| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
108,060 |
96,898 |
$30.82M |
| 00003 |
Internal/system code - not a standard HCPCS code |
38,336 |
32,610 |
$11.88M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40,601 |
33,506 |
$358K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37,091 |
31,851 |
$345K |
| 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 |
10,264 |
8,033 |
$91K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,378 |
1,949 |
$32K |
| 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 |
2,935 |
2,676 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,113 |
5,842 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,060 |
2,533 |
$30K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,365 |
1,492 |
$20K |
| 90834 |
Psychotherapy, 45 minutes with patient |
537 |
313 |
$15K |
| Q3014 |
Telehealth originating site facility fee |
4,934 |
4,777 |
$11K |
| 90670 |
|
1,370 |
1,128 |
$10K |
| 99215 |
Prolong outpt/office vis |
899 |
735 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,102 |
2,434 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
442 |
371 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
689 |
586 |
$9K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
172 |
130 |
$5K |
| 92551 |
|
3,033 |
2,627 |
$5K |
| 90648 |
|
1,458 |
1,181 |
$4K |
| 90723 |
|
1,085 |
871 |
$3K |
| 96127 |
|
1,315 |
1,014 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
138 |
120 |
$2K |
| 90686 |
|
770 |
654 |
$1K |
| 90681 |
|
391 |
284 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
270 |
269 |
$1K |
| 90710 |
|
64 |
56 |
$855.29 |
| 99173 |
|
1,458 |
1,293 |
$677.88 |
| 90633 |
|
276 |
226 |
$590.54 |
| 90677 |
|
170 |
135 |
$471.60 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
329 |
329 |
$440.67 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
96 |
96 |
$266.77 |
| 99383 |
|
14 |
12 |
$263.20 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
28 |
28 |
$261.34 |
| 90651 |
|
91 |
76 |
$149.85 |
| 90700 |
|
27 |
25 |
$72.00 |
| 90680 |
|
134 |
133 |
$67.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
276 |
265 |
$37.50 |
| 90734 |
|
37 |
32 |
$21.60 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
27 |
27 |
$15.71 |
| 90715 |
|
17 |
15 |
$10.80 |
| 96161 |
|
958 |
824 |
$4.74 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
530 |
523 |
$4.46 |
| 81003 |
|
612 |
587 |
$3.90 |
| 90696 |
|
25 |
25 |
$0.00 |
| 81001 |
|
98 |
96 |
$0.00 |
| 93000 |
|
26 |
26 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
280 |
253 |
$0.00 |
| Z1034 |
|
138 |
91 |
$0.00 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
94 |
93 |
$0.00 |
| 99177 |
|
1,627 |
1,481 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
203 |
202 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
17 |
17 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
42 |
42 |
$0.00 |
| 11721 |
|
12 |
12 |
$0.00 |