| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
33,042 |
24,122 |
$6.37M |
| 00003 |
Internal/system code - not a standard HCPCS code |
20,971 |
16,059 |
$5.23M |
| 90834 |
Psychotherapy, 45 minutes with patient |
11,073 |
3,765 |
$165K |
| G9012 |
Other specified case management service not elsewhere classified |
977 |
346 |
$112K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,944 |
14,502 |
$46K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
1,879 |
941 |
$28K |
| 90837 |
Psychotherapy, 53 minutes with patient |
585 |
273 |
$18K |
| 97810 |
|
984 |
397 |
$16K |
| 0011A |
|
110 |
110 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,476 |
1,476 |
$6K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
66 |
42 |
$6K |
| 0012A |
|
83 |
83 |
$6K |
| 0064A |
|
74 |
74 |
$5K |
| 0002A |
|
67 |
67 |
$4K |
| 0004A |
|
59 |
59 |
$4K |
| 99000 |
|
1,945 |
1,102 |
$4K |
| 98940 |
|
361 |
144 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,545 |
1,023 |
$3K |
| 0001A |
|
40 |
40 |
$3K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,946 |
2,571 |
$1K |
| 0071A |
|
18 |
18 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
519 |
206 |
$1K |
| 0072A |
|
14 |
14 |
$938.00 |
| 90756 |
|
50 |
45 |
$758.32 |
| 90686 |
|
23 |
17 |
$375.84 |
| 80305 |
|
54 |
25 |
$270.96 |
| 90674 |
|
56 |
52 |
$125.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
362 |
343 |
$98.12 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
18 |
12 |
$81.07 |
| 85018 |
|
173 |
139 |
$48.00 |
| 99173 |
|
70 |
70 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
28 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,717 |
1,651 |
$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 |
1,318 |
1,193 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
407 |
338 |
$0.00 |