| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
25,960 |
24,529 |
$4.01M |
| 00003 |
Internal/system code - not a standard HCPCS code |
17,662 |
14,178 |
$2.90M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43,131 |
39,665 |
$140K |
| 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 |
4,079 |
3,724 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,413 |
8,875 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,450 |
8,257 |
$13K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
6,983 |
6,768 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,528 |
13,993 |
$10K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
795 |
785 |
$7K |
| 90756 |
|
882 |
686 |
$6K |
| 92551 |
|
753 |
667 |
$4K |
| D4341 |
|
199 |
73 |
$4K |
| 90686 |
|
1,660 |
1,633 |
$3K |
| 90658 |
|
435 |
434 |
$3K |
| 90688 |
|
2,179 |
2,127 |
$3K |
| 90715 |
|
309 |
276 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,038 |
981 |
$2K |
| 3008F |
|
30,017 |
27,445 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
340 |
301 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
536 |
502 |
$934.94 |
| 90651 |
|
151 |
149 |
$710.00 |
| 3725F |
|
2,239 |
2,136 |
$540.00 |
| 90746 |
|
242 |
215 |
$465.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
37 |
37 |
$351.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
460 |
344 |
$310.00 |
| D0120 |
Periodic oral evaluation - established patient |
41 |
41 |
$285.00 |
| 93000 |
|
32 |
32 |
$281.55 |
| D4910 |
|
12 |
12 |
$275.00 |
| D0210 |
Intraoral - complete series of radiographic images |
39 |
39 |
$198.00 |
| 99386 |
|
139 |
135 |
$150.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
366 |
360 |
$140.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
38 |
38 |
$121.50 |
| 1034F |
|
5,104 |
4,794 |
$94.00 |
| 99397 |
|
97 |
96 |
$80.00 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
142 |
142 |
$79.71 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$61.20 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
199 |
198 |
$40.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
8,284 |
7,974 |
$20.12 |
| G0008 |
Administration of influenza virus vaccine |
153 |
152 |
$13.75 |
| 3075F |
|
1,958 |
1,937 |
$0.01 |
| 3074F |
|
7,551 |
7,415 |
$0.01 |
| 3079F |
|
3,403 |
3,366 |
$0.01 |
| 90656 |
|
369 |
368 |
$0.01 |
| 3078F |
|
6,967 |
6,814 |
$0.01 |
| 98961 |
|
20,886 |
18,503 |
$0.00 |
| 1101F |
|
285 |
282 |
$0.00 |
| 3080F |
|
207 |
201 |
$0.00 |
| 0011A |
|
3,038 |
2,502 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,304 |
1,284 |
$0.00 |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
98 |
98 |
$0.00 |
| 0012A |
|
2,790 |
2,307 |
$0.00 |
| 97026 |
|
201 |
157 |
$0.00 |
| 1170F |
|
264 |
261 |
$0.00 |
| 88142 |
|
241 |
238 |
$0.00 |
| 90674 |
|
645 |
645 |
$0.00 |
| 3017F |
|
240 |
236 |
$0.00 |
| 1126F |
|
210 |
207 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
201 |
157 |
$0.00 |
| 2023F |
|
71 |
71 |
$0.00 |
| 99406 |
|
19 |
19 |
$0.00 |
| 0064A |
|
142 |
142 |
$0.00 |
| 81001 |
|
12 |
12 |
$0.00 |
| 1111F |
|
59 |
53 |
$0.00 |
| 3014F |
|
24 |
24 |
$0.00 |
| 0031A |
|
127 |
74 |
$0.00 |
| 99385 |
|
26 |
26 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| 94760 |
|
26 |
26 |
$0.00 |
| 3061F |
|
12 |
12 |
$0.00 |
| 4004F |
|
5,613 |
5,258 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
48 |
47 |
$0.00 |
| 1160F |
|
252 |
250 |
$0.00 |
| 2028F |
|
136 |
136 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
207 |
206 |
$0.00 |
| 1158F |
|
203 |
200 |
$0.00 |
| 97810 |
|
201 |
157 |
$0.00 |
| 82948 |
|
33 |
31 |
$0.00 |
| 1159F |
|
198 |
196 |
$0.00 |
| 97039 |
|
200 |
156 |
$0.00 |
| 3077F |
|
566 |
551 |
$0.00 |
| 1090F |
|
274 |
270 |
$0.00 |
| 90661 |
|
18 |
18 |
$0.00 |
| 90750 |
|
108 |
108 |
$0.00 |
| 97811 |
|
201 |
157 |
$0.00 |
| 92015 |
Determination of refractive state |
70 |
69 |
$0.00 |
| 2022F |
|
61 |
61 |
$0.00 |
| 99173 |
|
26 |
24 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
53 |
52 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
17 |
12 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
36 |
36 |
$0.00 |
| 99401 |
|
98 |
49 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$0.00 |