| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
90,942 |
79,549 |
$8.61M |
| 00003 |
Internal/system code - not a standard HCPCS code |
27,277 |
22,966 |
$4.24M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48,850 |
40,553 |
$141K |
| 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 |
1,283 |
1,073 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,409 |
5,628 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,025 |
3,531 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,932 |
1,806 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,134 |
1,038 |
$5K |
| 98940 |
|
3,549 |
2,466 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
582 |
530 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,284 |
1,233 |
$3K |
| 92551 |
|
2,918 |
2,694 |
$3K |
| 85018 |
|
4,604 |
4,290 |
$2K |
| 90686 |
|
1,780 |
1,660 |
$2K |
| 99000 |
|
3,087 |
2,786 |
$1K |
| 0012A |
|
27 |
15 |
$1K |
| 90723 |
|
819 |
790 |
$1K |
| 0011A |
|
24 |
16 |
$660.66 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
334 |
235 |
$607.10 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
102 |
90 |
$495.00 |
| 83655 |
|
260 |
239 |
$462.46 |
| 90633 |
|
449 |
415 |
$325.98 |
| 99215 |
Prolong outpt/office vis |
345 |
303 |
$277.75 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
14 |
12 |
$270.81 |
| 99173 |
|
2,812 |
2,606 |
$211.84 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
27 |
$194.48 |
| 90680 |
|
586 |
565 |
$167.76 |
| 90648 |
|
1,158 |
1,111 |
$98.87 |
| 90651 |
|
101 |
94 |
$85.03 |
| 90832 |
Psychotherapy, 30 minutes with patient |
27 |
22 |
$75.30 |
| 90716 |
|
108 |
99 |
$75.06 |
| 90700 |
|
59 |
54 |
$71.87 |
| 81005 |
|
292 |
227 |
$68.65 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
241 |
236 |
$48.00 |
| 90707 |
|
84 |
75 |
$40.42 |
| 90670 |
|
1,044 |
998 |
$27.00 |
| 90710 |
|
14 |
12 |
$9.00 |
| 3074F |
|
3,290 |
3,055 |
$0.00 |
| 1111F |
|
8,539 |
7,532 |
$0.00 |
| 1036F |
|
7,605 |
6,608 |
$0.00 |
| 2001F |
|
8,735 |
7,609 |
$0.00 |
| 3075F |
|
249 |
232 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
4,255 |
3,895 |
$0.00 |
| 3079F |
|
1,117 |
1,021 |
$0.00 |
| 3048F |
|
1,525 |
1,341 |
$0.00 |
| 3008F |
|
8,732 |
7,606 |
$0.00 |
| 3049F |
|
502 |
440 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
1,795 |
1,587 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
242 |
241 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
123 |
123 |
$0.00 |
| 90656 |
|
214 |
209 |
$0.00 |
| Z1034 |
|
611 |
420 |
$0.00 |
| 90677 |
|
83 |
81 |
$0.00 |
| 90688 |
|
24 |
24 |
$0.00 |
| 86580 |
|
15 |
15 |
$0.00 |
| 90620 |
|
13 |
12 |
$0.00 |
| 90474 |
|
12 |
12 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
16 |
16 |
$0.00 |
| 3080F |
|
34 |
25 |
$0.00 |
| 99381 |
|
28 |
28 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
50 |
39 |
$0.00 |
| 3078F |
|
2,722 |
2,550 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
160 |
160 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
3,948 |
3,628 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
221 |
188 |
$0.00 |
| 90734 |
|
76 |
72 |
$0.00 |
| 4004F |
|
54 |
54 |
$0.00 |
| 3077F |
|
221 |
188 |
$0.00 |
| 3050F |
|
86 |
73 |
$0.00 |
| G9920 |
Screening performed and negative |
12 |
12 |
$0.00 |
| 81025 |
|
14 |
12 |
$0.00 |
| Z6400 |
|
92 |
92 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
15 |
$0.00 |
| 90715 |
|
33 |
30 |
$0.00 |