| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
134,388 |
107,109 |
$18.38M |
| 00003 |
Internal/system code - not a standard HCPCS code |
11,063 |
8,147 |
$1.83M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39,663 |
35,455 |
$192K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14,713 |
13,194 |
$68K |
| 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 |
1,152 |
904 |
$35K |
| J3490 |
Unclassified drugs |
1,796 |
1,779 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,270 |
11,345 |
$23K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
57 |
46 |
$2K |
| Q3014 |
Telehealth originating site facility fee |
7,775 |
6,951 |
$734.70 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
675 |
671 |
$543.87 |
| 81025 |
|
1,526 |
1,510 |
$266.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,124 |
1,635 |
$253.76 |
| 99215 |
Prolong outpt/office vis |
324 |
314 |
$149.78 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
526 |
524 |
$86.06 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
195 |
193 |
$76.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,522 |
1,521 |
$52.62 |
| 90715 |
|
552 |
552 |
$42.00 |
| 90656 |
|
245 |
244 |
$21.00 |
| 92552 |
|
2,625 |
2,624 |
$20.03 |
| 81003 |
|
4,667 |
3,707 |
$15.41 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
97 |
86 |
$12.00 |
| Z1034 |
|
4,485 |
3,040 |
$0.00 |
| 90686 |
|
514 |
514 |
$0.00 |
| 85018 |
|
1,054 |
1,036 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,029 |
1,028 |
$0.00 |
| 90723 |
|
484 |
484 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
119 |
119 |
$0.00 |
| 92567 |
|
661 |
627 |
$0.00 |
| 3074F |
|
898 |
841 |
$0.00 |
| 90680 |
|
495 |
495 |
$0.00 |
| Z1032 |
|
30 |
30 |
$0.00 |
| 90696 |
|
156 |
156 |
$0.00 |
| Z6406 |
|
233 |
223 |
$0.00 |
| Z6402 |
|
63 |
63 |
$0.00 |
| 90716 |
|
74 |
74 |
$0.00 |
| Z1038 |
|
44 |
42 |
$0.00 |
| 3079F |
|
258 |
251 |
$0.00 |
| 90697 |
|
190 |
190 |
$0.00 |
| 99384 |
|
14 |
14 |
$0.00 |
| 3080F |
|
92 |
88 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
13 |
12 |
$0.00 |
| 3075F |
|
162 |
160 |
$0.00 |
| 92228 |
|
13 |
13 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
12 |
$0.00 |
| 99173 |
|
1,139 |
1,138 |
$0.00 |
| Z6304 |
|
141 |
140 |
$0.00 |
| 90700 |
|
43 |
43 |
$0.00 |
| 90710 |
|
188 |
188 |
$0.00 |
| 90670 |
|
1,030 |
1,030 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
306 |
305 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,115 |
1,114 |
$0.00 |
| 3078F |
|
829 |
779 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,424 |
1,422 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
162 |
161 |
$0.00 |
| Z2702 |
|
1,483 |
1,482 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,090 |
1,088 |
$0.00 |
| 90649 |
|
159 |
159 |
$0.00 |
| 90648 |
|
746 |
746 |
$0.00 |
| 90734 |
|
80 |
80 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
168 |
168 |
$0.00 |
| Z6400 |
|
53 |
53 |
$0.00 |
| 87210 |
|
67 |
67 |
$0.00 |
| 99188 |
|
53 |
53 |
$0.00 |
| 90658 |
|
50 |
50 |
$0.00 |
| 90633 |
|
396 |
395 |
$0.00 |
| Z6200 |
|
690 |
662 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
125 |
124 |
$0.00 |
| 3077F |
|
103 |
99 |
$0.00 |
| Z7500 |
|
159 |
142 |
$0.00 |
| 90707 |
|
45 |
45 |
$0.00 |
| Z6300 |
|
63 |
63 |
$0.00 |
| 90671 |
|
12 |
12 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
19 |
15 |
$0.00 |