| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
47,851 |
41,691 |
$5.50M |
| 00003 |
Internal/system code - not a standard HCPCS code |
1,553 |
1,408 |
$343K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47,622 |
26,875 |
$39K |
| 0012A |
|
297 |
297 |
$20K |
| 0011A |
|
293 |
293 |
$20K |
| 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 |
346 |
323 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19,131 |
10,394 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,587 |
968 |
$4K |
| 0064A |
|
43 |
43 |
$3K |
| 90677 |
|
240 |
240 |
$2K |
| G9919 |
Screening performed and positive and provision of recommendations |
1,834 |
1,826 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,200 |
5,627 |
$1K |
| 0001A |
|
13 |
13 |
$830.00 |
| 99000 |
|
11,695 |
11,334 |
$532.30 |
| 90656 |
|
128 |
128 |
$527.91 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
30,558 |
27,024 |
$365.63 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,174 |
667 |
$305.61 |
| 90651 |
|
42 |
42 |
$288.34 |
| G9920 |
Screening performed and negative |
189 |
189 |
$287.68 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,006 |
2,964 |
$245.71 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
316 |
232 |
$240.38 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,209 |
2,208 |
$236.96 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,491 |
1,478 |
$217.60 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
69 |
40 |
$202.65 |
| 81025 |
|
397 |
392 |
$186.84 |
| 90715 |
|
13 |
13 |
$84.68 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
77 |
49 |
$68.21 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
15 |
$59.30 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
87 |
83 |
$55.68 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
76 |
54 |
$54.83 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
26 |
$43.41 |
| 82962 |
|
1,344 |
1,342 |
$41.60 |
| 99173 |
|
1,300 |
1,297 |
$38.16 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
169 |
122 |
$37.02 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,277 |
1,174 |
$29.38 |
| 90633 |
|
37 |
37 |
$19.90 |
| 85018 |
|
252 |
251 |
$18.57 |
| 90647 |
|
27 |
27 |
$9.90 |
| G0008 |
Administration of influenza virus vaccine |
209 |
209 |
$8.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
266 |
266 |
$3.90 |
| 3074F |
|
14,930 |
13,872 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
1,687 |
1,248 |
$0.00 |
| 3079F |
|
4,294 |
4,016 |
$0.00 |
| 3075F |
|
2,881 |
2,716 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
507 |
416 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
21,165 |
18,970 |
$0.00 |
| 99386 |
|
47 |
26 |
$0.00 |
| 2000F |
|
19 |
18 |
$0.00 |
| 3080F |
|
664 |
580 |
$0.00 |
| G9012 |
Other specified case management service not elsewhere classified |
1,267 |
947 |
$0.00 |
| 3044F |
|
234 |
234 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
939 |
876 |
$0.00 |
| 3052F |
|
26 |
26 |
$0.00 |
| 99385 |
|
204 |
111 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
122 |
122 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
45 |
45 |
$0.00 |
| 86580 |
|
14 |
14 |
$0.00 |
| 90686 |
|
18 |
18 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
236 |
205 |
$0.00 |
| 96160 |
|
1,934 |
1,924 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
64 |
59 |
$0.00 |
| 3078F |
|
14,934 |
13,805 |
$0.00 |
| 3077F |
|
1,968 |
1,755 |
$0.00 |
| 81002 |
|
82 |
79 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,274 |
839 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
122 |
70 |
$0.00 |
| 90750 |
|
12 |
12 |
$0.00 |
| 99397 |
|
13 |
12 |
$0.00 |
| 3051F |
|
52 |
52 |
$0.00 |
| 81003 |
|
43 |
42 |
$0.00 |
| 90734 |
|
25 |
25 |
$0.00 |
| 3046F |
|
88 |
88 |
$0.00 |
| 90655 |
|
17 |
17 |
$0.00 |