| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
120,397 |
73,111 |
$71.15M |
| 00003 |
Internal/system code - not a standard HCPCS code |
78,431 |
56,462 |
$46.08M |
| 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 |
32,885 |
22,197 |
$13.73M |
| 98940 |
|
11,984 |
7,847 |
$5.32M |
| 97810 |
|
4,393 |
2,910 |
$2.72M |
| 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 |
3,182 |
1,817 |
$1.19M |
| 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 |
491 |
471 |
$240K |
| 97803 |
|
1,130 |
995 |
$75K |
| 97811 |
|
1,019 |
716 |
$47K |
| 97802 |
|
204 |
204 |
$27K |
| 97813 |
|
36 |
24 |
$26K |
| 98966 |
|
226 |
181 |
$6K |
| 0031A |
|
115 |
115 |
$4K |
| 0011A |
|
147 |
147 |
$3K |
| 0134A |
|
28 |
28 |
$2K |
| 0012A |
|
24 |
24 |
$960.00 |
| 0001A |
|
22 |
22 |
$880.00 |
| 0002A |
|
17 |
17 |
$680.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,215 |
8,137 |
$608.71 |
| 0064A |
|
15 |
14 |
$570.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,483 |
31,169 |
$296.02 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
3,115 |
2,198 |
$223.40 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
4,956 |
2,254 |
$22.21 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
7,735 |
3,015 |
$12.22 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
7,968 |
3,091 |
$10.96 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,957 |
1,717 |
$0.00 |
| 97162 |
|
318 |
315 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
242 |
218 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,322 |
1,312 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,198 |
10,047 |
$0.00 |
| 99000 |
|
773 |
744 |
$0.00 |
| 3044F |
|
30 |
29 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
509 |
476 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
7,452 |
4,794 |
$0.00 |
| 92551 |
|
250 |
249 |
$0.00 |
| 99383 |
|
135 |
135 |
$0.00 |
| 82962 |
|
1,616 |
1,357 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
681 |
676 |
$0.00 |
| 99384 |
|
43 |
43 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
342 |
336 |
$0.00 |
| 36416 |
|
1,160 |
1,013 |
$0.00 |
| 90686 |
|
824 |
819 |
$0.00 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
179 |
174 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
153 |
153 |
$0.00 |
| 85018 |
|
28 |
28 |
$0.00 |
| 3079F |
|
43 |
43 |
$0.00 |
| 3052F |
|
70 |
67 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
67 |
63 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
51 |
36 |
$0.00 |
| 3075F |
|
20 |
20 |
$0.00 |
| 3074F |
|
53 |
53 |
$0.00 |
| 3080F |
|
14 |
14 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
25 |
25 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
378 |
375 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,975 |
2,782 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
7,923 |
5,147 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
408 |
385 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
728 |
667 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
993 |
960 |
$0.00 |
| 99173 |
|
287 |
284 |
$0.00 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,324 |
517 |
$0.00 |
| 86703 |
|
42 |
41 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
738 |
728 |
$0.00 |
| 90715 |
|
311 |
311 |
$0.00 |
| 97161 |
|
114 |
114 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,484 |
1,453 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
194 |
193 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
257 |
223 |
$0.00 |
| 3046F |
|
23 |
21 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
65 |
64 |
$0.00 |
| 99382 |
|
14 |
14 |
$0.00 |
| 81002 |
|
445 |
418 |
$0.00 |
| 3077F |
|
41 |
39 |
$0.00 |
| 81025 |
|
53 |
53 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$0.00 |
| 90682 |
|
66 |
66 |
$0.00 |
| 90662 |
|
69 |
69 |
$0.00 |
| 3078F |
|
58 |
57 |
$0.00 |
| 97116 |
|
45 |
13 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
13 |
13 |
$0.00 |
| 3051F |
|
15 |
14 |
$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 |
15 |
14 |
$0.00 |