| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00003 |
Internal/system code - not a standard HCPCS code |
84,179 |
63,423 |
$46.15M |
| T1015 |
Clinic visit/encounter, all-inclusive |
53,884 |
39,556 |
$31.41M |
| 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 |
8,121 |
6,413 |
$3.45M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35,871 |
29,300 |
$1.63M |
| 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 |
1,701 |
1,235 |
$818K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,152 |
8,507 |
$536K |
| 90832 |
Psychotherapy, 30 minutes with patient |
5,707 |
4,301 |
$164K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,192 |
1,040 |
$149K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,024 |
5,526 |
$77K |
| 0900 |
|
945 |
532 |
$63K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
108 |
108 |
$40K |
| 86703 |
|
146 |
145 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
650 |
642 |
$16K |
| 0011A |
|
400 |
399 |
$15K |
| 0012A |
|
368 |
368 |
$14K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
33 |
33 |
$11K |
| 0064A |
|
248 |
247 |
$10K |
| 0134A |
|
116 |
116 |
$8K |
| 87650 |
|
845 |
818 |
$6K |
| 80305 |
|
3,606 |
2,402 |
$5K |
| 91322 |
|
31 |
31 |
$4K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,316 |
928 |
$3K |
| 81003 |
|
1,701 |
1,583 |
$2K |
| 0031A |
|
45 |
45 |
$2K |
| 0071A |
|
43 |
40 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
66 |
57 |
$1K |
| 90480 |
|
34 |
33 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
128 |
127 |
$910.00 |
| 0003A |
|
18 |
17 |
$707.00 |
| 92015 |
Determination of refractive state |
177 |
177 |
$647.26 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
40 |
40 |
$575.44 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
165 |
164 |
$495.87 |
| 0002A |
|
12 |
12 |
$480.00 |
| 90715 |
|
300 |
299 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
317 |
315 |
$0.00 |
| 81025 |
|
345 |
338 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
349 |
348 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
231 |
231 |
$0.00 |
| 99442 |
|
12 |
12 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
27 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
546 |
525 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 80061 |
Lipid panel |
39 |
39 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
66 |
62 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
26 |
15 |
$0.00 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
61 |
35 |
$0.00 |
| 92551 |
|
27 |
26 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
665 |
643 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
192 |
188 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
574 |
571 |
$0.00 |
| 93000 |
|
123 |
122 |
$0.00 |
| 0561 |
|
308 |
184 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
34 |
20 |
$0.00 |
| 90651 |
|
28 |
28 |
$0.00 |