| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
253,214 |
217,458 |
$47.57M |
| 00003 |
Internal/system code - not a standard HCPCS code |
20,537 |
16,452 |
$4.69M |
| 90834 |
Psychotherapy, 45 minutes with patient |
10,487 |
4,231 |
$215K |
| 0012A |
|
3,340 |
2,945 |
$105K |
| 0011A |
|
3,646 |
3,581 |
$91K |
| 99215 |
Prolong outpt/office vis |
5,508 |
4,497 |
$74K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
119,738 |
107,860 |
$50K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
515 |
430 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
63 |
61 |
$17K |
| 97810 |
|
905 |
688 |
$16K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,529 |
1,506 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,497 |
7,666 |
$12K |
| 0064A |
|
142 |
142 |
$10K |
| 90832 |
Psychotherapy, 30 minutes with patient |
230 |
129 |
$7K |
| 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 |
3,931 |
3,576 |
$6K |
| 0031A |
|
235 |
235 |
$6K |
| 0001A |
|
96 |
75 |
$6K |
| 0002A |
|
93 |
71 |
$6K |
| 0013A |
|
44 |
25 |
$3K |
| 0054A |
|
33 |
33 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$2K |
| 0072A |
|
17 |
17 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,540 |
3,378 |
$572.60 |
| 90686 |
|
77 |
74 |
$536.80 |
| 90674 |
|
23 |
23 |
$218.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,654 |
1,602 |
$79.56 |
| 81002 |
|
1,851 |
1,632 |
$2.15 |
| 3044F |
|
8,378 |
8,193 |
$0.00 |
| 3008F |
|
72,113 |
66,454 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
16,384 |
16,156 |
$0.00 |
| 86021 |
|
15 |
15 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,055 |
1,054 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
10,662 |
10,476 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
19,146 |
18,872 |
$0.00 |
| 3074F |
|
28,601 |
27,051 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
398 |
365 |
$0.00 |
| 82962 |
|
3,595 |
3,297 |
$0.00 |
| 81001 |
|
8,179 |
8,007 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,153 |
1,141 |
$0.00 |
| 90619 |
|
142 |
139 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
6,027 |
5,942 |
$0.00 |
| 3075F |
|
5,077 |
4,967 |
$0.00 |
| 84436 |
|
1,678 |
1,652 |
$0.00 |
| 3079F |
|
11,507 |
11,152 |
$0.00 |
| 1000F |
|
234 |
233 |
$0.00 |
| 3072F |
|
1,050 |
1,032 |
$0.00 |
| 99443 |
|
9,738 |
9,141 |
$0.00 |
| 85018 |
|
3,524 |
3,171 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
11,347 |
11,159 |
$0.00 |
| 85027 |
|
5,659 |
5,611 |
$0.00 |
| 3080F |
|
1,793 |
1,725 |
$0.00 |
| 88142 |
|
614 |
590 |
$0.00 |
| 86592 |
|
723 |
720 |
$0.00 |
| 99385 |
|
308 |
303 |
$0.00 |
| 1036F |
|
287 |
279 |
$0.00 |
| 84153 |
|
197 |
197 |
$0.00 |
| 99386 |
|
898 |
868 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
26 |
26 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
608 |
583 |
$0.00 |
| 84479 |
|
1,679 |
1,653 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
780 |
607 |
$0.00 |
| 82043 |
|
620 |
613 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 3017F |
|
253 |
251 |
$0.00 |
| 3014F |
|
121 |
119 |
$0.00 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
430 |
402 |
$0.00 |
| 96161 |
|
80 |
76 |
$0.00 |
| 92002 |
|
412 |
412 |
$0.00 |
| 2023F |
|
187 |
187 |
$0.00 |
| 82746 |
|
102 |
102 |
$0.00 |
| 87480 |
|
127 |
127 |
$0.00 |
| 86762 |
|
34 |
34 |
$0.00 |
| 90480 |
|
68 |
65 |
$0.00 |
| 82607 |
|
371 |
