| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
139,795 |
98,753 |
$22.79M |
| 00003 |
Internal/system code - not a standard HCPCS code |
23,055 |
16,744 |
$4.53M |
| 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 |
5,083 |
4,003 |
$257K |
| G9012 |
Other specified case management service not elsewhere classified |
13,588 |
7,490 |
$95K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44,223 |
38,942 |
$79K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,198 |
1,016 |
$45K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,868 |
1,787 |
$36K |
| 98940 |
|
5,709 |
3,974 |
$33K |
| 99215 |
Prolong outpt/office vis |
2,932 |
2,339 |
$30K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
13,382 |
7,932 |
$30K |
| 90837 |
Psychotherapy, 53 minutes with patient |
389 |
342 |
$24K |
| 0012A |
|
818 |
498 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,380 |
10,505 |
$22K |
| 0011A |
|
735 |
564 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18,237 |
15,511 |
$11K |
| 0064A |
|
280 |
202 |
$7K |
| 0031A |
|
252 |
168 |
$7K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
39 |
38 |
$5K |
| 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 |
65 |
65 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,206 |
3,173 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,671 |
2,637 |
$4K |
| 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 |
292 |
256 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
112 |
103 |
$1K |
| 0013A |
|
24 |
16 |
$720.00 |
| 82948 |
|
8,546 |
7,121 |
$492.41 |
| 0034A |
|
17 |
16 |
$347.00 |
| 0134A |
|
82 |
82 |
$335.00 |
| 90658 |
|
1,454 |
1,447 |
$230.00 |
| 0004A |
|
15 |
13 |
$214.00 |
| 1160F |
|
42,592 |
36,089 |
$203.31 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,982 |
2,920 |
$138.77 |
| 86580 |
|
2,078 |
2,033 |
$119.87 |
| 1126F |
|
1,518 |
1,424 |
$103.69 |
| 3074F |
|
6,287 |
5,860 |
$82.36 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
63 |
55 |
$56.25 |
| 3008F |
|
284 |
257 |
$50.60 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,687 |
2,662 |
$31.59 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,943 |
1,742 |
$2.19 |
| 81002 |
|
974 |
944 |
$2.15 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
328 |
289 |
$0.33 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
92 |
89 |
$0.02 |
| 1159F |
|
42,644 |
36,139 |
$0.00 |
| 90715 |
|
160 |
158 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
58 |
58 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,121 |
1,055 |
$0.00 |
| 3078F |
|
6,396 |
5,982 |
$0.00 |
| 3725F |
|
416 |
370 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
58 |
56 |
$0.00 |
| 92015 |
Determination of refractive state |
1,071 |
1,062 |
$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 |
1,741 |
1,613 |
$0.00 |
| 92083 |
|
15 |
15 |
$0.00 |
| 3046F |
|
369 |
365 |
$0.00 |
| 99201 |
|
119 |
119 |
$0.00 |
| 2028F |
|
210 |
205 |
$0.00 |
| 3077F |
|
2,347 |
2,209 |
$0.00 |
| 0124A |
|
18 |
18 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
588 |
578 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
579 |
577 |
$0.00 |
| D9430 |
|
144 |
130 |
$0.00 |
| 3051F |
|
105 |
102 |
$0.00 |
| 11721 |
|
53 |
53 |
$0.00 |
| 82274 |
|
306 |
296 |
$0.00 |
| VSY5 |
|
1,447 |
1,307 |
$0.00 |
| 92225 |
|
96 |
50 |
$0.00 |
| 2026F |
|
29 |
29 |
$0.00 |
| 99442 |
|
45 |
43 |
$0.00 |
| D9110 |
|
12 |
12 |
$0.00 |
| 2022F |
|
141 |
74 |
$0.00 |
| 86318 |
|
418 |
391 |
$0.00 |
| D0190 |
|
30 |
30 |
$0.00 |
| 81025 |
|
24 |
24 |
$0.00 |
| D4341 |
|
60 |
39 |
$0.00 |
| 92134 |
|
13 |
13 |
$0.00 |
| 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 |
17 |
14 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$0.00 |
| 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 |
75 |
74 |
$0.00 |
| D4910 |
|
13 |
13 |
$0.00 |
| H0043 |
Supported housing, per diem |
29 |
29 |
$0.00 |
| 82947 |
|
14 |
13 |
$0.00 |
| PROP5 |
|
21 |
18 |
$0.00 |
| D1110 |
Prophylaxis - adult |
25 |
25 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
603 |
454 |
$0.00 |
| 99000 |
|
484 |
463 |
$0.00 |
| 1036F |
|
121 |
107 |
$0.00 |
| 1170F |
|
470 |
464 |
$0.00 |
| 3075F |
|
2,670 |
2,564 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
47 |
47 |
$0.00 |
| 99429 |
|
2,023 |
1,796 |
$0.00 |
| 3080F |
|
1,095 |
1,038 |
$0.00 |
| 3044F |
|
514 |
497 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
314 |
260 |
$0.00 |
| 3079F |
|
3,844 |
3,651 |
$0.00 |
| 4010F |
|
258 |
253 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
44 |
42 |
$0.00 |
| 99406 |
|
52 |
52 |
$0.00 |
| T1016 |
Case management, each 15 minutes |
115 |
112 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
24 |
24 |
$0.00 |
| 1125F |
|
445 |
432 |
$0.00 |
| 92250 |
|
337 |
308 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
290 |
269 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
90 |
90 |
$0.00 |
| D1330 |
|
97 |
96 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
79 |
76 |
$0.00 |
| 91301 |
|
347 |
336 |
$0.00 |
| 90656 |
|
44 |
44 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
81 |
80 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| D5899 |
|
22 |
12 |
$0.00 |
| 1034F |
|
133 |
119 |
$0.00 |
| 92226 |
|
60 |
31 |
$0.00 |
| D1310 |
|
14 |
14 |
$0.00 |
| 3052F |
|
13 |
12 |
$0.00 |
| 85018 |
|
40 |
40 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
47 |
47 |
$0.00 |
| 1000F |
|
131 |
118 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
84 |
82 |
$0.00 |
| D0603 |
|
24 |
24 |
$0.00 |
| 99443 |
|
158 |
136 |
$0.00 |
| OOE |
|
30 |
25 |
$0.00 |
| 90732 |
|
32 |
31 |
$0.00 |
| 82270 |
|
44 |
44 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$0.00 |
| 85027 |
|
25 |
25 |
$0.00 |
| 91303 |
|
55 |
55 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |
| 92499 |
|
224 |
117 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
21 |
19 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
14 |
12 |
$0.00 |