| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
120,115 |
85,895 |
$19.77M |
| 00003 |
Internal/system code - not a standard HCPCS code |
88,558 |
55,989 |
$18.46M |
| 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 |
1,439 |
1,289 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
376,458 |
337,439 |
$28K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,372 |
1,171 |
$20K |
| 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 |
408 |
279 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
53,185 |
48,370 |
$9K |
| 90832 |
Psychotherapy, 30 minutes with patient |
62,304 |
34,138 |
$7K |
| 0502F |
|
7,605 |
5,173 |
$5K |
| 93000 |
|
207 |
206 |
$5K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
9,292 |
4,607 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
70,640 |
65,466 |
$3K |
| 99442 |
|
13,234 |
12,058 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
2,082 |
1,818 |
$3K |
| 98940 |
|
3,345 |
1,708 |
$3K |
| 99401 |
|
6,210 |
5,444 |
$1K |
| 92552 |
|
17,262 |
17,220 |
$1K |
| 81002 |
|
10,742 |
8,997 |
$1K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
428 |
424 |
$1K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
21 |
15 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,813 |
1,770 |
$671.27 |
| 3044F |
|
4,688 |
4,375 |
$648.57 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
13,722 |
13,688 |
$552.03 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,635 |
3,595 |
$469.66 |
| 94760 |
|
4,883 |
4,548 |
$370.02 |
| 3074F |
|
21,041 |
20,140 |
$343.99 |
| 90834 |
Psychotherapy, 45 minutes with patient |
6,261 |
4,191 |
$335.80 |
| 11721 |
|
1,962 |
1,946 |
$333.73 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
42,570 |
42,429 |
$280.79 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
2,797 |
2,261 |
$263.49 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
383 |
377 |
$239.76 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
849 |
734 |
$205.47 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
377 |
376 |
$101.87 |
| 99441 |
|
7,789 |
7,333 |
$71.62 |
| 0500F |
|
39 |
39 |
$68.90 |
| 90686 |
|
12,834 |
12,816 |
$63.00 |
| 59430 |
|
27 |
27 |
$60.48 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
423 |
422 |
$59.30 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,004 |
4,001 |
$43.41 |
| 11720 |
|
105 |
105 |
$39.26 |
| 3078F |
|
23,542 |
22,224 |
$37.13 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,003 |
3,992 |
$37.02 |
| 99070 |
|
9,218 |
9,016 |
$36.00 |
| 92250 |
|
477 |
477 |
$27.81 |
| 99443 |
|
1,113 |
918 |
$27.70 |
| 97810 |
|
6,523 |
4,142 |
$20.00 |
| 81025 |
|
2,721 |
2,682 |
$13.94 |
| 85018 |
|
22,391 |
22,312 |
$12.32 |
| 90715 |
|
1,363 |
1,363 |
$9.00 |
| 90674 |
|
59 |
59 |
$9.00 |
| 97803 |
|
954 |
940 |
$8.41 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12,788 |
12,654 |
$4.42 |
| 99173 |
|
18,755 |
18,724 |
$2.28 |
| 3051F |
|
1,109 |
1,045 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,043 |
6,000 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,673 |
1,670 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
842 |
830 |
$0.00 |
| 3077F |
|
2,592 |
2,352 |
$0.00 |
| 11719 |
|
82 |
82 |
$0.00 |
| 1159F |
|
379 |
379 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,054 |
3,035 |
$0.00 |
| 91300 |
|
15 |
15 |
$0.00 |
| 90461 |
|
2,069 |
2,047 |
$0.00 |
| 3046F |
|
1,000 |
913 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
107 |
106 |
$0.00 |
| 90785 |
|
