| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
94,809 |
81,546 |
$14.17M |
| 00003 |
Internal/system code - not a standard HCPCS code |
15,746 |
10,535 |
$3.53M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,537 |
5,426 |
$46K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,799 |
1,153 |
$35K |
| V2020 |
Frames, purchases |
1,613 |
1,612 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,764 |
2,312 |
$9K |
| 92015 |
Determination of refractive state |
7,012 |
5,217 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
949 |
948 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,476 |
1,963 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,535 |
2,067 |
$6K |
| 92341 |
|
470 |
470 |
$6K |
| 90791 |
Psychiatric diagnostic evaluation |
272 |
209 |
$5K |
| G9920 |
Screening performed and negative |
2,765 |
2,689 |
$3K |
| 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 |
433 |
398 |
$3K |
| J3490 |
Unclassified drugs |
256 |
254 |
$2K |
| 90670 |
|
308 |
302 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
643 |
532 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
73,315 |
60,377 |
$1K |
| 85018 |
|
4,752 |
4,702 |
$1K |
| 90697 |
|
131 |
126 |
$1K |
| 96160 |
|
4,683 |
4,603 |
$1K |
| 0064A |
|
14 |
14 |
$938.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,130 |
1,009 |
$926.81 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
268 |
261 |
$811.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,339 |
10,184 |
$660.62 |
| 90633 |
|
321 |
317 |
$640.76 |
| D0220 |
Intraoral - periapical first radiographic image |
238 |
158 |
$477.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
66 |
50 |
$469.95 |
| 90686 |
|
4,753 |
4,745 |
$360.93 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,607 |
2,567 |
$356.66 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
203 |
196 |
$288.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26,541 |
22,177 |
$286.13 |
| 0134A |
|
13 |
13 |
$201.00 |
| 90715 |
|
183 |
181 |
$185.00 |
| 90651 |
|
450 |
446 |
$160.36 |
| 3074F |
|
44,585 |
39,344 |
$138.41 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
26 |
16 |
$136.00 |
| 90716 |
|
31 |
31 |
$134.00 |
| 90619 |
|
182 |
180 |
$90.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,516 |
14,031 |
$70.91 |
| D0230 |
Intraoral - periapical each additional radiographic image |
93 |
24 |
$57.90 |
| 99215 |
Prolong outpt/office vis |
697 |
583 |
$57.20 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
687 |
623 |
$57.20 |
| 90696 |
|
51 |
51 |
$54.00 |
| 82947 |
|
11,855 |
11,294 |
$22.38 |
| 3078F |
|
48,382 |
42,892 |
$0.09 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
66 |
63 |
$0.03 |
| 3075F |
|
6,180 |
6,082 |
$0.00 |
| 1170F |
|
33,291 |
31,357 |
$0.00 |
| 90739 |
|
330 |
328 |
$0.00 |
| 96156 |
|
292 |
275 |
$0.00 |
| 90620 |
|
96 |
96 |
$0.00 |
| 3079F |
|
6,811 |
6,600 |
$0.00 |
| 3080F |
|
305 |
286 |
$0.00 |
| Z1034 |
|
219 |
168 |
$0.00 |
| 90677 |
|
199 |
199 |
$0.00 |
| 1111F |
|
250 |
246 |
$0.00 |
| 99403 |
|
62 |
59 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,111 |
719 |
$0.00 |
| 96127 |
|
78 |
78 |
$0.00 |
| 87807 |
|
39 |
38 |
$0.00 |
| 99406 |
|
29 |
28 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
142 |
125 |
$0.00 |
| 59430 |
|
12 |
12 |
$0.00 |
| 99381 |
|
79 |
78 |
$0.00 |
| 97802 |
|
13 |
13 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
31 |
29 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |
| 92551 |
|
75 |
75 |
$0.00 |
| 29540 |
|
66 |
49 |
$0.00 |
| 81002 |
|
2,191 |
1,671 |
$0.00 |
| 1159F |
|
62,138 |
53,376 |
$0.00 |
| 1160F |
|
58,440 |
51,170 |
$0.00 |
| 3077F |
|
4,750 |
4,548 |
$0.00 |
| 90734 |
|
155 |
155 |
$0.00 |
| 90750 |
|
319 |
319 |
$0.00 |
| 99173 |
|
930 |
924 |
$0.00 |
| 90662 |
|
30 |
30 |
$0.00 |
| 11720 |
|
55 |
55 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
79 |
75 |
$0.00 |
| 92552 |
|
732 |
726 |
$0.00 |
| 99401 |
|
124 |
121 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
402 |
198 |
$0.00 |
| 90710 |
|
42 |
42 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
67 |
66 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
213 |
212 |
$0.00 |
| G0247 |
Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following if present: (1) local care of superficial wounds, (2) debridement of corns and calluses, and (3) trimming and debridement of nails |
89 |
89 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
106 |
105 |
$0.00 |
| 90648 |
|
14 |
14 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
25 |
$0.00 |
| 90707 |
|
15 |
15 |
$0.00 |
| 11721 |
|
16 |
16 |
$0.00 |
| 90621 |
|
14 |
14 |
$0.00 |
| H1000 |
Prenatal care, at-risk assessment |
18 |
17 |
$0.00 |
| 99442 |
|
13 |
13 |
$0.00 |