| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
30,903 |
24,787 |
$2.39M |
| 00003 |
Internal/system code - not a standard HCPCS code |
14,471 |
11,387 |
$2.00M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46,368 |
38,729 |
$33K |
| 90656 |
|
3,448 |
3,006 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
48,070 |
35,846 |
$24K |
| 92081 |
|
16,503 |
14,539 |
$11K |
| 1111F |
|
55,990 |
40,007 |
$6K |
| 99000 |
|
13,853 |
11,271 |
$6K |
| 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 |
848 |
672 |
$5K |
| 92551 |
|
14,145 |
12,371 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
11,018 |
9,908 |
$5K |
| 90715 |
|
321 |
292 |
$5K |
| 93000 |
|
212 |
208 |
$4K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
7,419 |
6,134 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,486 |
1,405 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,169 |
3,617 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,140 |
1,791 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,512 |
1,282 |
$2K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,297 |
1,124 |
$2K |
| 3077F |
|
3,394 |
2,653 |
$793.15 |
| 36415 |
Collection of venous blood by venipuncture |
11,964 |
11,098 |
$607.11 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
234 |
220 |
$478.39 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
82 |
74 |
$384.45 |
| 86580 |
|
68 |
68 |
$363.96 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
355 |
323 |
$332.43 |
| 3079F |
|
1,727 |
1,527 |
$253.59 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,543 |
1,293 |
$238.93 |
| 3044F |
|
1,651 |
1,278 |
$231.73 |
| 3080F |
|
1,883 |
1,570 |
$198.74 |
| 3074F |
|
1,480 |
1,285 |
$182.12 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
198 |
142 |
$157.64 |
| 81002 |
|
702 |
624 |
$136.52 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
270 |
197 |
$105.03 |
| 3078F |
|
1,566 |
1,301 |
$98.63 |
| 3075F |
|
599 |
560 |
$46.41 |
| 90651 |
|
36 |
36 |
$36.00 |
| 92552 |
|
516 |
515 |
$24.30 |
| 3046F |
|
118 |
99 |
$18.10 |
| 90834 |
Psychotherapy, 45 minutes with patient |
157 |
99 |
$0.00 |
| 99385 |
|
48 |
48 |
$0.00 |
| 99386 |
|
29 |
29 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
21 |
12 |
$0.00 |
| 3045F |
|
118 |
95 |
$0.00 |
| 1160F |
|
2,606 |
2,351 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
766 |
490 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
142 |
142 |
$0.00 |
| 1159F |
|
2,614 |
2,359 |
$0.00 |
| 90672 |
|
56 |
30 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
101 |
75 |
$0.00 |
| 90670 |
|
23 |
15 |
$0.00 |
| 90633 |
|
21 |
13 |
$0.00 |