| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
58,036 |
46,753 |
$13.12M |
| 00003 |
Internal/system code - not a standard HCPCS code |
18,499 |
15,591 |
$4.96M |
| T2033 |
Residential care, not otherwise specified (nos), waiver; per diem |
7,984 |
348 |
$1.78M |
| 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 |
9,794 |
7,735 |
$1.45M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33,532 |
20,170 |
$255K |
| 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 |
1,130 |
554 |
$164K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,497 |
14,169 |
$74K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,669 |
884 |
$65K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,447 |
920 |
$38K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
314 |
198 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
660 |
481 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
71 |
62 |
$7K |
| 99205 |
Prolong outpt/office vis |
459 |
267 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
182 |
111 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,921 |
2,690 |
$2K |
| 99215 |
Prolong outpt/office vis |
409 |
237 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,121 |
1,518 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
67 |
51 |
$968.58 |
| 90686 |
|
479 |
396 |
$738.61 |
| 99349 |
|
143 |
94 |
$397.32 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
31 |
31 |
$394.32 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
209 |
183 |
$358.08 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
16 |
12 |
$216.83 |
| 99348 |
|
235 |
152 |
$188.65 |
| 86701 |
|
39 |
38 |
$181.10 |
| 97810 |
|
52 |
29 |
$149.10 |
| 97811 |
|
52 |
29 |
$149.10 |
| 90715 |
|
43 |
26 |
$137.04 |
| 92552 |
|
23 |
13 |
$111.96 |
| 85018 |
|
205 |
134 |
$99.19 |
| 82948 |
|
822 |
664 |
$91.60 |
| 90688 |
|
112 |
76 |
$54.00 |
| 81002 |
|
68 |
35 |
$40.79 |
| 90656 |
|
14 |
14 |
$24.90 |
| 81025 |
|
28 |
14 |
$17.64 |
| 99173 |
|
59 |
38 |
$7.96 |
| 36415 |
Collection of venous blood by venipuncture |
95 |
94 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
2,951 |
1,282 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
475 |
358 |
$0.00 |
| G9012 |
Other specified case management service not elsewhere classified |
1,692 |
738 |
$0.00 |
| 99318 |
|
53 |
53 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
39 |
39 |
$0.00 |
| 99307 |
|
441 |
382 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
35 |
34 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
23 |
12 |
$0.00 |
| 96160 |
|
167 |
155 |
$0.00 |
| 90687 |
|
20 |
20 |
$0.00 |