| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
42,267 |
31,709 |
$6.14M |
| 00003 |
Internal/system code - not a standard HCPCS code |
25,606 |
21,326 |
$3.93M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,144 |
20,167 |
$98K |
| 59425 |
|
2,055 |
1,311 |
$91K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,205 |
2,300 |
$77K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,275 |
889 |
$67K |
| 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 |
4,330 |
3,894 |
$45K |
| 90686 |
|
1,783 |
1,476 |
$26K |
| 90750 |
|
122 |
97 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,582 |
3,906 |
$14K |
| G9920 |
Screening performed and negative |
1,261 |
1,233 |
$7K |
| 92551 |
|
2,726 |
2,564 |
$6K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
13 |
12 |
$6K |
| 99000 |
|
5,584 |
4,154 |
$5K |
| 81025 |
|
1,915 |
1,536 |
$3K |
| 0001A |
|
51 |
51 |
$3K |
| 0011A |
|
50 |
50 |
$3K |
| 0012A |
|
46 |
46 |
$3K |
| 0002A |
|
36 |
36 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
31 |
19 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
211 |
202 |
$2K |
| 90715 |
|
41 |
28 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
20 |
12 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
91 |
75 |
$1K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
147 |
62 |
$975.56 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,067 |
1,026 |
$893.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,868 |
5,376 |
$819.07 |
| J3490 |
Unclassified drugs |
24 |
15 |
$816.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
134 |
69 |
$540.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
788 |
737 |
$526.38 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
91 |
79 |
$409.36 |
| 90656 |
|
136 |
130 |
$398.46 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,290 |
1,098 |
$329.64 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
18 |
15 |
$314.45 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$236.95 |
| 85018 |
|
4,993 |
4,703 |
$168.48 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
352 |
328 |
$127.13 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$68.64 |
| 99215 |
Prolong outpt/office vis |
80 |
79 |
$57.20 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,318 |
1,507 |
$35.61 |
| 99188 |
|
164 |
162 |
$18.00 |
| 81002 |
|
778 |
579 |
$17.63 |
| 86580 |
|
33 |
33 |
$3.36 |
| 1160F |
|
11,413 |
8,691 |
$0.00 |
| 99173 |
|
2,416 |
2,261 |
$0.00 |
| 1159F |
|
11,413 |
8,691 |
$0.00 |
| 3077F |
|
654 |
571 |
$0.00 |
| 3078F |
|
3,096 |
2,783 |
$0.00 |
| 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 |
28 |
28 |
$0.00 |
| 96160 |
|
65 |
55 |
$0.00 |
| 59426 |
|
229 |
130 |
$0.00 |
| Z6400 |
|
52 |
38 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
14 |
$0.00 |
| 3074F |
|
3,408 |
3,014 |
$0.00 |
| 36416 |
|
1,854 |
1,817 |
$0.00 |
| Z1034 |
|
1,942 |
1,317 |
$0.00 |
| 3079F |
|
764 |
724 |
$0.00 |
| 3008F |
|
4,466 |
3,913 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,244 |
1,188 |
$0.00 |
| 96127 |
|
205 |
203 |
$0.00 |
| 3080F |
|
342 |
322 |
$0.00 |
| 1111F |
|
722 |
616 |
$0.00 |
| 3075F |
|
140 |
140 |
$0.00 |
| Z1038 |
|
92 |
75 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
58 |
58 |
$0.00 |
| Z6406 |
|
65 |
43 |
$0.00 |
| Z6410 |
|
324 |
130 |
$0.00 |
| Z1032 |
|
64 |
64 |
$0.00 |