| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
166,332 |
145,823 |
$20.60M |
| 00003 |
Internal/system code - not a standard HCPCS code |
23,400 |
18,490 |
$3.96M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
143,255 |
104,059 |
$1.23M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31,450 |
22,719 |
$398K |
| 97803 |
|
21,930 |
15,276 |
$191K |
| 86769 |
|
8,457 |
6,224 |
$120K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17,196 |
12,541 |
$116K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,830 |
4,832 |
$105K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
3,438 |
2,435 |
$104K |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,507 |
3,092 |
$83K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,833 |
2,962 |
$70K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,791 |
2,689 |
$65K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,329 |
3,259 |
$57K |
| 59425 |
|
2,097 |
1,395 |
$56K |
| 92551 |
|
11,289 |
7,988 |
$44K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,849 |
2,403 |
$39K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,012 |
1,401 |
$39K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,792 |
993 |
$38K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
5,189 |
2,503 |
$33K |
| 80305 |
|
8,552 |
5,441 |
$30K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,933 |
2,990 |
$27K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
6,262 |
6,150 |
$26K |
| 90791 |
Psychiatric diagnostic evaluation |
906 |
685 |
$24K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
466 |
318 |
$14K |
| 87081 |
|
6,558 |
5,183 |
$14K |
| 98940 |
|
2,165 |
965 |
$14K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
6,161 |
4,688 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
613 |
516 |
$11K |
| 90670 |
|
2,221 |
1,650 |
$10K |
| 99173 |
|
9,132 |
6,753 |
$9K |
| 96127 |
|
7,126 |
5,436 |
$9K |
| 81025 |
|
6,747 |
4,771 |
$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 |
3,671 |
3,222 |
$7K |
| 90688 |
|
1,718 |
1,223 |
$6K |
| 83655 |
|
1,444 |
1,049 |
$6K |
| 93000 |
|
434 |
270 |
$5K |
| 0012A |
|
620 |
427 |
$5K |
| 81002 |
|
7,090 |
5,363 |
$5K |
| 90658 |
|
795 |
644 |
$5K |
| 90633 |
|
1,280 |
919 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,212 |
1,035 |
$4K |
| 0011A |
|
770 |
515 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,558 |
1,076 |
$4K |
| 90648 |
|
984 |
719 |
$4K |
| 90723 |
|
1,002 |
704 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,358 |
8,962 |
$3K |
| 99215 |
Prolong outpt/office vis |
137 |
107 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
674 |
476 |
$3K |
| 17110 |
|
96 |
82 |
$3K |
| 90686 |
|
314 |
252 |
$3K |
| 90715 |
|
597 |
413 |
$3K |
| 91322 |
|
88 |
68 |
$3K |
| 90680 |
|
1,037 |
795 |
$2K |
| 90707 |
|
564 |
417 |
$2K |
| 90649 |
|
483 |
327 |
$2K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
256 |
173 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,840 |
1,489 |
$2K |
| 90480 |
|
179 |
136 |
$2K |
| 90700 |
|
577 |
413 |
$2K |
| 90710 |
|
539 |
398 |
$2K |
| 90716 |
|
497 |
360 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
46 |
30 |
$2K |
| 85018 |
|
1,990 |
1,469 |
$2K |
| 0004A |
|
43 |
39 |
$2K |
| 90657 |
|
421 |
286 |
$1K |
| 0064A |
|
122 |
96 |
$1K |
| 0002A |
|
97 |
73 |
$1K |
| 87070 |
|
638 |
501 |
$1K |
| 90696 |
|
438 |
310 |
$1K |
| 0001A |
|
92 |
74 |
$1K |
| 59430 |
|
74 |
65 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
700 |
471 |
$959.04 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
99 |
91 |
$826.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
217 |
206 |
$805.65 |
| 0031A |
|
47 |
35 |
$804.00 |
| 0071A |
|
30 |
20 |
$804.00 |
| 90734 |
|
259 |
179 |
$768.33 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
453 |
251 |
$730.82 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
171 |
154 |
$716.74 |
| H1000 |
Prenatal care, at-risk assessment |
16 |
15 |
$631.55 |
| H0049 |
Alcohol and/or drug screening |
2,449 |
2,094 |
$624.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
34 |
24 |
$551.20 |
| 99381 |
|
21 |
15 |
$518.90 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,037 |
1,663 |
$453.75 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
21 |
13 |
$444.92 |
| 99205 |
Prolong outpt/office vis |
74 |
72 |
$433.51 |
| 82947 |
|
460 |
270 |
$299.12 |
| 87634 |
|
22 |
15 |
$249.56 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
22 |
12 |
$225.60 |
| 90744 |
|
71 |
48 |
$216.00 |
| G9920 |
Screening performed and negative |
2,056 |
1,851 |
$203.08 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
552 |
453 |
$177.70 |
| 99406 |
|
48 |
39 |
$166.56 |
| 90656 |
|
13 |
13 |
$166.34 |
| 99201 |
|
28 |
27 |
$162.76 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
71 |
31 |
$143.58 |
| 86580 |
|
192 |
139 |
$131.04 |
| J3490 |
Unclassified drugs |
30 |
18 |
$130.16 |
| 90713 |
|
53 |
34 |
$126.00 |
| 69210 |
|
16 |
12 |
$122.12 |
| 98960 |
|
6,340 |
5,033 |
$106.64 |
| 82962 |
|
157 |
122 |
$76.84 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
40 |
34 |
$19.52 |
| 86328 |
|
59 |
45 |
$12.00 |
| 99000 |
|
193 |
147 |
$7.26 |
| 82272 |
|
19 |
12 |
$2.56 |
| 3008F |
|
5,333 |
4,704 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
8,281 |
6,835 |
$0.00 |
| Z1034 |
|
4,249 |
2,875 |
$0.00 |
| 91301 |
|
1,551 |
1,189 |
$0.00 |
| 90677 |
|
409 |
395 |
$0.00 |
| 90697 |
|
876 |
750 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
41 |
34 |
$0.00 |
| Z1038 |
|
117 |
109 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
185 |
167 |
$0.00 |
| 3079F |
|
13 |
13 |
$0.00 |
| 3074F |
|
193 |
177 |
$0.00 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
14 |
14 |
$0.00 |
| 90474 |
|
27 |
27 |
$0.00 |
| 99443 |
|
85 |
65 |
$0.00 |
| Z1032 |
|
94 |
93 |
$0.00 |
| 99441 |
|
13 |
13 |
$0.00 |
| 91307 |
|
36 |
35 |
$0.00 |
| 91303 |
|
36 |
31 |
$0.00 |
| 90381 |
|
14 |
14 |
$0.00 |
| 99408 |
|
4,899 |
4,481 |
$0.00 |
| 99401 |
|
692 |
568 |
$0.00 |
| 2028F |
|
1,040 |
762 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,688 |
1,415 |
$0.00 |
| 4004F |
|
191 |
189 |
$0.00 |
| 91300 |
|
242 |
223 |
$0.00 |
| 99442 |
|
177 |
139 |
$0.00 |
| 3078F |
|
143 |
136 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
243 |
223 |
$0.00 |
| 90473 |
|
18 |
18 |
$0.00 |
| 3077F |
|
19 |
12 |
$0.00 |