| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
107,582 |
98,702 |
$23.24M |
| 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 |
1,036 |
830 |
$49K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40,869 |
36,447 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,419 |
18,599 |
$14K |
| 00003 |
Internal/system code - not a standard HCPCS code |
36 |
19 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,401 |
2,915 |
$10K |
| 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 |
138 |
119 |
$9K |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,782 |
4,287 |
$5K |
| 0011A |
|
88 |
71 |
$4K |
| 90837 |
Psychotherapy, 53 minutes with patient |
24 |
24 |
$3K |
| 0012A |
|
36 |
34 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,394 |
1,325 |
$2K |
| G9012 |
Other specified case management service not elsewhere classified |
28 |
19 |
$2K |
| 0002A |
|
21 |
21 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
986 |
944 |
$1K |
| 99215 |
Prolong outpt/office vis |
774 |
713 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,109 |
5,986 |
$875.17 |
| 99173 |
|
1,756 |
1,451 |
$850.49 |
| 90715 |
|
56 |
50 |
$705.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
724 |
692 |
$671.33 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,801 |
1,688 |
$643.29 |
| 85018 |
|
1,828 |
1,503 |
$592.83 |
| 90651 |
|
312 |
238 |
$579.60 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
438 |
435 |
$404.12 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,715 |
1,548 |
$375.86 |
| 99385 |
|
126 |
124 |
$340.35 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
136 |
113 |
$300.57 |
| 99386 |
|
44 |
42 |
$285.56 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
309 |
306 |
$268.69 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
600 |
433 |
$188.29 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
803 |
799 |
$161.98 |
| 81025 |
|
189 |
160 |
$151.20 |
| 92551 |
|
1,683 |
1,365 |
$138.55 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
505 |
455 |
$131.56 |
| 90686 |
|
219 |
219 |
$120.80 |
| 81003 |
|
586 |
498 |
$119.07 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
890 |
793 |
$109.11 |
| 90677 |
|
14 |
12 |
$86.40 |
| 90656 |
|
1,295 |
1,026 |
$75.60 |
| 90670 |
|
330 |
293 |
$54.00 |
| 99381 |
|
65 |
64 |
$53.86 |
| 90647 |
|
240 |
206 |
$32.40 |
| 90734 |
|
164 |
126 |
$21.60 |
| 90723 |
|
146 |
120 |
$10.80 |
| 90620 |
|
15 |
12 |
$10.80 |
| 90633 |
|
182 |
151 |
$0.00 |
| 80305 |
|
422 |
187 |
$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 |
66 |
54 |
$0.00 |
| 98940 |
|
195 |
147 |
$0.00 |
| 11056 |
|
122 |
120 |
$0.00 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
41 |
40 |
$0.00 |
| Z6400 |
|
432 |
405 |
$0.00 |
| 90710 |
|
22 |
18 |
$0.00 |
| 97803 |
|
12 |
12 |
$0.00 |
| 11721 |
|
148 |
145 |
$0.00 |
| 11057 |
|
34 |
34 |
$0.00 |
| 11720 |
|
34 |
34 |
$0.00 |
| 99382 |
|
41 |
41 |
$0.00 |
| Z1034 |
|
2,093 |
1,934 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
89 |
89 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
133 |
103 |
$0.00 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
102 |
78 |
$0.00 |
| 90474 |
|
14 |
12 |
$0.00 |
| Z6402 |
|
63 |
63 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
608 |
544 |
$0.00 |
| Z1032 |
|
369 |
369 |
$0.00 |
| 90688 |
|
29 |
29 |
$0.00 |
| Z1038 |
|
255 |
251 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
20 |
20 |
$0.00 |
| 90696 |
|
14 |
12 |
$0.00 |
| 99383 |
|
66 |
66 |
$0.00 |
| 92250 |
|
25 |
25 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
34 |
34 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
33 |
26 |
$0.00 |