| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
191,107 |
170,039 |
$26.72M |
| 00003 |
Internal/system code - not a standard HCPCS code |
37,738 |
33,315 |
$6.44M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
19,884 |
18,695 |
$320K |
| V2020 |
Frames, purchases |
22,239 |
22,155 |
$302K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
16,099 |
16,019 |
$204K |
| G9012 |
Other specified case management service not elsewhere classified |
887 |
817 |
$190K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
151,105 |
91,112 |
$103K |
| 92341 |
|
4,708 |
4,707 |
$91K |
| 90791 |
Psychiatric diagnostic evaluation |
1,338 |
958 |
$64K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
61,244 |
39,483 |
$62K |
| 92015 |
Determination of refractive state |
21,670 |
20,630 |
$59K |
| 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 |
1,807 |
1,585 |
$51K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
139 |
139 |
$37K |
| 90832 |
Psychotherapy, 30 minutes with patient |
968 |
606 |
$19K |
| 92250 |
|
1,710 |
1,373 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,618 |
4,874 |
$9K |
| G9920 |
Screening performed and negative |
4,428 |
3,210 |
$9K |
| 90834 |
Psychotherapy, 45 minutes with patient |
212 |
102 |
$7K |
| 0012A |
|
79 |
79 |
$5K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
3,180 |
2,299 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,786 |
4,167 |
$5K |
| 0011A |
|
55 |
55 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
339 |
221 |
$3K |
| 99381 |
|
512 |
404 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
979 |
971 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,262 |
4,709 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,954 |
1,247 |
$2K |
| 0001A |
|
53 |
53 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,031 |
2,604 |
$2K |
| 81025 |
|
10,233 |
6,881 |
$2K |
| J3490 |
Unclassified drugs |
347 |
240 |
$1K |
| 92133 |
|
464 |
348 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,214 |
1,437 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15,665 |
9,112 |
$922.29 |
| H1000 |
Prenatal care, at-risk assessment |
74 |
74 |
$854.74 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
212 |
140 |
$778.14 |
| 99174 |
|
7,957 |
5,487 |
$760.04 |
| 0002A |
|
21 |
21 |
$703.50 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
440 |
282 |
$665.61 |
| 90686 |
|
6,226 |
4,321 |
$531.22 |
| 90677 |
|
1,323 |
899 |
$469.10 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,991 |
3,561 |
$452.69 |
| 88720 |
|
839 |
512 |
$378.91 |
| 92551 |
|
8,263 |
5,327 |
$343.95 |
| 81002 |
|
21,397 |
12,264 |
$310.64 |
| 90697 |
|
1,605 |
1,133 |
$300.10 |
| 90680 |
|
3,125 |
2,368 |
$296.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
17 |
17 |
$272.30 |
| 59425 |
|
2,075 |
1,545 |
$241.92 |
| 90715 |
|
708 |
463 |
$233.38 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,476 |
2,278 |
$223.69 |
| 85018 |
|
21,923 |
14,062 |
$221.15 |
| 59430 |
|
95 |
94 |
$181.44 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
421 |
420 |
$155.17 |
| 90670 |
|
3,880 |
2,913 |
$136.89 |
| 83655 |
|
1,892 |
1,252 |
$136.31 |
| 99173 |
|
7,115 |
4,348 |
$117.18 |
| 92134 |
|
295 |
226 |
$116.75 |
| 90647 |
|
2,139 |
1,623 |
$90.00 |
| 90633 |
|
2,195 |
1,465 |
$90.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,730 |
1,839 |
$83.91 |
| 82962 |
|
5,785 |
3,697 |
$80.46 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
932 |
605 |
$74.04 |
| 90723 |
|
2,073 |
1,633 |
$72.00 |
| 90651 |
|
993 |
644 |
$40.50 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
65,273 |
37,356 |
$37.72 |
| 90707 |
|
343 |
212 |
$36.00 |
| 90700 |
|
1,443 |
969 |
$36.00 |
| 90716 |
|
349 |
216 |
$27.00 |
| 99401 |
|
476 |
435 |
$25.23 |
| 90688 |
|
1,806 |
979 |
$10.89 |
| 90734 |
|
318 |
218 |
$9.00 |
| 96156 |
|
261 |
250 |
$8.41 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
12,444 |
7,570 |
$4.45 |
| 90380 |
|
19 |
18 |
$2.55 |
| 2023F |
|
1,251 |
878 |
$0.14 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
942 |
602 |
$0.00 |
| 3079F |
|
4,414 |
2,749 |
$0.00 |
| 3074F |
|
7,123 |
4,379 |
$0.00 |
| Z1034 |
|
7,976 |
5,867 |
$0.00 |
| 3075F |
|
2,336 |
1,428 |
$0.00 |
| 86580 |
|
179 |
133 |
$0.00 |
| 3044F |
|
475 |
293 |
$0.00 |
| Z6406 |
|
493 |
457 |
$0.00 |
| Z1032 |
|
653 |
647 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
2,354 |
2,186 |
$0.00 |
| Z1038 |
|
290 |
267 |
$0.00 |
| Z6204 |
|
190 |
183 |
$0.00 |
| 99406 |
|
19 |
12 |
$0.00 |
| 3080F |
|
202 |
132 |
$0.00 |
| 90381 |
|
99 |
75 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
70 |
45 |
$0.00 |
| 93000 |
|
20 |
12 |
$0.00 |
| 87807 |
|
23 |
12 |
$0.00 |
| H2000 |
Comprehensive multidisciplinary evaluation |
26 |
26 |
$0.00 |
| 3046F |
|
102 |
56 |
$0.00 |
| 3077F |
|
2,640 |
1,612 |
$0.00 |
| 3078F |
|
8,010 |
4,899 |
$0.00 |
| G9357 |
Post-partum screenings, evaluations and education performed |
367 |
279 |
$0.00 |
| Z6400 |
|
322 |
321 |
$0.00 |
| 97803 |
|
182 |
171 |
$0.00 |
| Z6304 |
|
136 |
126 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
224 |
124 |
$0.00 |
| 90713 |
|
132 |
111 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
26 |
26 |
$0.00 |
| Z6500 |
|
131 |
131 |
$0.00 |
| 90710 |
|
31 |
25 |
$0.00 |
| 90648 |
|
44 |
31 |
$0.00 |
| 3051F |
|
97 |
64 |
$0.00 |
| 2022F |
|
20 |
12 |
$0.00 |
| 69209 |
|
21 |
12 |
$0.00 |
| 90685 |
|
21 |
17 |
$0.00 |