| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00003 |
Internal/system code - not a standard HCPCS code |
31,308 |
23,073 |
$16.81M |
| T1015 |
Clinic visit/encounter, all-inclusive |
20,936 |
16,347 |
$11.40M |
| 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 |
5,387 |
4,319 |
$2.18M |
| Q3014 |
Telehealth originating site facility fee |
72 |
67 |
$2K |
| 99000 |
|
4,275 |
3,793 |
$196.02 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
142 |
90 |
$165.84 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,086 |
10,958 |
$102.02 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,064 |
3,683 |
$74.21 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
260 |
239 |
$32.35 |
| 90756 |
|
20 |
20 |
$31.12 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,698 |
2,456 |
$30.63 |
| 81003 |
|
212 |
199 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
51 |
51 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
996 |
531 |
$0.00 |
| 99173 |
|
224 |
213 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,276 |
1,201 |
$0.00 |
| 99442 |
|
272 |
265 |
$0.00 |
| 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 |
89 |
71 |
$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 |
79 |
69 |
$0.00 |
| 90661 |
|
12 |
12 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
13 |
13 |
$0.00 |
| 90715 |
|
27 |
27 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
17 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
177 |
172 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
76 |
76 |
$0.00 |
| 82962 |
|
371 |
328 |
$0.00 |
| 90674 |
|
271 |
270 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
171 |
170 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
233 |
217 |
$0.00 |
| 92551 |
|
150 |
150 |
$0.00 |
| 0012A |
|
100 |
100 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
24 |
24 |
$0.00 |
| 90686 |
|
130 |
130 |
$0.00 |
| 0011A |
|
124 |
124 |
$0.00 |
| 91301 |
|
83 |
80 |
$0.00 |
| 0031A |
|
12 |
12 |
$0.00 |
| 0064A |
|
24 |
24 |
$0.00 |