| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
150,990 |
123,858 |
$21.16M |
| 00003 |
Internal/system code - not a standard HCPCS code |
73,179 |
52,522 |
$16.61M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
69,732 |
48,694 |
$919K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41,132 |
27,480 |
$800K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
5,630 |
3,736 |
$319K |
| 90834 |
Psychotherapy, 45 minutes with patient |
8,638 |
3,178 |
$229K |
| 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 |
5,371 |
4,872 |
$222K |
| 59425 |
|
2,954 |
1,991 |
$163K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,845 |
4,257 |
$151K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,633 |
4,779 |
$139K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,462 |
5,952 |
$93K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,207 |
2,106 |
$86K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,038 |
1,384 |
$63K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,564 |
1,553 |
$60K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,112 |
2,480 |
$43K |
| 90686 |
|
3,210 |
2,329 |
$36K |
| 31231 |
|
1,291 |
700 |
$29K |
| 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 |
612 |
353 |
$26K |
| 90715 |
|
613 |
455 |
$16K |
| 90677 |
|
606 |
399 |
$13K |
| 90832 |
Psychotherapy, 30 minutes with patient |
596 |
300 |
$13K |
| 99215 |
Prolong outpt/office vis |
487 |
303 |
$13K |
| 90670 |
|
3,381 |
2,273 |
$12K |
| J3490 |
Unclassified drugs |
130 |
106 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
415 |
244 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
526 |
372 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
179 |
97 |
$9K |
| 99243 |
|
356 |
197 |
$9K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,045 |
1,025 |
$7K |
| 99205 |
Prolong outpt/office vis |
165 |
116 |
$7K |
| 80305 |
|
818 |
534 |
$5K |
| 83655 |
|
402 |
360 |
$5K |
| 90723 |
|
2,270 |
1,512 |
$5K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
97 |
85 |
$4K |
| 90648 |
|
2,004 |
1,318 |
$4K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
141 |
136 |
$4K |
| 85018 |
|
2,270 |
1,625 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,027 |
1,371 |
$3K |
| 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 |
185 |
161 |
$3K |
| 31575 |
|
79 |
39 |
$3K |
| 90746 |
|
57 |
40 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
165 |
108 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
716 |
669 |
$3K |
| 99460 |
|
106 |
68 |
$2K |
| 90633 |
|
927 |
577 |
$2K |
| 90685 |
|
701 |
494 |
$2K |
| 92504 |
|
265 |
139 |
$2K |
| 99307 |
|
585 |
554 |
$2K |
| 17000 |
|
73 |
52 |
$2K |
| 90680 |
|
957 |
626 |
$2K |
| 90688 |
|
114 |
107 |
$2K |
| 17110 |
|
36 |
21 |
$1K |
| 90656 |
|
256 |
156 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
16 |
16 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
107 |
107 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
44 |
27 |
$956.98 |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
29 |
15 |
$923.54 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
25 |
14 |
$755.40 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
74 |
46 |
$754.40 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
13 |
$689.09 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
68 |
67 |
$616.70 |
| 90674 |
|
79 |
79 |
$548.84 |
| 82962 |
|
260 |
189 |
$496.07 |
| 81003 |
|
276 |
192 |
$455.64 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
71 |
67 |
$451.75 |
| 99462 |
|
23 |
12 |
$300.68 |
| 81025 |
|
104 |
83 |
$277.69 |
| 17003 |
|
23 |
13 |
$244.35 |
| 92250 |
|
55 |
33 |
$169.87 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
42 |
20 |
$160.93 |
| 90707 |
|
12 |
12 |
$157.96 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
56 |
37 |
$156.10 |
| 99406 |
|
24 |
14 |
$114.51 |
| 90710 |
|
41 |
25 |
$99.00 |
| 99441 |
|
17 |
15 |
$94.26 |
| 3008F |
|
10,886 |
10,374 |
$76.06 |
| 1160F |
|
10,995 |
10,249 |
$76.06 |
| 1159F |
|
14,103 |
13,110 |
$76.06 |
| 90649 |
|
17 |
12 |
$27.00 |
| Z1034 |
|
8,663 |
5,859 |
$0.00 |
| 3075F |
|
841 |
812 |
$0.00 |
| 3079F |
|
1,649 |
1,599 |
$0.00 |
| 3074F |
|
3,712 |
3,556 |
$0.00 |
| 3080F |
|
554 |
522 |
$0.00 |
| 99443 |
|
322 |
302 |
$0.00 |
| 3078F |
|
3,038 |
2,929 |
$0.00 |
| 3077F |
|
1,068 |
1,016 |
$0.00 |
| Z7500 |
|
30 |
30 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
36 |
25 |
$0.00 |
| 99442 |
|
59 |
57 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
16 |
16 |
$0.00 |
| 90653 |
|
18 |
18 |
$0.00 |