| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
45,338 |
36,295 |
$10.42M |
| 00003 |
Internal/system code - not a standard HCPCS code |
19,583 |
14,413 |
$6.17M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,595 |
16,806 |
$6K |
| 92551 |
|
2,528 |
2,013 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
621 |
463 |
$3K |
| 0001A |
|
32 |
31 |
$2K |
| 0011A |
|
20 |
19 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,592 |
2,678 |
$1K |
| 0002A |
|
17 |
17 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,974 |
7,114 |
$1K |
| 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 |
38 |
34 |
$981.92 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
371 |
326 |
$812.59 |
| 71046 |
Radiologic examination, chest; 2 views |
99 |
77 |
$506.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,989 |
1,701 |
$377.70 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
358 |
293 |
$148.08 |
| 90715 |
|
113 |
99 |
$100.00 |
| 85018 |
|
2,839 |
2,225 |
$84.05 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
250 |
197 |
$59.30 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
911 |
717 |
$56.63 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
315 |
255 |
$54.83 |
| 81003 |
|
2,068 |
1,548 |
$49.57 |
| 90686 |
|
713 |
599 |
$25.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,026 |
929 |
$22.08 |
| 82947 |
|
3,941 |
2,633 |
$16.22 |
| 81025 |
|
295 |
216 |
$2.77 |
| 90651 |
|
179 |
156 |
$0.00 |
| 1125F |
|
23 |
15 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
318 |
234 |
$0.00 |
| 88142 |
|
17 |
12 |
$0.00 |
| 99383 |
|
140 |
113 |
$0.00 |
| 90723 |
|
82 |
65 |
$0.00 |
| 90689 |
|
131 |
96 |
$0.00 |
| 90656 |
|
27 |
25 |
$0.00 |
| 90696 |
|
16 |
12 |
$0.00 |
| 99384 |
|
104 |
80 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
66 |
55 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
36 |
26 |
$0.00 |
| 3079F |
|
82 |
57 |
$0.00 |
| 3080F |
|
43 |
29 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
68 |
56 |
$0.00 |
| 90688 |
|
130 |
122 |
$0.00 |
| 1126F |
|
243 |
170 |
$0.00 |
| 82950 |
|
67 |
49 |
$0.00 |
| 3074F |
|
203 |
141 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
28 |
24 |
$0.00 |
| 90716 |
|
21 |
14 |
$0.00 |
| 3075F |
|
40 |
31 |
$0.00 |
| 90744 |
|
14 |
13 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
16 |
12 |
$0.00 |
| 86403 |
|
36 |
35 |
$0.00 |
| 90620 |
|
18 |
18 |
$0.00 |
| 99173 |
|
2,317 |
1,836 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
244 |
173 |
$0.00 |
| 85014 |
|
162 |
135 |
$0.00 |
| 90648 |
|
190 |
160 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
411 |
321 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
57 |
44 |
$0.00 |
| 90670 |
|
262 |
220 |
$0.00 |
| 90685 |
|
136 |
108 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
34 |
24 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,793 |
1,294 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
444 |
321 |
$0.00 |
| 90700 |
|
27 |
24 |
$0.00 |
| 90734 |
|
158 |
139 |
$0.00 |
| 1159F |
|
379 |
249 |
$0.00 |
| 90461 |
|
136 |
115 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
24 |
14 |
$0.00 |
| 90633 |
|
270 |
227 |
$0.00 |
| 3078F |
|
184 |
130 |
$0.00 |
| 3077F |
|
65 |
42 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
87 |
57 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
57 |
57 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
24 |
24 |
$0.00 |
| 90710 |
|
94 |
79 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
31 |
31 |
$0.00 |