| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
86,611 |
60,678 |
$15.02M |
| 00003 |
Internal/system code - not a standard HCPCS code |
9,697 |
6,857 |
$2.21M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
55,122 |
38,425 |
$387K |
| G9012 |
Other specified case management service not elsewhere classified |
1,544 |
1,042 |
$359K |
| 90834 |
Psychotherapy, 45 minutes with patient |
18,011 |
6,389 |
$267K |
| 90832 |
Psychotherapy, 30 minutes with patient |
8,251 |
2,955 |
$92K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,716 |
597 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,571 |
6,854 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16,838 |
9,044 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
91 |
90 |
$26K |
| 97811 |
|
1,678 |
883 |
$23K |
| 97810 |
|
1,709 |
903 |
$12K |
| A4267 |
Contraceptive supply, condom, male, each |
1,713 |
1,660 |
$12K |
| S5199 |
Personal care item, nos, each |
1,713 |
1,660 |
$12K |
| 99403 |
|
260 |
224 |
$11K |
| 90791 |
Psychiatric diagnostic evaluation |
738 |
421 |
$9K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,305 |
995 |
$8K |
| H0049 |
Alcohol and/or drug screening |
113 |
113 |
$3K |
| 99000 |
|
743 |
716 |
$3K |
| J3490 |
Unclassified drugs |
114 |
109 |
$2K |
| 81025 |
|
453 |
437 |
$1K |
| 99402 |
|
32 |
26 |
$1K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
44 |
44 |
$553.32 |
| 99348 |
|
15 |
13 |
$514.50 |
| G9920 |
Screening performed and negative |
50 |
40 |
$290.00 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,062 |
1,448 |
$274.17 |
| G9919 |
Screening performed and positive and provision of recommendations |
22 |
16 |
$174.00 |
| 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 |
38 |
25 |
$147.92 |
| 99215 |
Prolong outpt/office vis |
376 |
200 |
$114.40 |
| 90658 |
|
14 |
13 |
$54.40 |
| 92552 |
|
71 |
51 |
$33.66 |
| 90715 |
|
14 |
13 |
$9.00 |
| 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 |
177 |
112 |
$0.00 |
| 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 |
41 |
41 |
$0.00 |
| 99173 |
|
13 |
13 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
7,562 |
5,607 |
$0.00 |
| 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 |
3,044 |
2,488 |
$0.00 |