| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
109,152 |
97,882 |
$24.85M |
| 00003 |
Internal/system code - not a standard HCPCS code |
14,851 |
12,546 |
$4.51M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
107,386 |
66,942 |
$472K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24,133 |
14,958 |
$191K |
| 90832 |
Psychotherapy, 30 minutes with patient |
9,330 |
4,663 |
$189K |
| G9012 |
Other specified case management service not elsewhere classified |
664 |
409 |
$164K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,680 |
990 |
$97K |
| 90791 |
Psychiatric diagnostic evaluation |
1,814 |
1,124 |
$84K |
| 97802 |
|
770 |
733 |
$66K |
| 97803 |
|
1,185 |
1,111 |
$63K |
| 90686 |
|
4,572 |
4,132 |
$59K |
| 90750 |
|
184 |
170 |
$32K |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
705 |
685 |
$25K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
366 |
218 |
$22K |
| 90651 |
|
639 |
552 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,297 |
6,003 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,855 |
2,008 |
$19K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
321 |
201 |
$18K |
| 90648 |
|
1,910 |
1,546 |
$15K |
| 90670 |
|
1,623 |
1,315 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,108 |
1,764 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,034 |
1,181 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,104 |
2,360 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,188 |
1,269 |
$13K |
| 90677 |
|
478 |
391 |
$12K |
| 90633 |
|
1,342 |
1,115 |
$11K |
| 92250 |
|
242 |
224 |
$10K |
| 90688 |
|
661 |
579 |
$10K |
| 92551 |
|
5,951 |
4,994 |
$10K |
| 90715 |
|
449 |
390 |
$9K |
| 90723 |
|
1,175 |
915 |
$9K |
| 0011A |
|
145 |
145 |
$8K |
| 83655 |
|
781 |
668 |
$8K |
| 0012A |
|
104 |
104 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,676 |
1,392 |
$5K |
| 90710 |
|
504 |
446 |
$4K |
| 97813 |
|
265 |
129 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
880 |
688 |
$3K |
| 90656 |
|
720 |
566 |
$3K |
| 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 |
316 |
224 |
$2K |
| 90662 |
|
76 |
64 |
$2K |
| 90734 |
|
254 |
206 |
$2K |
| 99381 |
|
124 |
83 |
$2K |
| 99384 |
|
64 |
42 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
444 |
302 |
$2K |
| 90700 |
|
174 |
151 |
$2K |
| 90680 |
|
197 |
151 |
$1K |
| 90746 |
|
27 |
27 |
$1K |
| 81025 |
|
574 |
531 |
$1K |
| 90681 |
|
148 |
117 |
$1K |
| 90649 |
|
137 |
88 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
107 |
80 |
$982.58 |
| 90685 |
|
116 |
87 |
$774.00 |
| 81003 |
|
381 |
345 |
$449.10 |
| 99406 |
|
41 |
39 |
$437.06 |
| 99383 |
|
104 |
59 |
$393.05 |
| Q3014 |
Telehealth originating site facility fee |
17 |
17 |
$389.98 |
| 99382 |
|
88 |
44 |
$386.08 |
| 90716 |
|
50 |
39 |
$333.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
265 |
260 |
$316.66 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
20 |
13 |
$262.50 |
| 90696 |
|
31 |
30 |
$261.00 |
| 97810 |
|
18 |
12 |
$240.00 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,217 |
1,084 |
$235.11 |
| 90707 |
|
14 |
13 |
$225.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
67 |
44 |
$211.65 |
| 90713 |
|
21 |
15 |
$180.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$141.60 |
| 90744 |
|
15 |
14 |
$135.00 |
| 90619 |
|
21 |
13 |
$99.00 |
| 85018 |
|
234 |
218 |
$70.38 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
150 |
144 |
$44.25 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
138 |
135 |
$34.16 |
| 81002 |
|
76 |
66 |
$32.25 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
127 |
124 |
$20.97 |
| 87430 |
|
26 |
25 |
$8.18 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
17 |
17 |
$4.08 |
| 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 |
1,576 |
1,475 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
745 |
703 |
$0.00 |
| Z1034 |
|
582 |
388 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| Z1032 |
|
15 |
15 |
$0.00 |
| 86710 |
|
35 |
35 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
197 |
195 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
12 |
12 |
$0.00 |
| 99173 |
|
785 |
785 |
$0.00 |
| Z6400 |
|
43 |
41 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
27 |
$0.00 |
| 82948 |
|
13 |
13 |
$0.00 |