| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
67,281 |
59,668 |
$11.05M |
| 00003 |
Internal/system code - not a standard HCPCS code |
13,543 |
11,326 |
$2.94M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51,743 |
39,392 |
$439K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,916 |
9,360 |
$168K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,679 |
5,195 |
$43K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
509 |
392 |
$31K |
| 97803 |
|
3,022 |
2,054 |
$21K |
| 80305 |
|
4,340 |
3,155 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
420 |
236 |
$14K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
698 |
481 |
$10K |
| 96127 |
|
6,546 |
5,220 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,222 |
892 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
503 |
289 |
$6K |
| 92551 |
|
1,682 |
1,246 |
$6K |
| 92015 |
Determination of refractive state |
1,912 |
1,304 |
$6K |
| 90832 |
Psychotherapy, 30 minutes with patient |
760 |
561 |
$5K |
| 98940 |
|
649 |
275 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
295 |
257 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
244 |
193 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,562 |
1,195 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
283 |
216 |
$3K |
| 86769 |
|
192 |
176 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
234 |
170 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
129 |
97 |
$2K |
| 0012A |
|
158 |
134 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
172 |
114 |
$2K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
223 |
100 |
$2K |
| 99443 |
|
312 |
191 |
$2K |
| 90658 |
|
459 |
395 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
218 |
166 |
$1K |
| 99173 |
|
1,167 |
985 |
$1K |
| 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 |
1,178 |
1,100 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
82 |
54 |
$879.13 |
| 90686 |
|
84 |
68 |
$865.92 |
| 99215 |
Prolong outpt/office vis |
31 |
31 |
$800.80 |
| 81025 |
|
694 |
629 |
$765.13 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
53 |
39 |
$741.00 |
| 99406 |
|
227 |
160 |
$728.70 |
| 0124A |
|
29 |
15 |
$670.00 |
| 90670 |
|
15 |
13 |
$595.50 |
| 90715 |
|
50 |
37 |
$510.95 |
| 0011A |
|
161 |
147 |
$420.46 |
| 0064A |
|
37 |
25 |
$388.00 |
| 91322 |
|
17 |
14 |
$364.80 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
47 |
31 |
$312.21 |
| H0049 |
Alcohol and/or drug screening |
1,458 |
1,451 |
$288.00 |
| 81002 |
|
318 |
262 |
$229.49 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
47 |
40 |
$224.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,291 |
2,001 |
$187.32 |
| 0004A |
|
14 |
12 |
$187.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
29 |
27 |
$180.00 |
| 93000 |
|
17 |
12 |
$172.20 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
66 |
58 |
$141.60 |
| 90688 |
|
28 |
25 |
$140.78 |
| 90480 |
|
17 |
14 |
$100.00 |
| 87081 |
|
15 |
15 |
$85.20 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
42 |
32 |
$62.84 |
| 82962 |
|
74 |
69 |
$50.00 |
| 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 |
77 |
69 |
$46.96 |
| 82947 |
|
20 |
14 |
$16.50 |
| 82272 |
|
20 |
15 |
$12.80 |
| 85018 |
|
19 |
14 |
$10.35 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
956 |
872 |
$5.87 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,157 |
1,094 |
$2.00 |
| 99401 |
|
564 |
554 |
$0.00 |
| 99408 |
|
5,468 |
5,111 |
$0.00 |
| 99442 |
|
226 |
206 |
$0.00 |
| 98960 |
|
1,271 |
1,032 |
$0.00 |
| 91312 |
|
21 |
16 |
$0.00 |
| 2028F |
|
64 |
54 |
$0.00 |
| 4004F |
|
309 |
304 |
$0.00 |
| G9920 |
Screening performed and negative |
114 |
93 |
$0.00 |
| Z6400 |
|
28 |
28 |
$0.00 |
| 3077F |
|
45 |
42 |
$0.00 |
| 90678 |
|
12 |
12 |
$0.00 |
| 3078F |
|
95 |
94 |
$0.00 |
| 86328 |
|
31 |
31 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
51 |
41 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
29 |
29 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$0.00 |
| 3008F |
|
5,174 |
4,898 |
$0.00 |
| Z1034 |
|
712 |
462 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
58 |
57 |
$0.00 |
| 3079F |
|
33 |
32 |
$0.00 |
| 3074F |
|
137 |
134 |
$0.00 |
| 99441 |
|
88 |
81 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,005 |
871 |
$0.00 |
| Z1032 |
|
29 |
28 |
$0.00 |
| Z1038 |
|
29 |
26 |
$0.00 |
| 91301 |
|
306 |
292 |
$0.00 |
| 3075F |
|
14 |
13 |
$0.00 |