| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
66,265 |
60,390 |
$12.14M |
| 00003 |
Internal/system code - not a standard HCPCS code |
5,459 |
4,013 |
$1.41M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,484 |
27,896 |
$20K |
| 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 |
526 |
360 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,927 |
8,176 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,253 |
1,161 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
736 |
714 |
$869.43 |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
12 |
12 |
$529.68 |
| 99173 |
|
559 |
527 |
$521.76 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
674 |
654 |
$463.66 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,449 |
6,023 |
$402.35 |
| 85018 |
|
275 |
262 |
$387.48 |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,708 |
2,298 |
$380.00 |
| 90791 |
Psychiatric diagnostic evaluation |
1,058 |
931 |
$374.11 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,083 |
1,057 |
$370.55 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
240 |
240 |
$354.02 |
| 99385 |
|
379 |
376 |
$346.41 |
| 90686 |
|
14 |
14 |
$242.00 |
| 92551 |
|
619 |
586 |
$227.42 |
| 98940 |
|
763 |
603 |
$186.29 |
| 99383 |
|
124 |
121 |
$164.49 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
172 |
172 |
$98.91 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
563 |
560 |
$92.61 |
| 99386 |
|
80 |
80 |
$60.60 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
671 |
656 |
$43.85 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
543 |
437 |
$40.12 |
| 81025 |
|
13 |
13 |
$33.60 |
| 90647 |
|
188 |
174 |
$32.40 |
| 90670 |
|
258 |
245 |
$21.60 |
| 90723 |
|
153 |
147 |
$21.60 |
| 90680 |
|
92 |
87 |
$21.60 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
232 |
222 |
$0.00 |
| 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 |
33 |
33 |
$0.00 |
| 90710 |
|
32 |
27 |
$0.00 |
| 90734 |
|
27 |
24 |
$0.00 |
| 90700 |
|
28 |
25 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
109 |
88 |
$0.00 |
| 90633 |
|
72 |
65 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$0.00 |
| 99382 |
|
12 |
12 |
$0.00 |
| 90474 |
|
56 |
54 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
101 |
96 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
380 |
334 |
$0.00 |
| 90656 |
|
520 |
479 |
$0.00 |
| 90696 |
|
17 |
13 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
14 |
14 |
$0.00 |
| 99384 |
|
30 |
30 |
$0.00 |
| 90651 |
|
18 |
15 |
$0.00 |
| 99381 |
|
13 |
13 |
$0.00 |