| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
234,176 |
182,574 |
$43.80M |
| 00003 |
Internal/system code - not a standard HCPCS code |
13,164 |
11,402 |
$3.67M |
| 90832 |
Psychotherapy, 30 minutes with patient |
59,296 |
14,117 |
$1.73M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
123,372 |
68,331 |
$350K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
108,096 |
57,742 |
$271K |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,356 |
1,297 |
$204K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,496 |
15,928 |
$151K |
| 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 |
3,173 |
2,637 |
$79K |
| 0012A |
|
566 |
566 |
$38K |
| 0011A |
|
521 |
520 |
$35K |
| 99215 |
Prolong outpt/office vis |
2,752 |
1,533 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,853 |
1,734 |
$27K |
| 0001A |
|
293 |
293 |
$20K |
| 0002A |
|
290 |
290 |
$19K |
| 0064A |
|
263 |
263 |
$17K |
| 0134A |
|
254 |
254 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,011 |
1,354 |
$15K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
155 |
90 |
$13K |
| 0004A |
|
200 |
200 |
$13K |
| 0124A |
|
184 |
183 |
$12K |
| G9920 |
Screening performed and negative |
1,642 |
1,079 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,589 |
1,557 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,601 |
1,001 |
$8K |
| 99397 |
|
1,375 |
874 |
$7K |
| 0031A |
|
109 |
109 |
$7K |
| 97810 |
|
2,861 |
885 |
$7K |
| 97811 |
|
2,827 |
870 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,358 |
790 |
$5K |
| 90677 |
|
152 |
101 |
$4K |
| 0071A |
|
63 |
63 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,994 |
4,679 |
$4K |
| 92552 |
|
3,446 |
2,142 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
857 |
508 |
$3K |
| G9012 |
Other specified case management service not elsewhere classified |
23 |
12 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
213 |
173 |
$3K |
| 0072A |
|
34 |
34 |
$2K |
| 82947 |
|
6,078 |
3,755 |
$2K |
| 81025 |
|
4,051 |
2,692 |
$2K |
| 90674 |
|
1,244 |
847 |
$2K |
| 97802 |
|
615 |
614 |
$2K |
| 90686 |
|
2,564 |
1,921 |
$1K |
| 90715 |
|
514 |
331 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
727 |
426 |
$1K |
| 90746 |
|
289 |
209 |
$1K |
| 97813 |
|
850 |
361 |
$893.59 |
| 97814 |
|
802 |
345 |
$817.16 |
| 90697 |
|
175 |
132 |
$775.00 |
| 99383 |
|
54 |
42 |
$733.30 |
| 99381 |
|
91 |
65 |
$674.65 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
77 |
49 |
$630.22 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
512 |
289 |
$607.55 |
| 97803 |
|
295 |
295 |
$547.42 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
41 |
26 |
$546.39 |
| 99384 |
|
18 |
13 |
$434.16 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,404 |
1,706 |
$407.98 |
| 90636 |
|
98 |
61 |
$404.00 |
| 90732 |
|
58 |
37 |
$376.00 |
| 96156 |
|
357 |
310 |
$355.22 |
| J3490 |
Unclassified drugs |
49 |
45 |
$330.00 |
| 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 |
13 |
13 |
$329.03 |
| G9919 |
Screening performed and positive and provision of recommendations |
57 |
37 |
$319.00 |
| 90791 |
Psychiatric diagnostic evaluation |
19 |
12 |
$300.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
24 |
24 |
$293.28 |
| 85018 |
|
3,072 |
1,954 |
$277.68 |
| 81000 |
|
7,081 |
3,536 |
$259.62 |
| 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 |
15 |
15 |
$204.04 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
144 |
133 |
$199.35 |
| 90756 |
|
122 |
92 |
$180.00 |
| 90670 |
|
1,414 |
1,113 |
$140.00 |
| 99173 |
|
2,155 |
1,722 |
$134.52 |
| D1206 |
Topical application of fluoride varnish |
19 |
18 |
$128.70 |
| 83655 |
|
1,272 |
808 |
$122.05 |
| 90656 |
|
169 |
134 |
$121.76 |
| 90648 |
|
1,206 |
950 |
$100.00 |
| 90723 |
|
906 |
703 |
$80.00 |
| 87449 |
|
166 |
109 |
$72.24 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
178 |
119 |
$66.38 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,128 |
819 |
$59.40 |
| 90680 |
|
826 |
637 |
$50.00 |
| 99188 |
|
52 |
33 |
$39.60 |
| 11721 |
|
17 |
12 |
$35.19 |
| 99201 |
|
13 |
13 |
$24.05 |
| 90710 |
|
413 |
348 |
$10.00 |
| 90633 |
|
740 |
612 |
$10.00 |
| 99401 |
|
14 |
12 |
$9.00 |
| 88720 |
|
59 |
36 |
$4.52 |
| 90671 |
|
78 |
60 |
$0.00 |
| Z6304 |
|
167 |
154 |
$0.00 |
| 2028F |
|
179 |
179 |
$0.00 |
| Z6400 |
|
204 |
201 |
$0.00 |
| 90658 |
|
57 |
41 |
$0.00 |
| 90681 |
|
16 |
12 |
$0.00 |
| S0197 |
Prenatal vitamins, 30-day supply |
42 |
26 |
$0.00 |
| 90734 |
|
109 |
69 |
$0.00 |
| 90700 |
|
66 |
56 |
$0.00 |
| Z6300 |
|
12 |
12 |
$0.00 |
| 90707 |
|
52 |
46 |
$0.00 |
| 90651 |
|
192 |
135 |
$0.00 |
| 90696 |
|
28 |
25 |
$0.00 |
| 90716 |
|
81 |
73 |
$0.00 |
| 90688 |
|
58 |
54 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
47 |
45 |
$0.00 |
| 90657 |
|
12 |
12 |
$0.00 |
| 90744 |
|
16 |
13 |
$0.00 |
| 87428 |
|
55 |
55 |
$0.00 |