2,341 |
2,076 |
$0.00 |
| 97813 |
|
211 |
184 |
$0.00 |
| 96160 |
|
914 |
914 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
445 |
428 |
$0.00 |
| 90633 |
|
820 |
818 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
455 |
453 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
296 |
296 |
$0.00 |
| 85014 |
|
278 |
277 |
$0.00 |
| 82948 |
|
2,974 |
2,919 |
$0.00 |
| 90734 |
|
156 |
156 |
$0.00 |
| 90750 |
|
553 |
553 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90662 |
|
16 |
16 |
$0.00 |
| 1160F |
|
373 |
373 |
$0.00 |
| 99334 |
|
132 |
129 |
$0.00 |
| 4145F |
|
199 |
197 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
864 |
850 |
$0.00 |
| 90670 |
|
466 |
462 |
$0.00 |
| 95251 |
|
333 |
321 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,102 |
1,072 |
$0.00 |
| 99188 |
|
230 |
230 |
$0.00 |
| 90756 |
|
221 |
221 |
$0.00 |
| 0521F |
|
87 |
87 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
119 |
118 |
$0.00 |
| 90710 |
|
60 |
60 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
401 |
398 |
$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) |
29 |
29 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
125 |
97 |
$0.00 |
| 3725F |
|
161 |
158 |
$0.00 |
| 90655 |
|
64 |
64 |
$0.00 |
| 90685 |
|
31 |
31 |
$0.00 |
| 90700 |
|
25 |
25 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
42 |
42 |
$0.00 |
| 11056 |
|
14 |
14 |
$0.00 |
| 3015F |
|
38 |
38 |
$0.00 |
| 99382 |
|
45 |
45 |
$0.00 |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
22 |
15 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
13 |
12 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
27 |
26 |
$0.00 |
| 2028F |
|
42 |
42 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
15 |
15 |
$0.00 |
| 3075F |
|
4,359 |
4,235 |
$0.00 |
| 99385 |
|
95 |
95 |
$0.00 |
| 3079F |
|
7,716 |
7,306 |
$0.00 |
| 90651 |
|
1,377 |
1,377 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
1,582 |
1,576 |
$0.00 |
| 90647 |
|
80 |
77 |
$0.00 |
| 3052F |
|
201 |
191 |
$0.00 |
| 92551 |
|
270 |
270 |
$0.00 |
| 82962 |
|
1,177 |
1,167 |
$0.00 |
| 98943 |
|
769 |
481 |
$0.00 |
| 90656 |
|
1,188 |
1,187 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
106 |
93 |
$0.00 |
| 90723 |
|
110 |
108 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,255 |
2,253 |
$0.00 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
187 |
126 |
$0.00 |
| 86580 |
|
629 |
606 |
$0.00 |
| 90677 |
|
447 |
447 |
$0.00 |
| 1036F |
|
693 |
689 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
118 |
82 |
$0.00 |
| 3008F |
|
1,100 |
1,091 |
$0.00 |
| 97802 |
|
280 |
280 |
$0.00 |
| 90716 |
|
29 |
29 |
$0.00 |
| 1126F |
|
153 |
153 |
$0.00 |
| H2000 |
Comprehensive multidisciplinary evaluation |
463 |
426 |
$0.00 |
| 90632 |
|
66 |
66 |
$0.00 |
| 3080F |
|
175 |
165 |
$0.00 |
| 99383 |
|
109 |
109 |
$0.00 |
| 3017F |
|
12 |
12 |
$0.00 |
| 90688 |
|
235 |
234 |
$0.00 |
| 90619 |
|
250 |
250 |
$0.00 |
| 90680 |
|
63 |
63 |
$0.00 |
| 0503F |
|
41 |
41 |
$0.00 |
| 90697 |
|
123 |
123 |
$0.00 |
| 1125F |
|
162 |
160 |
$0.00 |
| 90739 |
|
31 |
31 |
$0.00 |
| 3014F |
|
51 |
51 |
$0.00 |
| 99384 |
|
44 |
44 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
28 |
28 |
$0.00 |
| 90696 |
|
54 |
54 |
$0.00 |
| 90620 |
|
56 |
56 |
$0.00 |
| G2087 |
Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month |
51 |
38 |
$0.00 |
| 1034F |
|
15 |
14 |
$0.00 |
| 2000F |
|
20 |
19 |
$0.00 |
| 99386 |
|
28 |
28 |
$0.00 |
| 99000 |
|
13 |
12 |
$0.00 |