| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
164,708 |
112,079 |
$26.88M |
| 00003 |
Internal/system code - not a standard HCPCS code |
11,611 |
9,252 |
$2.77M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
86,074 |
63,418 |
$241K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
85,286 |
53,984 |
$164K |
| 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 |
18,595 |
14,765 |
$74K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
6,134 |
5,602 |
$46K |
| 96156 |
|
3,049 |
2,540 |
$37K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,435 |
2,038 |
$23K |
| 99385 |
|
2,681 |
2,474 |
$22K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
6,044 |
5,707 |
$18K |
| 97802 |
|
8,021 |
7,616 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,787 |
3,443 |
$14K |
| 92551 |
|
4,029 |
4,000 |
$13K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
5,677 |
5,449 |
$11K |
| 97803 |
|
6,055 |
5,476 |
$5K |
| 99447 |
|
8,772 |
7,170 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
892 |
746 |
$5K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
377 |
284 |
$5K |
| 99443 |
|
1,616 |
928 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
709 |
586 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
32,105 |
27,339 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,374 |
1,291 |
$3K |
| 99000 |
|
6,253 |
5,674 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,226 |
1,114 |
$3K |
| 99386 |
|
882 |
849 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
21 |
12 |
$2K |
| 99401 |
|
20,597 |
18,527 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,141 |
1,110 |
$911.21 |
| 86580 |
|
440 |
437 |
$868.70 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
272 |
229 |
$705.64 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
175 |
172 |
$591.50 |
| 99383 |
|
124 |
102 |
$542.80 |
| 85018 |
|
1,494 |
1,486 |
$489.48 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
36 |
24 |
$451.95 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
288 |
224 |
$390.69 |
| 99304 |
|
12 |
12 |
$374.20 |
| G9920 |
Screening performed and negative |
407 |
401 |
$373.23 |
| 90686 |
|
92 |
91 |
$311.71 |
| 3079F |
|
8,949 |
8,263 |
$292.43 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
16,070 |
14,225 |
$276.16 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,253 |
1,108 |
$217.60 |
| 3008F |
|
48,440 |
41,268 |
$175.43 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
264 |
246 |
$170.18 |
| 82948 |
|
672 |
619 |
$152.76 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
538 |
505 |
$146.97 |
| 99406 |
|
472 |
429 |
$142.86 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
178 |
125 |
$114.72 |
| 1126F |
|
25,073 |
22,214 |
$104.00 |
| 92060 |
|
14 |
14 |
$100.32 |
| 1159F |
|
47,087 |
39,529 |
$85.00 |
| 1160F |
|
46,146 |
38,816 |
$85.00 |
| 81000 |
|
111 |
105 |
$81.60 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
131 |
107 |
$74.04 |
| 3725F |
|
8,453 |
7,147 |
$64.00 |
| 1036F |
|
24,071 |
20,230 |
$56.00 |
| 1000F |
|
38,950 |
32,765 |
$56.00 |
| 3074F |
|
20,470 |
18,631 |
$55.07 |
| H0049 |
Alcohol and/or drug screening |
8,390 |
7,622 |
$51.27 |
| 81025 |
|
33 |
31 |
$49.86 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
174 |
172 |
$49.58 |
| 1034F |
|
3,825 |
3,065 |
$47.31 |
| 3077F |
|
5,834 |
5,286 |
$45.00 |
| 99173 |
|
4,787 |
4,560 |
$36.58 |
| 3078F |
|
17,574 |
16,091 |
$30.01 |
| 3075F |
|
3,949 |
3,685 |
$30.00 |
| 90670 |
|
12 |
12 |
$26.73 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
638 |
606 |
$23.76 |
| 90710 |
|
37 |
37 |
$17.82 |
| 94760 |
|
27 |
27 |
$13.19 |
| 3080F |
|
3,732 |
3,426 |
$10.00 |
| 4004F |
|
1,337 |
1,256 |
$8.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,187 |
1,162 |
$5.00 |
| 3353F |
|
512 |
485 |
$0.00 |
| 1125F |
|
6,135 |
5,442 |
$0.00 |
| 96161 |
|
829 |
805 |
$0.00 |
| 2010F |
|
1,911 |
1,714 |
$0.00 |
| 2023F |
|
913 |
719 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
51 |
43 |
$0.00 |
| 90651 |
|
14 |
12 |
$0.00 |
| 3351F |
|
723 |
668 |
$0.00 |
| 92002 |
|
125 |
106 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
25 |
25 |
$0.00 |
| 4010F |
|
1,298 |
941 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
296 |
267 |
$0.00 |
| 1111F |
|
124 |
120 |
$0.00 |
| 88150 |
|
26 |
26 |
$0.00 |
| 91301 |
|
55 |
55 |
$0.00 |
| 3354F |
|
26 |
24 |
$0.00 |
| 36416 |
|
191 |
181 |
$0.00 |
| 0011A |
|
16 |
16 |
$0.00 |
| 1157F |
|
28 |
27 |
$0.00 |
| 99402 |
|
147 |
147 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
51 |
49 |
$0.00 |
| 1170F |
|
53 |
52 |
$0.00 |
| 3044F |
|
45 |
43 |
$0.00 |
| 0012A |
|
32 |
32 |
$0.00 |
| 0001F |
|
13 |
13 |
$0.00 |
| 99407 |
|
12 |
12 |
$0.00 |
| 99490 |
Ccm add 20min |
8,707 |
3,742 |
$0.00 |
| 1158F |
|
1,684 |
1,475 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,835 |
1,498 |
$0.00 |
| 99448 |
|
2,851 |
2,457 |
$0.00 |
| 0521F |
|
1,848 |
1,673 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
112 |
108 |
$0.00 |
| 2022F |
|
734 |
540 |
$0.00 |
| 96160 |
|
623 |
618 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
167 |
165 |
$0.00 |
| 99449 |
|
163 |
147 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
41 |
41 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
73 |
72 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
29 |
28 |
$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) |
12 |
12 |
$0.00 |
| 91300 |
|
38 |
32 |
$0.00 |
| 99201 |
|
274 |
270 |
$0.00 |
| 99397 |
|
34 |
34 |
$0.00 |
| 92015 |
Determination of refractive state |
32 |
32 |
$0.00 |