| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
97,890 |
84,581 |
$18.83M |
| 00003 |
Internal/system code - not a standard HCPCS code |
35,252 |
33,398 |
$8.73M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
45,541 |
32,770 |
$406K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39,306 |
33,981 |
$394K |
| 90791 |
Psychiatric diagnostic evaluation |
2,353 |
2,133 |
$213K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,831 |
6,605 |
$112K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
11,215 |
11,158 |
$110K |
| 96156 |
|
3,177 |
3,169 |
$94K |
| G9920 |
Screening performed and negative |
5,831 |
5,802 |
$86K |
| 98960 |
|
4,212 |
4,125 |
$83K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,323 |
1,049 |
$75K |
| G9012 |
Other specified case management service not elsewhere classified |
104 |
104 |
$63K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,473 |
1,244 |
$60K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
546 |
545 |
$47K |
| 99215 |
Prolong outpt/office vis |
1,678 |
1,098 |
$44K |
| 99386 |
|
322 |
322 |
$28K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,926 |
1,632 |
$26K |
| 90834 |
Psychotherapy, 45 minutes with patient |
519 |
397 |
$24K |
| 99385 |
|
276 |
276 |
$20K |
| 93000 |
|
846 |
842 |
$18K |
| 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 |
1,327 |
1,235 |
$17K |
| 92552 |
|
1,161 |
1,155 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
220 |
219 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
422 |
384 |
$14K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,144 |
1,051 |
$14K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
8,977 |
8,918 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,005 |
921 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
290 |
289 |
$12K |
| G9919 |
Screening performed and positive and provision of recommendations |
741 |
739 |
$11K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
406 |
383 |
$10K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
2,855 |
2,844 |
$9K |
| 96150 |
|
329 |
322 |
$7K |
| 96127 |
|
10,177 |
10,047 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
444 |
401 |
$7K |
| 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 |
452 |
324 |
$6K |
| 99406 |
|
569 |
565 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,196 |
1,192 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
497 |
428 |
$4K |
| 81003 |
|
4,596 |
4,185 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
172 |
172 |
$3K |
| 99205 |
Prolong outpt/office vis |
38 |
30 |
$3K |
| 90686 |
|
139 |
139 |
$3K |
| 97802 |
|
266 |
263 |
$2K |
| 90688 |
|
238 |
236 |
$2K |
| 90715 |
|
103 |
103 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
339 |
336 |
$2K |
| 92551 |
|
157 |
157 |
$2K |
| 0013A |
|
23 |
23 |
$2K |
| 99384 |
|
38 |
31 |
$1K |
| 90480 |
|
40 |
31 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
42 |
26 |
$1K |
| 0012A |
|
17 |
17 |
$1K |
| 90656 |
|
82 |
82 |
$975.84 |
| 99383 |
|
20 |
14 |
$942.07 |
| H2000 |
Comprehensive multidisciplinary evaluation |
28 |
28 |
$941.92 |
| 85018 |
|
831 |
821 |
$853.92 |
| 90633 |
|
85 |
84 |
$729.00 |
| 99173 |
|
817 |
815 |
$560.38 |
| 90649 |
|
61 |
61 |
$549.00 |
| 81025 |
|
409 |
404 |
$534.80 |
| 82465 |
|
97 |
97 |
$393.61 |
| 90658 |
|
30 |
30 |
$370.44 |
| 90734 |
|
36 |
36 |
$324.00 |
| 90670 |
|
28 |
26 |
$252.00 |
| 87110 |
|
13 |
13 |
$237.77 |
| 82947 |
|
123 |
118 |
$230.15 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
133 |
133 |
$206.55 |
| 87430 |
|
13 |
13 |
$106.34 |
| 90651 |
|
13 |
13 |
$99.00 |
| 87070 |
|
44 |
44 |
$94.52 |
| 81000 |
|
30 |
30 |
$66.01 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
128 |
128 |
$40.42 |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
55 |
45 |
$0.01 |
| 3700F |
|
8,523 |
8,427 |
$0.01 |
| S9470 |
Nutritional counseling, dietitian visit |
1,454 |
1,431 |
$0.01 |
| 1036F |
|
7,236 |
7,214 |
$0.00 |
| 1000F |
|
7,741 |
7,712 |
$0.00 |
| 1034F |
|
415 |
413 |
$0.00 |
| 3008F |
|
111 |
109 |
$0.00 |
| Z1034 |
|
454 |
398 |
$0.00 |
| Z1032 |
|
115 |
115 |
$0.00 |
| 2028F |
|
307 |
306 |
$0.00 |
| Z6500 |
|
187 |
186 |
$0.00 |
| 0502F |
|
514 |
412 |
$0.00 |
| Z6400 |
|
1,633 |
1,559 |
$0.00 |
| 99071 |
|
206 |
202 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
57 |
57 |
$0.00 |
| 1003F |
|
25 |
25 |
$0.00 |