| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
90,335 |
77,860 |
$14.99M |
| 00003 |
Internal/system code - not a standard HCPCS code |
13,067 |
11,137 |
$2.52M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
85,615 |
63,811 |
$222K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,339 |
942 |
$52K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,904 |
1,311 |
$29K |
| 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 |
1,699 |
1,537 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,548 |
1,037 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14,319 |
8,002 |
$15K |
| 92551 |
|
5,978 |
4,493 |
$15K |
| 90791 |
Psychiatric diagnostic evaluation |
400 |
250 |
$13K |
| 90832 |
Psychotherapy, 30 minutes with patient |
802 |
421 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,099 |
3,961 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,270 |
1,727 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,211 |
788 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,987 |
2,433 |
$9K |
| 90686 |
|
3,591 |
2,949 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,394 |
960 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,340 |
3,061 |
$3K |
| 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 |
135 |
134 |
$3K |
| 59425 |
|
338 |
234 |
$3K |
| 99173 |
|
13,360 |
10,311 |
$2K |
| G9012 |
Other specified case management service not elsewhere classified |
53 |
46 |
$2K |
| D1206 |
Topical application of fluoride varnish |
592 |
381 |
$2K |
| 90651 |
|
255 |
167 |
$1K |
| 0002A |
|
25 |
13 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
225 |
134 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,471 |
2,004 |
$871.64 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,808 |
2,344 |
$865.62 |
| 0001A |
|
62 |
36 |
$792.00 |
| D0220 |
Intraoral - periapical first radiographic image |
625 |
370 |
$778.00 |
| 99406 |
|
1,928 |
1,587 |
$725.73 |
| 82962 |
|
9,150 |
7,240 |
$707.69 |
| D0210 |
Intraoral - complete series of radiographic images |
149 |
87 |
$633.00 |
| 90656 |
|
364 |
328 |
$627.59 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
253 |
218 |
$626.11 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
352 |
233 |
$614.27 |
| D0120 |
Periodic oral evaluation - established patient |
254 |
247 |
$543.00 |
| 83655 |
|
338 |
216 |
$512.04 |
| 90837 |
Psychotherapy, 53 minutes with patient |
24 |
14 |
$488.02 |
| 88150 |
|
642 |
530 |
$465.23 |
| 92552 |
|
45 |
45 |
$447.63 |
| 90734 |
|
134 |
91 |
$393.82 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
125 |
70 |
$378.28 |
| 85018 |
|
1,490 |
993 |
$369.39 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
236 |
165 |
$365.13 |
| D1110 |
Prophylaxis - adult |
54 |
39 |
$337.00 |
| 99384 |
|
18 |
12 |
$309.95 |
| 3008F |
|
51,873 |
37,468 |
$294.43 |
| D0230 |
Intraoral - periapical each additional radiographic image |
140 |
93 |
$292.20 |
| 90715 |
|
141 |
101 |
$282.60 |
| D4910 |
|
18 |
13 |
$260.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
123 |
94 |
$256.49 |
| 0012A |
|
40 |
28 |
$234.00 |
| 3074F |
|
21,964 |
16,510 |
$193.66 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
8,227 |
4,740 |
$176.74 |
| 81025 |
|
265 |
215 |
$168.00 |
| 90670 |
|
140 |
105 |
$167.19 |
| 90750 |
|
15 |
12 |
$144.46 |
| D0274 |
Bitewings - four radiographic images |
40 |
29 |
$108.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
8,223 |
4,763 |
$90.38 |
| 3075F |
|
4,144 |
3,103 |
$80.25 |
| 90710 |
|
51 |
39 |
$72.00 |
| 94760 |
|
320 |
197 |
$69.13 |
| 0011A |
|
53 |
42 |
$68.00 |
| 92081 |
|
12 |
12 |
$67.78 |
| 11721 |
|
60 |
42 |
$67.02 |
| D9430 |
|
45 |
27 |
$44.00 |
| 3078F |
|
20,272 |
15,424 |
$40.30 |
| 90685 |
|
21 |
15 |
$27.00 |
| 99000 |
|
1,001 |
948 |
$24.78 |
| 90633 |
|
94 |
71 |
$18.00 |
| 90677 |
|
48 |
37 |
$18.00 |
| 81002 |
|
64 |
63 |
$12.90 |
| 90661 |
|
45 |
35 |
$9.00 |
| 90697 |
|
41 |
27 |
$9.00 |
| D0270 |
|
18 |
13 |
$6.00 |
| 3077F |
|
5,206 |
3,768 |
$5.07 |
| 36415 |
Collection of venous blood by venipuncture |
261 |
258 |
$2.10 |
| 3079F |
|
9,354 |
6,965 |
$0.13 |
| 3046F |
|
231 |
165 |
$0.09 |
| 3080F |
|
1,919 |
1,325 |
$0.03 |
| 99001 |
|
864 |
787 |
$0.00 |
| 91300 |
|
60 |
34 |
$0.00 |
| 90461 |
|
18 |
15 |
$0.00 |
| D0191 |
|
200 |
108 |
$0.00 |
| 11056 |
|
15 |
12 |
$0.00 |
| D9993 |
|
275 |
164 |
$0.00 |
| 99442 |
|
55 |
54 |
$0.00 |
| 99401 |
|
150 |
150 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
65 |
36 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
19 |
12 |
$0.00 |
| 90658 |
|
16 |
16 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
284 |
280 |
$0.00 |
| D0603 |
|
116 |
97 |
$0.00 |
| 91301 |
|
160 |
139 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
149 |
149 |
$0.00 |
| D1330 |
|
813 |
518 |
$0.00 |
| D1310 |
|
331 |
200 |
$0.00 |
| 99172 |
|
37 |
37 |
$0.00 |
| D9999 |
Unspecified adjunctive procedure, by report |
41 |
40 |
$0.00 |
| D1320 |
|
16 |
12 |
$0.00 |
| 97802 |
|
150 |
150 |
$0.00 |
| D9995 |
|
122 |
104 |
$0.00 |
| 3044F |
|
70 |
60 |
$0.00 |
| 90657 |
|
27 |
27 |
$0.00 |
| 90647 |
|
17 |
12 |
$0.00 |
| 99383 |
|
25 |
24 |
$0.00 |
| 90723 |
|
17 |
14 |
$0.00 |
| D0602 |
|
14 |
12 |
$0.00 |