| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
100,594 |
77,723 |
$12.46M |
| 00003 |
Internal/system code - not a standard HCPCS code |
18,258 |
15,086 |
$3.46M |
| G9012 |
Other specified case management service not elsewhere classified |
5,095 |
2,445 |
$80K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39,766 |
34,789 |
$51K |
| 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 |
537 |
488 |
$33K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
3,336 |
2,224 |
$22K |
| 98940 |
|
7,575 |
5,295 |
$21K |
| 0012A |
|
770 |
484 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,973 |
7,625 |
$13K |
| 0064A |
|
191 |
120 |
$7K |
| 0001A |
|
168 |
101 |
$7K |
| 0011A |
|
607 |
517 |
$6K |
| 0002A |
|
92 |
52 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,310 |
3,297 |
$4K |
| 0013A |
|
93 |
60 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,607 |
9,706 |
$2K |
| 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 |
12 |
12 |
$1K |
| 99205 |
Prolong outpt/office vis |
48 |
44 |
$1K |
| 0071A |
|
24 |
13 |
$1K |
| 0003A |
|
23 |
16 |
$810.00 |
| 0004A |
|
24 |
23 |
$787.00 |
| 0031A |
|
27 |
16 |
$737.00 |
| 90791 |
Psychiatric diagnostic evaluation |
42 |
39 |
$735.54 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
893 |
890 |
$607.95 |
| 90832 |
Psychotherapy, 30 minutes with patient |
124 |
104 |
$460.92 |
| 81025 |
|
1,238 |
1,212 |
$441.00 |
| 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 |
18 |
18 |
$136.90 |
| 0072A |
|
14 |
13 |
$55.00 |
| 3074F |
|
3,605 |
3,403 |
$40.00 |
| 3078F |
|
3,559 |
3,356 |
$40.00 |
| 81002 |
|
4,520 |
4,284 |
$39.13 |
| 90651 |
|
438 |
438 |
$18.00 |
| 90658 |
|
1,818 |
1,815 |
$17.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,764 |
6,693 |
$4.46 |
| 99000 |
|
171 |
166 |
$3.63 |
| 88142 |
|
61 |
61 |
$3.60 |
| 1125F |
|
875 |
723 |
$1.50 |
| 92551 |
|
1,331 |
1,326 |
$0.00 |
| 3075F |
|
549 |
540 |
$0.00 |
| 90647 |
|
196 |
196 |
$0.00 |
| 1126F |
|
1,722 |
1,593 |
$0.00 |
| 3079F |
|
810 |
795 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,362 |
1,343 |
$0.00 |
| Z6410 |
|
88 |
77 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
789 |
753 |
$0.00 |
| 85018 |
|
1,737 |
1,725 |
$0.00 |
| D9995 |
|
317 |
293 |
$0.00 |
| Z1034 |
|
1,017 |
810 |
$0.00 |
| 90677 |
|
32 |
32 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
249 |
237 |
$0.00 |
| 90620 |
|
106 |
106 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
264 |
242 |
$0.00 |
| 1170F |
|
375 |
356 |
$0.00 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
16 |
14 |
$0.00 |
| 90723 |
|
173 |
172 |
$0.00 |
| 3044F |
|
89 |
87 |
$0.00 |
| Z6402 |
|
115 |
115 |
$0.00 |
| 90686 |
|
695 |
693 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
184 |
179 |
$0.00 |
| D1310 |
|
147 |
147 |
$0.00 |
| 91301 |
|
512 |
512 |
$0.00 |
| 90744 |
|
14 |
14 |
$0.00 |
| 3080F |
|
33 |
33 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
56 |
56 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
117 |
96 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
91 |
83 |
$0.00 |
| D1330 |
|
147 |
147 |
$0.00 |
| 86580 |
|
126 |
125 |
$0.00 |
| 90632 |
|
28 |
28 |
$0.00 |
| 90716 |
|
161 |
161 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
54 |
51 |
$0.00 |
| 90743 |
|
14 |
14 |
$0.00 |
| 93000 |
|
38 |
38 |
$0.00 |
| 2033F |
|
34 |
33 |
$0.00 |
| 99429 |
|
17 |
17 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
12 |
12 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
15 |
15 |
$0.00 |
| 1000F |
|
40 |
29 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
15 |
14 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$0.00 |
| 1034F |
|
39 |
29 |
$0.00 |
| 3052F |
|
18 |
16 |
$0.00 |
| 90670 |
|
393 |
393 |
$0.00 |
| 99173 |
|
4,145 |
4,131 |
$0.00 |
| 0502F |
|
332 |
270 |
$0.00 |
| 1159F |
|
32,934 |
29,139 |
$0.00 |
| 82948 |
|
4,466 |
4,120 |
$0.00 |
| 1160F |
|
32,532 |
28,763 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,355 |
1,299 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,542 |
2,517 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
695 |
694 |
$0.00 |
| 90633 |
|
446 |
443 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
323 |
323 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
802 |
788 |
$0.00 |
| 90715 |
|
1,059 |
1,059 |
$0.00 |
| 90746 |
|
269 |
269 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
492 |
491 |
$0.00 |
| 90713 |
|
139 |
139 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
556 |
556 |
$0.00 |
| 3725F |
|
418 |
341 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
449 |
448 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
582 |
582 |
$0.00 |
| Z6400 |
|
404 |
404 |
$0.00 |
| PROP5 |
|
74 |
65 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
203 |
192 |
$0.00 |
| 3046F |
|
36 |
34 |
$0.00 |
| 90707 |
|
55 |
55 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
101 |
99 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
15 |
$0.00 |
| 90461 |
|
237 |
235 |
$0.00 |
| Z6300 |
|
116 |
116 |
$0.00 |
| 90710 |
|
150 |
150 |
$0.00 |
| Z6200 |
|
117 |
117 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
145 |
141 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
63 |
63 |
$0.00 |
| 3077F |
|
142 |
135 |
$0.00 |
| 90700 |
|
149 |
149 |
$0.00 |
| 2028F |
|
55 |
55 |
$0.00 |
| 90648 |
|
47 |
47 |
$0.00 |
| Z6500 |
|
24 |
24 |
$0.00 |
| 3051F |
|
13 |
12 |
$0.00 |
| 1158F |
|
156 |
150 |
$0.00 |
| 90734 |
|
56 |
56 |
$0.00 |
| D0190 |
|
42 |
42 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
31 |
$0.00 |
| 99201 |
|
22 |
22 |
$0.00 |
| 86318 |
|
62 |
61 |
$0.00 |
| 86328 |
|
13 |
13 |
$0.00 |
| 0521 |
|
15 |
14 |
$0.00 |
| 90649 |
|
17 |
17 |
$0.00 |