| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
73,257 |
62,155 |
$12.16M |
| 00003 |
Internal/system code - not a standard HCPCS code |
46,536 |
29,782 |
$11.07M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46,244 |
31,610 |
$192K |
| 90832 |
Psychotherapy, 30 minutes with patient |
7,036 |
3,670 |
$70K |
| 98940 |
|
5,877 |
2,931 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,779 |
8,659 |
$26K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
405 |
269 |
$24K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
1,770 |
705 |
$17K |
| 90791 |
Psychiatric diagnostic evaluation |
589 |
478 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,500 |
5,561 |
$10K |
| 90677 |
|
86 |
55 |
$8K |
| 90834 |
Psychotherapy, 45 minutes with patient |
303 |
167 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,164 |
884 |
$6K |
| 90688 |
|
418 |
355 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,045 |
1,438 |
$4K |
| 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 |
4,974 |
4,354 |
$3K |
| 90746 |
|
67 |
38 |
$3K |
| 99188 |
|
450 |
334 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
65 |
34 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
627 |
465 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
752 |
466 |
$2K |
| 59425 |
|
33 |
25 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
597 |
372 |
$2K |
| 90686 |
|
279 |
225 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
214 |
126 |
$2K |
| 83655 |
|
264 |
143 |
$1K |
| 90674 |
|
49 |
49 |
$1K |
| 92250 |
|
30 |
30 |
$1K |
| 81025 |
|
379 |
357 |
$1K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12,942 |
11,070 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
194 |
131 |
$925.73 |
| Q3014 |
Telehealth originating site facility fee |
31 |
31 |
$900.00 |
| 96127 |
|
363 |
201 |
$889.85 |
| 90658 |
|
67 |
48 |
$851.40 |
| 90715 |
|
53 |
40 |
$801.42 |
| 81002 |
|
544 |
387 |
$761.60 |
| 92551 |
|
1,063 |
588 |
$720.21 |
| 99215 |
Prolong outpt/office vis |
442 |
271 |
$686.40 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
260 |
133 |
$603.13 |
| 96160 |
|
230 |
127 |
$540.54 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
101 |
81 |
$509.55 |
| 90651 |
|
137 |
99 |
$486.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
135 |
78 |
$408.14 |
| 90656 |
|
85 |
57 |
$387.00 |
| 85018 |
|
3,092 |
1,838 |
$373.63 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
33 |
20 |
$243.75 |
| 90619 |
|
43 |
30 |
$144.00 |
| 90480 |
|
28 |
28 |
$120.00 |
| 90698 |
|
13 |
13 |
$117.00 |
| 90670 |
|
12 |
12 |
$108.00 |
| 82962 |
|
67 |
51 |
$66.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
115 |
111 |
$62.37 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
22 |
14 |
$43.26 |
| 90633 |
|
28 |
27 |
$36.00 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
31 |
31 |
$7.20 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
752 |
653 |
$0.00 |
| Z1034 |
|
237 |
168 |
$0.00 |
| 99174 |
|
26 |
26 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$0.00 |
| 99173 |
|
486 |
484 |
$0.00 |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
341 |
269 |
$0.00 |
| 91320 |
|
14 |
14 |
$0.00 |
| 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 |
$0.00 |
| 90662 |
|
14 |
12 |
$0.00 |