| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
135,050 |
95,956 |
$25.05M |
| 00003 |
Internal/system code - not a standard HCPCS code |
55,218 |
44,160 |
$12.68M |
| 90832 |
Psychotherapy, 30 minutes with patient |
31,327 |
10,428 |
$666K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
86,769 |
45,553 |
$291K |
| 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 |
2,980 |
1,965 |
$241K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
43,946 |
24,517 |
$206K |
| 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 |
654 |
267 |
$67K |
| 98940 |
|
11,507 |
5,197 |
$36K |
| 90834 |
Psychotherapy, 45 minutes with patient |
507 |
225 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
511 |
288 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,557 |
4,790 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
284 |
183 |
$4K |
| 99215 |
Prolong outpt/office vis |
277 |
110 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
460 |
262 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
184 |
159 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
220 |
151 |
$1K |
| Q3014 |
Telehealth originating site facility fee |
508 |
242 |
$712.63 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
464 |
175 |
$712.50 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
408 |
228 |
$490.22 |
| 93000 |
|
45 |
25 |
$420.00 |
| 81003 |
|
220 |
139 |
$103.88 |
| 81025 |
|
85 |
58 |
$78.40 |
| 3077F |
|
4,488 |
2,996 |
$0.00 |
| 3078F |
|
59,261 |
33,302 |
$0.00 |
| 20552 |
|
188 |
71 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
661 |
359 |
$0.00 |
| 92552 |
|
113 |
99 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
61 |
60 |
$0.00 |
| 90661 |
|
73 |
50 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
14 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
12 |
$0.00 |
| 3079F |
|
12,573 |
7,981 |
$0.00 |
| 3074F |
|
62,114 |
34,812 |
$0.00 |
| 3075F |
|
7,057 |
4,783 |
$0.00 |
| 3080F |
|
2,620 |
1,890 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
323 |
261 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
53 |
13 |
$0.00 |
| 20610 |
|
21 |
14 |
$0.00 |