371 |
$0.00 |
| 87510 |
|
127 |
127 |
$0.00 |
| 90723 |
|
37 |
37 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
42 |
41 |
$0.00 |
| 90677 |
|
70 |
70 |
$0.00 |
| 3048F |
|
326 |
326 |
$0.00 |
| 86695 |
|
16 |
15 |
$0.00 |
| 90651 |
|
111 |
110 |
$0.00 |
| 92250 |
|
537 |
535 |
$0.00 |
| 85652 |
|
26 |
26 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
51 |
50 |
$0.00 |
| 4010F |
|
41 |
41 |
$0.00 |
| 86803 |
|
27 |
27 |
$0.00 |
| 86704 |
|
30 |
30 |
$0.00 |
| 90688 |
|
83 |
83 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |
| 91301 |
|
3,836 |
3,622 |
$0.00 |
| 86317 |
|
27 |
27 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
241 |
239 |
$0.00 |
| 94760 |
|
65 |
64 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
126 |
125 |
$0.00 |
| 3049F |
|
38 |
38 |
$0.00 |
| 96127 |
|
88 |
83 |
$0.00 |
| 3061F |
|
34 |
24 |
$0.00 |
| 87340 |
|
14 |
14 |
$0.00 |
| 1034F |
|
13 |
13 |
$0.00 |
| 99406 |
|
13 |
13 |
$0.00 |
| 91303 |
|
144 |
144 |
$0.00 |
| 86706 |
|
15 |
15 |
$0.00 |
| 82728 |
|
43 |
43 |
$0.00 |
| 90620 |
|
14 |
14 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
17 |
17 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
16 |
16 |
$0.00 |
| 84252 |
|
13 |
13 |
$0.00 |
| 3077F |
|
4,782 |
4,599 |
$0.00 |
| 3725F |
|
88,417 |
77,896 |
$0.00 |
| 3078F |
|
26,001 |
24,652 |
$0.00 |
| 80061 |
Lipid panel |
16,576 |
16,335 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
6,252 |
6,162 |
$0.00 |
| 86703 |
|
4,096 |
4,036 |
$0.00 |
| 99442 |
|
1,811 |
1,737 |
$0.00 |
| 85007 |
|
131 |
130 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,563 |
2,557 |
$0.00 |
| 80074 |
|
5,591 |
5,518 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,192 |
1,179 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
1,687 |
1,615 |
$0.00 |
| 92015 |
Determination of refractive state |
5,327 |
5,295 |
$0.00 |
| 80076 |
|
508 |
500 |
$0.00 |
| 86765 |
|
35 |
35 |
$0.00 |
| 83013 |
|
904 |
867 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
478 |
458 |
$0.00 |
| 86735 |
|
35 |
35 |
$0.00 |
| 0502F |
|
42 |
26 |
$0.00 |
| D4341 |
|
29 |
14 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
277 |
272 |
$0.00 |
| 3015F |
|
162 |
160 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
327 |
313 |
$0.00 |
| 2028F |
|
234 |
229 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
122 |
120 |
$0.00 |
| 82274 |
|
895 |
882 |
$0.00 |
| 82652 |
|
199 |
199 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
120 |
120 |
$0.00 |
| 97811 |
|
834 |
639 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
616 |
599 |
$0.00 |
| 2022F |
|
57 |
57 |
$0.00 |
| 99401 |
|
3,989 |
3,775 |
$0.00 |
| 3046F |
|
62 |
51 |
$0.00 |
| 86480 |
|
172 |
172 |
$0.00 |
| 82570 |
|
13 |
12 |
$0.00 |
| 90648 |
|
57 |
57 |
$0.00 |
| 90633 |
|
27 |
27 |
$0.00 |
| 87634 |
|
206 |
190 |
$0.00 |
| 82627 |
|
28 |
28 |
$0.00 |
| 86787 |
|
24 |
24 |
$0.00 |
| 87660 |
|
127 |
127 |
$0.00 |
| 3051F |
|
27 |
27 |
$0.00 |
| 3050F |
|
13 |
13 |
$0.00 |
| 86003 |
|
145 |
130 |
$0.00 |
| 87338 |
|
32 |
32 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
42 |
42 |
$0.00 |
| 90670 |
|
15 |
15 |
$0.00 |
| 99188 |
|
33 |
33 |
$0.00 |
| 83655 |
|
44 |
42 |
$0.00 |
| 96160 |
|
98 |
91 |
$0.00 |
| 86696 |
|
15 |
15 |
$0.00 |
| 3045F |
|
12 |
12 |
$0.00 |
| 4004F |
|
13 |
13 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |