| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00003 |
Internal/system code - not a standard HCPCS code |
100,600 |
66,506 |
$55.56M |
| T1015 |
Clinic visit/encounter, all-inclusive |
74,296 |
54,789 |
$41.94M |
| 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 |
20,056 |
16,099 |
$4.97M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29,359 |
26,015 |
$1.73M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,121 |
26,621 |
$974K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,800 |
2,525 |
$880K |
| 90834 |
Psychotherapy, 45 minutes with patient |
7,446 |
4,936 |
$562K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,436 |
1,102 |
$458K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
718 |
280 |
$230K |
| 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 |
453 |
371 |
$205K |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
327 |
311 |
$95K |
| G0469 |
Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between a new 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 |
1,390 |
901 |
$91K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,266 |
2,222 |
$70K |
| 0900 |
|
1,064 |
608 |
$61K |
| 90837 |
Psychotherapy, 53 minutes with patient |
544 |
423 |
$45K |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
114 |
99 |
$45K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,680 |
3,438 |
$41K |
| 90791 |
Psychiatric diagnostic evaluation |
491 |
476 |
$23K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,280 |
2,016 |
$21K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
125 |
123 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,040 |
1,027 |
$19K |
| 0002A |
|
474 |
474 |
$17K |
| 90832 |
Psychotherapy, 30 minutes with patient |
790 |
619 |
$14K |
| 0001A |
|
425 |
425 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
187 |
186 |
$12K |
| 90686 |
|
2,001 |
1,989 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,065 |
1,042 |
$10K |
| G9920 |
Screening performed and negative |
925 |
920 |
$6K |
| 81002 |
|
3,467 |
3,145 |
$6K |
| 82962 |
|
1,699 |
1,525 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,765 |
3,699 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$5K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
28 |
27 |
$4K |
| 99215 |
Prolong outpt/office vis |
520 |
507 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$4K |
| 0003A |
|
126 |
124 |
$3K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
950 |
811 |
$3K |
| V2020 |
Frames, purchases |
1,080 |
998 |
$3K |
| 99000 |
|
4,194 |
4,008 |
$2K |
| 88142 |
|
358 |
356 |
$2K |
| G9919 |
Screening performed and positive and provision of recommendations |
192 |
191 |
$2K |
| 99173 |
|
762 |
757 |
$910.00 |
| 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 |
320 |
243 |
$772.52 |
| 92015 |
Determination of refractive state |
3,296 |
3,285 |
$727.80 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
538 |
498 |
$671.00 |
| 0124A |
|
13 |
13 |
$468.00 |
| 36415 |
Collection of venous blood by venipuncture |
3,425 |
3,351 |
$443.98 |
| G0008 |
Administration of influenza virus vaccine |
446 |
444 |
$325.39 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
453 |
451 |
$257.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
837 |
797 |
$220.95 |
| 90715 |
|
964 |
959 |
$47.00 |
| 90656 |
|
81 |
81 |
$31.05 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
74 |
73 |
$27.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
27 |
25 |
$15.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
110 |
105 |
$6.99 |
| 85018 |
|
655 |
643 |
$2.07 |
| 81025 |
|
865 |
843 |
$2.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
369 |
219 |
$0.03 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
147 |
144 |
$0.02 |
| 99205 |
Prolong outpt/office vis |
27 |
27 |
$0.01 |
| 3074F |
|
230 |
226 |
$0.00 |
| 99441 |
|
691 |
657 |
$0.00 |
| 99443 |
|
1,147 |
1,097 |
$0.00 |
| 98967 |
|
28 |
26 |
$0.00 |
| 0949 |
|
190 |
122 |
$0.00 |
| 3080F |
|
60 |
57 |
$0.00 |
| 3008F |
|
111 |
109 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
16 |
14 |
$0.00 |
| 3079F |
|
112 |
110 |
$0.00 |
| 92551 |
|
433 |
431 |
$0.00 |
| 99406 |
|
156 |
151 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
73 |
70 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
85 |
84 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 1126F |
|
60 |
60 |
$0.00 |
| 3075F |
|
16 |
16 |
$0.00 |
| 87428 |
|
53 |
53 |
$0.00 |
| 3351F |
|
72 |
72 |
$0.00 |
| 1125F |
|
48 |
47 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
15 |
13 |
$0.00 |
| 87807 |
|
33 |
33 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
192 |
192 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
598 |
441 |
$0.00 |
| 4004F |
|
37 |
37 |
$0.00 |
| 0521 |
|
280 |
215 |
$0.00 |
| 98968 |
|
1,317 |
883 |
$0.00 |
| 99442 |
|
433 |
416 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
13 |
13 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
90 |
88 |
$0.00 |
| 3078F |
|
129 |
126 |
$0.00 |
| 1159F |
|
140 |
136 |
$0.00 |
| 90662 |
|
178 |
177 |
$0.00 |
| 90750 |
|
61 |
60 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
80 |
79 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
112 |
71 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 3077F |
|
113 |
109 |
$0.00 |
| 90714 |
|
17 |
17 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90713 |
|
16 |
16 |
$0.00 |