| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
21,288 |
13,410 |
$12.37M |
| 00003 |
Internal/system code - not a standard HCPCS code |
18,301 |
13,673 |
$10.23M |
| 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 |
6,432 |
4,088 |
$2.64M |
| A0390 |
Als mileage (per mile) |
8,371 |
3,444 |
$1.59M |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
9,206 |
3,772 |
$170K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
352 |
148 |
$28K |
| 0002A |
|
139 |
139 |
$5K |
| 0001A |
|
118 |
118 |
$3K |
| 0003A |
|
38 |
38 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,362 |
7,565 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,190 |
2,796 |
$540.63 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,697 |
5,435 |
$503.57 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
269 |
264 |
$0.08 |
| 36416 |
|
304 |
281 |
$0.03 |
| 3074F |
|
1,868 |
1,650 |
$0.00 |
| 3079F |
|
620 |
578 |
$0.00 |
| 99000 |
|
1,938 |
1,792 |
$0.00 |
| 3080F |
|
228 |
207 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
561 |
465 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
278 |
251 |
$0.00 |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
212 |
203 |
$0.00 |
| 90688 |
|
80 |
78 |
$0.00 |
| 3075F |
|
330 |
320 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
20 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
394 |
367 |
$0.00 |
| 85018 |
|
39 |
39 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
28 |
27 |
$0.00 |
| 87807 |
|
72 |
68 |
$0.00 |
| 87430 |
|
51 |
51 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
108 |
92 |
$0.00 |
| 90686 |
|
86 |
65 |
$0.00 |
| 92551 |
|
12 |
12 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
431 |
258 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,817 |
1,369 |
$0.00 |
| 3077F |
|
462 |
405 |
$0.00 |
| 3078F |
|
1,698 |
1,515 |
$0.00 |
| 81003 |
|
17 |
16 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
592 |
546 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
317 |
296 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
26 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
68 |
66 |
$0.00 |
| 99173 |
|
129 |
127 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
59 |
59 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
174 |
154 |
$0.00 |
| 90461 |
|
223 |
198 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
62 |
58 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
57 |
57 |
$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 |
63 |
50 |
$0.00 |
| 90633 |
|
16 |
16 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
30 |
30 |
$0.00 |