| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,468 |
11,099 |
$3.72M |
| 00003 |
Internal/system code - not a standard HCPCS code |
8,255 |
7,511 |
$2.57M |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,093 |
2,000 |
$181K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,492 |
7,159 |
$164K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,626 |
3,813 |
$97K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
804 |
685 |
$90K |
| 90834 |
Psychotherapy, 45 minutes with patient |
786 |
444 |
$44K |
| 90837 |
Psychotherapy, 53 minutes with patient |
199 |
101 |
$18K |
| 90791 |
Psychiatric diagnostic evaluation |
120 |
84 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
803 |
566 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
270 |
243 |
$11K |
| J3490 |
Unclassified drugs |
752 |
574 |
$4K |
| 81025 |
|
2,557 |
1,876 |
$3K |
| A4267 |
Contraceptive supply, condom, male, each |
676 |
514 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,711 |
2,989 |
$1K |
| 99402 |
|
24 |
24 |
$762.96 |
| 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 |
24 |
24 |
$594.24 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
21 |
20 |
$502.89 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
35 |
25 |
$301.55 |
| 90686 |
|
1,087 |
864 |
$296.88 |
| S4993 |
Contraceptive pills for birth control |
16 |
12 |
$288.00 |
| 99401 |
|
13 |
13 |
$247.91 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
979 |
863 |
$152.97 |
| 90716 |
|
177 |
169 |
$144.00 |
| 99215 |
Prolong outpt/office vis |
23 |
13 |
$121.56 |
| 99000 |
|
143 |
142 |
$116.85 |
| 90715 |
|
81 |
77 |
$92.73 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
33 |
33 |
$84.00 |
| 99070 |
|
150 |
105 |
$45.00 |
| 90656 |
|
477 |
363 |
$29.49 |
| 90651 |
|
115 |
92 |
$9.00 |
| 91322 |
|
45 |
43 |
$0.01 |
| 90633 |
|
196 |
180 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
15 |
13 |
$0.00 |
| 90707 |
|
44 |
40 |
$0.00 |
| 90713 |
|
65 |
60 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
53 |
42 |
$0.00 |
| 90619 |
|
40 |
37 |
$0.00 |
| 90620 |
|
127 |
99 |
$0.00 |
| 90480 |
|
89 |
88 |
$0.00 |
| 90744 |
|
87 |
82 |
$0.00 |