| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
386,156 |
336,741 |
$58.83M |
| 00003 |
Internal/system code - not a standard HCPCS code |
96,795 |
59,516 |
$20.96M |
| 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 |
7,145 |
5,858 |
$24K |
| 0011A |
|
379 |
377 |
$24K |
| 0012A |
|
296 |
296 |
$20K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,437 |
2,418 |
$11K |
| 0002A |
|
152 |
149 |
$10K |
| 0072A |
|
114 |
114 |
$8K |
| 0001A |
|
120 |
119 |
$7K |
| 0064A |
|
94 |
93 |
$6K |
| 0071A |
|
120 |
120 |
$6K |
| 0004A |
|
90 |
90 |
$6K |
| 0124A |
|
85 |
85 |
$6K |
| 0054A |
|
71 |
71 |
$5K |
| 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 |
142 |
130 |
$4K |
| 0052A |
|
13 |
13 |
$871.00 |
| 90791 |
Psychiatric diagnostic evaluation |
2,833 |
2,815 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,094 |
1,091 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,793 |
6,788 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,917 |
1,908 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
8,370 |
7,615 |
$0.00 |
| 90681 |
|
823 |
823 |
$0.00 |
| 99173 |
|
3,190 |
3,190 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,358 |
4,353 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,323 |
2,319 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
211 |
210 |
$0.00 |
| 98940 |
|
9,158 |
6,292 |
$0.00 |
| 90670 |
|
2,122 |
2,122 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
699 |
697 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
411 |
411 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
36,112 |
34,349 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,610 |
6,578 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
772 |
756 |
$0.00 |
| 90633 |
|
647 |
647 |
$0.00 |
| 11721 |
|
929 |
779 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,184 |
5,183 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,255 |
3,250 |
$0.00 |
| 81003 |
|
1,950 |
1,846 |
$0.00 |
| 92015 |
Determination of refractive state |
2,426 |
2,426 |
$0.00 |
| 81025 |
|
642 |
638 |
$0.00 |
| 90734 |
|
242 |
242 |
$0.00 |
| 92133 |
|
159 |
158 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
15 |
13 |
$0.00 |
| 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 |
208 |
199 |
$0.00 |
| 2028F |
|
411 |
411 |
$0.00 |
| 90715 |
|
166 |
166 |
$0.00 |
| 99201 |
|
109 |
109 |
$0.00 |
| 90662 |
|
133 |
133 |
$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 |
927 |
736 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
180 |
180 |
$0.00 |
| 90700 |
|
56 |
56 |
$0.00 |
| 92552 |
|
16 |
16 |
$0.00 |
| 90707 |
|
44 |
44 |
$0.00 |
| 99382 |
|
13 |
13 |
$0.00 |
| Z6400 |
|
30 |
26 |
$0.00 |
| 86703 |
|
22 |
22 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40,264 |
38,028 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
97,821 |
91,382 |
$0.00 |
| 85018 |
|
2,082 |
2,078 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,181 |
7,163 |
$0.00 |
| 90656 |
|
3,156 |
3,154 |
$0.00 |
| 99460 |
|
645 |
638 |
$0.00 |
| 90647 |
|
1,518 |
1,518 |
$0.00 |
| 90723 |
|
1,677 |
1,677 |
$0.00 |
| 92551 |
|
3,344 |
3,341 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
30 |
30 |
$0.00 |
| Z1034 |
|
295 |
205 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,999 |
1,992 |
$0.00 |
| 90677 |
|
113 |
113 |
$0.00 |
| 99385 |
|
374 |
372 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
494 |
493 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
263 |
263 |
$0.00 |
| 90474 |
|
546 |
546 |
$0.00 |
| 99381 |
|
687 |
686 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
111 |
105 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
146 |
146 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
2,838 |
2,353 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
495 |
492 |
$0.00 |
| 11730 |
|
66 |
66 |
$0.00 |
| 88720 |
|
29 |
20 |
$0.00 |
| 99462 |
|
500 |
346 |
$0.00 |
| 99384 |
|
107 |
107 |
$0.00 |
| 90651 |
|
393 |
392 |
$0.00 |
| 9213 |
|
12 |
12 |
$0.00 |
| 99386 |
|
44 |
44 |
$0.00 |
| 92250 |
|
512 |
512 |
$0.00 |
| 99383 |
|
138 |
138 |
$0.00 |
| 90686 |
|
116 |
116 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
72 |
65 |
$0.00 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
245 |
206 |
$0.00 |
| 82962 |
|
61 |
60 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
32 |
32 |
$0.00 |
| EEXAM |
|
15 |
15 |
$0.00 |
| 90620 |
|
99 |
99 |
$0.00 |
| 90716 |
|
47 |
47 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
81 |
81 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
26 |
26 |
$0.00 |
| 93000 |
|
26 |
26 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |