| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
157,001 |
135,242 |
$42.09M |
| 00003 |
Internal/system code - not a standard HCPCS code |
23,438 |
18,168 |
$7.81M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
79,174 |
72,057 |
$220K |
| 59425 |
|
2,299 |
2,018 |
$130K |
| 90834 |
Psychotherapy, 45 minutes with patient |
5,157 |
3,225 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34,134 |
31,821 |
$57K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,564 |
2,432 |
$43K |
| 99215 |
Prolong outpt/office vis |
441 |
426 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18,581 |
16,536 |
$27K |
| 90686 |
|
3,925 |
3,884 |
$25K |
| 90715 |
|
1,160 |
1,117 |
$24K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
246 |
239 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
609 |
546 |
$9K |
| 90732 |
|
101 |
101 |
$7K |
| 92002 |
|
147 |
143 |
$5K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
89 |
87 |
$5K |
| 90837 |
Psychotherapy, 53 minutes with patient |
4,605 |
2,704 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,296 |
922 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
567 |
547 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
11,759 |
11,401 |
$3K |
| 90651 |
|
198 |
196 |
$3K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
43 |
33 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
663 |
656 |
$2K |
| 59430 |
|
41 |
41 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
67 |
66 |
$2K |
| 81025 |
|
1,396 |
1,341 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
568 |
557 |
$1K |
| 99401 |
|
90 |
90 |
$1K |
| 92133 |
|
40 |
40 |
$1K |
| 80305 |
|
4,133 |
3,571 |
$1K |
| G9920 |
Screening performed and negative |
823 |
789 |
$899.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,002 |
5,886 |
$811.78 |
| 97802 |
|
47 |
47 |
$766.36 |
| 96150 |
|
47 |
47 |
$766.36 |
| 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 |
16 |
12 |
$751.20 |
| 81002 |
|
884 |
825 |
$425.24 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
47 |
47 |
$383.18 |
| 92060 |
|
30 |
29 |
$220.80 |
| 0031A |
|
20 |
20 |
$201.00 |
| 90750 |
|
112 |
112 |
$133.50 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
578 |
572 |
$109.66 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
497 |
482 |
$103.37 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
13 |
13 |
$91.63 |
| S9452 |
Nutrition classes, non-physician provider, per session |
13 |
13 |
$91.63 |
| 96152 |
|
13 |
13 |
$91.63 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
730 |
719 |
$91.61 |
| 99205 |
Prolong outpt/office vis |
25 |
24 |
$81.87 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,322 |
1,893 |
$79.20 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,035 |
1,022 |
$74.78 |
| 82962 |
|
2,165 |
2,108 |
$37.62 |
| 51798 |
|
13 |
12 |
$33.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
124 |
123 |
$28.52 |
| 85018 |
|
2,187 |
2,165 |
$26.58 |
| 90677 |
|
354 |
353 |
$25.36 |
| 81003 |
|
811 |
773 |
$25.14 |
| G9012 |
Other specified case management service not elsewhere classified |
202 |
125 |
$20.00 |
| 80348 |
|
1,485 |
1,282 |
$15.75 |
| 83655 |
|
486 |
480 |
$11.57 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
63 |
57 |
$0.65 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
8,429 |
7,695 |
$0.00 |
| 3075F |
|
7,276 |
7,039 |
$0.00 |
| 3074F |
|
26,236 |
24,860 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
29,021 |
27,541 |
$0.00 |
| 3080F |
|
3,121 |
2,994 |
$0.00 |
| Z1034 |
|
575 |
498 |
$0.00 |
| 3079F |
|
12,082 |
11,601 |
$0.00 |
| 99383 |
|
72 |
65 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
2,075 |
972 |
$0.00 |
| 91303 |
|
17 |
17 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
71 |
70 |
$0.00 |
| Z1038 |
|
41 |
41 |
$0.00 |
| 90723 |
|
377 |
372 |
$0.00 |
| 90656 |
|
293 |
292 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
290 |
256 |
$0.00 |
| 90688 |
|
337 |
330 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
13 |
13 |
$0.00 |
| 87428 |
|
213 |
211 |
$0.00 |
| 90696 |
|
15 |
12 |
$0.00 |
| 99384 |
|
19 |
19 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
88 |
85 |
$0.00 |
| 96161 |
|
130 |
124 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
41 |
39 |
$0.00 |
| 90474 |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
62 |
62 |
$0.00 |
| 86580 |
|
16 |
16 |
$0.00 |
| 90480 |
|
31 |
31 |
$0.00 |
| 90694 |
|
51 |
51 |
$0.00 |
| 3052F |
|
29 |
29 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 3078F |
|
24,244 |
23,006 |
$0.00 |
| 90648 |
|
483 |
477 |
$0.00 |
| 3077F |
|
5,895 |
5,642 |
$0.00 |
| 96160 |
|
2,888 |
2,858 |
$0.00 |
| 90633 |
|
193 |
190 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,074 |
1,020 |
$0.00 |
| 90670 |
|
419 |
415 |
$0.00 |
| 99177 |
|
279 |
277 |
$0.00 |
| 90461 |
|
227 |
160 |
$0.00 |
| 3051F |
|
47 |
47 |
$0.00 |
| 90681 |
|
55 |
54 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
953 |
401 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
57 |
55 |
$0.00 |
| 3045F |
|
13 |
13 |
$0.00 |
| 90671 |
|
118 |
118 |
$0.00 |
| 91322 |
|
30 |
30 |
$0.00 |
| H0034 |
Medication training and support, per 15 minutes |
188 |
144 |
$0.00 |
| 85610 |
|
15 |
12 |
$0.00 |
| 99188 |
|
74 |
74 |
$0.00 |
| 90734 |
|
118 |
117 |
$0.00 |
| 99382 |
|
21 |
18 |
$0.00 |
| 90710 |
|
90 |
83 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
14 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
72 |
71 |
$0.00 |
| 90658 |
|
41 |
41 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90653 |
|
14 |
14 |
$0.00 |