| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
74,550 |
65,134 |
$9.62M |
| 00003 |
Internal/system code - not a standard HCPCS code |
33,321 |
29,241 |
$6.32M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,920 |
24,739 |
$139K |
| 90832 |
Psychotherapy, 30 minutes with patient |
10,372 |
4,992 |
$137K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,307 |
1,526 |
$134K |
| 98940 |
|
10,543 |
4,921 |
$122K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,562 |
11,714 |
$86K |
| 59425 |
|
1,313 |
808 |
$79K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16,978 |
12,548 |
$63K |
| 90834 |
Psychotherapy, 45 minutes with patient |
774 |
405 |
$25K |
| 81025 |
|
3,606 |
2,883 |
$8K |
| J3490 |
Unclassified drugs |
214 |
149 |
$8K |
| 90688 |
|
425 |
415 |
$7K |
| 81002 |
|
3,419 |
2,455 |
$6K |
| 99401 |
|
402 |
362 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
605 |
554 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
427 |
299 |
$4K |
| 96156 |
|
229 |
187 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
92 |
50 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,133 |
824 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
220 |
148 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,317 |
5,357 |
$2K |
| 90651 |
|
13 |
13 |
$1K |
| 90686 |
|
90 |
88 |
$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 |
1,905 |
1,660 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
415 |
328 |
$1K |
| 86328 |
|
51 |
28 |
$1K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
68 |
52 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
367 |
294 |
$877.00 |
| 59430 |
|
15 |
13 |
$791.24 |
| H2000 |
Comprehensive multidisciplinary evaluation |
53 |
50 |
$647.57 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
43 |
38 |
$613.93 |
| 92250 |
|
13 |
12 |
$547.69 |
| 90715 |
|
15 |
15 |
$437.41 |
| 83655 |
|
50 |
38 |
$403.94 |
| Q3014 |
Telehealth originating site facility fee |
13 |
12 |
$390.00 |
| 97802 |
|
30 |
15 |
$353.36 |
| 90656 |
|
66 |
48 |
$189.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$178.36 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
210 |
206 |
$166.93 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
20 |
12 |
$131.25 |
| 99215 |
Prolong outpt/office vis |
49 |
30 |
$114.40 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
62 |
43 |
$109.66 |
| 90677 |
|
20 |
12 |
$108.00 |
| 85018 |
|
1,359 |
794 |
$102.96 |
| 82962 |
|
22 |
12 |
$53.97 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
163 |
124 |
$52.35 |
| 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 |
101 |
79 |
$33.20 |
| 90698 |
|
29 |
26 |
$27.00 |
| 90670 |
|
16 |
15 |
$18.00 |
| 86580 |
|
18 |
17 |
$16.80 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
13 |
12 |
$3.12 |
| 90791 |
Psychiatric diagnostic evaluation |
151 |
137 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
19 |
16 |
$0.00 |
| Z6202 |
|
13 |
13 |
$0.00 |
| Z6400 |
|
35 |
28 |
$0.00 |
| Z6200 |
|
13 |
13 |
$0.00 |
| Z1034 |
|
2,271 |
1,696 |
$0.00 |
| Z6406 |
|
25 |
25 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
341 |
312 |
$0.00 |