| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
291,169 |
270,840 |
$44.98M |
| 00003 |
Internal/system code - not a standard HCPCS code |
123,060 |
112,111 |
$32.79M |
| 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 |
29,520 |
25,085 |
$3.06M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
169,521 |
97,023 |
$221K |
| 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 |
3,902 |
3,877 |
$69K |
| 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 |
333 |
309 |
$34K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
333 |
289 |
$34K |
| 0064A |
|
620 |
606 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
166,588 |
98,753 |
$18K |
| 0002A |
|
140 |
140 |
$9K |
| 0001A |
|
134 |
134 |
$9K |
| 0071A |
|
103 |
103 |
$7K |
| 0004A |
|
117 |
113 |
$6K |
| 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 |
36 |
36 |
$4K |
| 0072A |
|
46 |
46 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,814 |
1,538 |
$2K |
| 90480 |
|
776 |
762 |
$2K |
| 0134A |
|
1,387 |
1,317 |
$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 |
15 |
15 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,539 |
6,166 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,686 |
1,481 |
$1K |
| 99215 |
Prolong outpt/office vis |
1,001 |
580 |
$851.60 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,586 |
1,398 |
$612.46 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
696 |
459 |
$493.23 |
| 71046 |
Radiologic examination, chest; 2 views |
2,946 |
2,928 |
$428.20 |
| 0112A |
|
13 |
13 |
$402.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,617 |
4,233 |
$385.92 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,845 |
3,817 |
$361.86 |
| 90791 |
Psychiatric diagnostic evaluation |
473 |
463 |
$128.08 |
| G9920 |
Screening performed and negative |
52 |
51 |
$87.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,102 |
1,180 |
$82.80 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,361 |
3,314 |
$70.93 |
| 72100 |
|
273 |
273 |
$51.15 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,004 |
1,118 |
$22.00 |
| 90670 |
|
316 |
216 |
$12.00 |
| 85018 |
|
1,417 |
885 |
$6.84 |
| 99188 |
|
48 |
25 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,748 |
968 |
$0.00 |
| 91313 |
|
1,502 |
1,417 |
$0.00 |
| 72110 |
|
160 |
160 |
$0.00 |
| 73030 |
|
65 |
61 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,970 |
9,451 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
558 |
432 |
$0.00 |
| 91321 |
|
232 |
228 |
$0.00 |
| 90461 |
|
3,710 |
3,526 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
79 |
53 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,693 |
1,533 |
$0.00 |
| 90715 |
|
483 |
309 |
$0.00 |
| 90658 |
|
744 |
541 |
$0.00 |
| 99401 |
|
513 |
381 |
$0.00 |
| 97803 |
|
763 |
761 |
$0.00 |
| 90734 |
|
679 |
402 |
$0.00 |
| 73562 |
|
518 |
418 |
$0.00 |
| Z6414 |
|
208 |
175 |
$0.00 |
| 81003 |
|
170 |
108 |
$0.00 |
| Z6304 |
|
305 |
293 |
$0.00 |
| 73130 |
|
34 |
24 |
$0.00 |
| 90648 |
|
267 |
184 |
$0.00 |
| 91322 |
|
151 |
149 |
$0.00 |
| 91312 |
|
15 |
14 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
97 |
57 |
$0.00 |
| Z6308 |
|
57 |
54 |
$0.00 |
| Z6500 |
|
24 |
24 |
$0.00 |
| 0124A |
|
15 |
14 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
41 |
39 |
$0.00 |
| 90633 |
|
60 |
37 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
45 |
37 |
$0.00 |
| Z6400 |
|
28 |
28 |
$0.00 |
| 91311 |
|
13 |
12 |
$0.00 |
| 81002 |
|
54 |
26 |
$0.00 |
| 90746 |
|
50 |
50 |
$0.00 |
| 91300 |
|
32 |
29 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
12 |
12 |
$0.00 |
| Z6208 |
|
29 |
28 |
$0.00 |
| Z6406 |
|
904 |
682 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
1,512 |
1,512 |
$0.00 |
| 99000 |
|
12,933 |
12,892 |
$0.00 |
| 90686 |
|
13,798 |
8,485 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
11,539 |
7,516 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
22,647 |
16,758 |
$0.00 |
| 90677 |
|
510 |
367 |
$0.00 |
| Z6204 |
|
386 |
384 |
$0.00 |
| 90656 |
|
2,436 |
1,631 |
$0.00 |
| 90688 |
|
5,541 |
3,894 |
$0.00 |
| 90619 |
|
159 |
97 |
$0.00 |
| 97802 |
|
546 |
546 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
79 |
79 |
$0.00 |
| 90723 |
|
61 |
48 |
$0.00 |
| 90651 |
|
714 |
488 |
$0.00 |
| 81000 |
|
217 |
103 |
$0.00 |
| 99174 |
|
171 |
155 |
$0.00 |
| 90620 |
|
134 |
98 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
279 |
163 |
$0.00 |
| 91306 |
|
115 |
113 |
$0.00 |
| 93000 |
|
181 |
120 |
$0.00 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
414 |
388 |
$0.00 |
| 96156 |
|
143 |
140 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
32 |
28 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
142 |
142 |
$0.00 |
| 99386 |
|
59 |
30 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
52 |
52 |
$0.00 |
| 90732 |
|
15 |
13 |
$0.00 |
| 90739 |
|
100 |
100 |
$0.00 |
| 99460 |
|
46 |
46 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
35 |
25 |
$0.00 |
| 72040 |
|
12 |
12 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
49 |
49 |
$0.00 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
42 |
26 |
$0.00 |
| 96151 |
|
18 |
17 |
$0.00 |
| 88720 |
|
16 |
13 |
$0.00 |
| 90716 |
|
17 |
12 |
$0.00 |