| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
138,492 |
120,999 |
$12.82M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
108,891 |
65,713 |
$381K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26,184 |
18,331 |
$270K |
| 90791 |
Psychiatric diagnostic evaluation |
3,044 |
1,951 |
$248K |
| 90832 |
Psychotherapy, 30 minutes with patient |
7,177 |
3,364 |
$239K |
| 59425 |
|
2,492 |
1,806 |
$180K |
| 96127 |
|
53,395 |
25,873 |
$149K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35,764 |
21,770 |
$110K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,170 |
2,333 |
$106K |
| D1206 |
Topical application of fluoride varnish |
3,506 |
2,465 |
$47K |
| 90746 |
|
786 |
705 |
$43K |
| 90686 |
|
11,117 |
7,648 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,902 |
6,738 |
$37K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,240 |
1,526 |
$34K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,209 |
1,474 |
$32K |
| 99173 |
|
13,344 |
8,829 |
$27K |
| J3490 |
Unclassified drugs |
576 |
397 |
$25K |
| 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 |
651 |
591 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,623 |
2,544 |
$17K |
| 90715 |
|
1,478 |
1,106 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,961 |
4,458 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,005 |
3,051 |
$12K |
| 0011A |
|
169 |
169 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,289 |
3,918 |
$10K |
| 81003 |
|
7,376 |
4,114 |
$7K |
| 92552 |
|
12,080 |
8,743 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
328 |
261 |
$6K |
| 90732 |
|
114 |
97 |
$6K |
| 0012A |
|
81 |
81 |
$5K |
| G9012 |
Other specified case management service not elsewhere classified |
70 |
48 |
$5K |
| 81025 |
|
2,719 |
1,958 |
$5K |
| 00003 |
Internal/system code - not a standard HCPCS code |
30 |
29 |
$5K |
| 96156 |
|
415 |
412 |
$5K |
| 59430 |
|
76 |
70 |
$4K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
159 |
157 |
$4K |
| 0064A |
|
61 |
61 |
$4K |
| 99188 |
|
359 |
233 |
$3K |
| 99401 |
|
175 |
175 |
$2K |
| 99381 |
|
232 |
200 |
$2K |
| 11730 |
|
112 |
41 |
$2K |
| 0500F |
|
21 |
13 |
$2K |
| 90662 |
|
109 |
96 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
73 |
73 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
46 |
32 |
$1K |
| 99215 |
Prolong outpt/office vis |
852 |
516 |
$1K |
| 93000 |
|
56 |
34 |
$929.88 |
| 97803 |
|
41 |
41 |
$826.90 |
| 99386 |
|
37 |
30 |
$684.77 |
| 90651 |
|
3,003 |
1,926 |
$656.90 |
| 83655 |
|
160 |
112 |
$612.48 |
| 98960 |
|
14 |
14 |
$447.86 |
| 11720 |
|
24 |
12 |
$379.28 |
| 99201 |
|
135 |
80 |
$326.24 |
| 99383 |
|
129 |
85 |
$263.20 |
| 80305 |
|
20 |
12 |
$242.00 |
| 90688 |
|
319 |
319 |
$177.73 |
| 87210 |
|
46 |
46 |
$170.20 |
| 86580 |
|
40 |
37 |
$134.60 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
17 |
$118.83 |
| 85018 |
|
7,452 |
6,923 |
$105.00 |
| 99385 |
|
93 |
64 |
$70.43 |
| 3078F |
|
19,705 |
17,634 |
$68.63 |
| G9920 |
Screening performed and negative |
15 |
14 |
$58.00 |
| 99000 |
|
19 |
14 |
$47.96 |
| 90744 |
|
1,778 |
1,257 |
$36.54 |
| 90707 |
|
1,484 |
1,012 |
$27.81 |
| 90633 |
|
2,838 |
1,909 |
$26.78 |
| 88720 |
|
14 |
12 |
$15.48 |
| 90716 |
|
1,708 |
1,157 |
$12.36 |
| 90620 |
|
456 |
297 |
$9.27 |
| 90734 |
|
1,977 |
1,272 |
$9.27 |
| 90700 |
|
74 |
53 |
$9.00 |
| 3074F |
|
21,552 |
19,120 |
$0.00 |
| 3079F |
|
6,463 |
5,721 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,345 |
4,363 |
$0.00 |
| 3075F |
|
3,045 |
2,765 |
$0.00 |
| 90698 |
|
2,487 |
1,683 |
$0.00 |
| 3080F |
|
734 |
629 |
$0.00 |
| 90696 |
|
303 |
189 |
$0.00 |
| Z1034 |
|
3,101 |
2,327 |
$0.00 |
| 90656 |
|
191 |
181 |
$0.00 |
| Z6406 |
|
106 |
105 |
$0.00 |
| 92551 |
|
1,574 |
1,570 |
$0.00 |
| 96161 |
|
24 |
24 |
$0.00 |
| 99384 |
|
42 |
26 |
$0.00 |
| 90677 |
|
416 |
281 |
$0.00 |
| Z1032 |
|
94 |
94 |
$0.00 |
| Z1038 |
|
42 |
41 |
$0.00 |
| 90723 |
|
84 |
83 |
$0.00 |
| Z6204 |
|
108 |
107 |
$0.00 |
| Z6402 |
|
45 |
45 |
$0.00 |
| 90619 |
|
118 |
68 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
24 |
18 |
$0.00 |
| 3008F |
|
14 |
12 |
$0.00 |
| 0503F |
|
16 |
12 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
22 |
22 |
$0.00 |
| 96160 |
|
1,646 |
1,561 |
$0.00 |
| 0502F |
|
1,739 |
1,250 |
$0.00 |
| 3077F |
|
2,682 |
2,287 |
$0.00 |
| 90670 |
|
3,303 |
2,309 |
$0.00 |
| Z6400 |
|
337 |
337 |
$0.00 |
| Z6304 |
|
106 |
105 |
$0.00 |
| 2028F |
|
401 |
349 |
$0.00 |
| 90681 |
|
431 |
311 |
$0.00 |
| 90710 |
|
162 |
99 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
96 |
82 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
52 |
49 |
$0.00 |
| 82947 |
|
303 |
264 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
465 |
350 |
$0.00 |
| Z6200 |
|
45 |
45 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
78 |
45 |
$0.00 |
| 90685 |
|
137 |
136 |
$0.00 |
| 90648 |
|
234 |
205 |
$0.00 |
| 99382 |
|
44 |
25 |
$0.00 |
| Z6300 |
|
45 |
45 |
$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 |
13 |
13 |
$0.00 |