 |
|
647 |
644 |
$15.30 |
| 90620 |
|
860 |
582 |
$0.00 |
| 1125F |
|
977 |
770 |
$0.00 |
| 1126F |
|
2,992 |
2,298 |
$0.00 |
| 3044F |
|
6,434 |
5,634 |
$0.00 |
| 3075F |
|
4,452 |
3,469 |
$0.00 |
| 3074F |
|
24,777 |
19,408 |
$0.00 |
| 90688 |
|
1,013 |
1,012 |
$0.00 |
| 3079F |
|
4,287 |
3,335 |
$0.00 |
| 91318 |
|
41 |
39 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
78 |
76 |
$0.00 |
| 3052F |
|
122 |
104 |
$0.00 |
| 99443 |
|
148 |
117 |
$0.00 |
| J3490 |
Unclassified drugs |
2,611 |
2,575 |
$0.00 |
| 90381 |
|
31 |
31 |
$0.00 |
| 0500F |
|
81 |
65 |
$0.00 |
| 3048F |
|
522 |
439 |
$0.00 |
| 90696 |
|
294 |
181 |
$0.00 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
13 |
12 |
$0.00 |
| 99368 |
|
30 |
28 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
85 |
84 |
$0.00 |
| 99606 |
|
456 |
456 |
$0.00 |
| 90656 |
|
1,527 |
1,527 |
$0.00 |
| 3080F |
|
751 |
557 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
44 |
41 |
$0.00 |
| 99441 |
|
525 |
497 |
$0.00 |
| T1024 |
Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter |
202 |
183 |
$0.00 |
| 3049F |
|
101 |
81 |
$0.00 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
15 |
15 |
$0.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
12 |
12 |
$0.00 |
| 96380 |
|
36 |
33 |
$0.00 |
| 90732 |
|
12 |
12 |
$0.00 |
| 3078F |
|
27,542 |
21,602 |
$0.00 |
| 3077F |
|
3,673 |
2,873 |
$0.00 |
| 91321 |
|
196 |
196 |
$0.00 |
| 1159F |
|
16,556 |
12,747 |
$0.00 |
| 99442 |
|
1,848 |
1,734 |
$0.00 |
| 90713 |
|
45 |
37 |
$0.00 |
| 1160F |
|
11,313 |
8,713 |
$0.00 |
| 0502F |
|
1,539 |
951 |
$0.00 |
| 3051F |
|
252 |
207 |
$0.00 |
| 90461 |
|
367 |
347 |
$0.00 |
| 3050F |
|
40 |
38 |
$0.00 |
| 3046F |
|
82 |
68 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |
| 91322 |
|
95 |
95 |
$0.00 |
| 90736 |
|
14 |
14 |
$0.00 |
| 0071A |
|
33 |
30 |
$0.00 |