| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
67,428 |
58,409 |
$10.07M |
| 00003 |
Internal/system code - not a standard HCPCS code |
28,978 |
22,532 |
$5.38M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,602 |
27,938 |
$78K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,552 |
12,508 |
$37K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
8,075 |
4,311 |
$25K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,866 |
3,660 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,577 |
4,144 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,484 |
1,321 |
$10K |
| 90750 |
|
710 |
661 |
$8K |
| 97811 |
|
8,109 |
4,305 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,525 |
5,109 |
$6K |
| 90832 |
Psychotherapy, 30 minutes with patient |
696 |
461 |
$6K |
| 97814 |
|
3,291 |
1,513 |
$5K |
| 97813 |
|
3,327 |
1,544 |
$5K |
| 90686 |
|
1,598 |
1,479 |
$5K |
| 90756 |
|
551 |
522 |
$3K |
| 92551 |
|
1,970 |
1,687 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
794 |
768 |
$3K |
| 90658 |
|
416 |
416 |
$3K |
| 97810 |
|
5,729 |
3,346 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
198 |
153 |
$2K |
| 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 |
2,912 |
2,685 |
$1K |
| 90715 |
|
102 |
95 |
$872.82 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
416 |
413 |
$855.00 |
| 3008F |
|
19,881 |
18,371 |
$706.48 |
| 1034F |
|
1,707 |
1,571 |
$679.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
298 |
219 |
$265.96 |
| 93000 |
|
115 |
115 |
$125.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
400 |
374 |
$70.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,123 |
1,069 |
$55.14 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,733 |
1,722 |
$50.00 |
| 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 |
136 |
136 |
$38.64 |
| D0230 |
Intraoral - periapical each additional radiographic image |
42 |
12 |
$10.80 |
| 36415 |
Collection of venous blood by venipuncture |
4,451 |
4,383 |
$4.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,096 |
2,946 |
$0.20 |
| 98961 |
|
18,191 |
16,783 |
$0.01 |
| 3074F |
|
5,838 |
5,535 |
$0.00 |
| 3079F |
|
3,112 |
3,015 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$0.00 |
| 3075F |
|
2,147 |
2,085 |
$0.00 |
| 1170F |
|
521 |
513 |
$0.00 |
| 3080F |
|
617 |
593 |
$0.00 |
| 3017F |
|
18 |
12 |
$0.00 |
| 90674 |
|
428 |
418 |
$0.00 |
| 1126F |
|
386 |
380 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
54 |
53 |
$0.00 |
| 90656 |
|
294 |
249 |
$0.00 |
| 0012A |
|
194 |
194 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
96 |
95 |
$0.00 |
| 88142 |
|
126 |
124 |
$0.00 |
| 94762 |
|
101 |
95 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
151 |
151 |
$0.00 |
| 94760 |
|
139 |
137 |
$0.00 |
| 0011A |
|
193 |
193 |
$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 |
106 |
104 |
$0.00 |
| 90632 |
|
25 |
25 |
$0.00 |
| 1101F |
|
35 |
34 |
$0.00 |
| 1036F |
|
56 |
55 |
$0.00 |
| 57410 |
|
16 |
16 |
$0.00 |
| 1111F |
|
193 |
177 |
$0.00 |
| 3061F |
|
29 |
29 |
$0.00 |
| 90688 |
|
31 |
31 |
$0.00 |
| 99385 |
|
32 |
32 |
$0.00 |
| 99386 |
|
29 |
29 |
$0.00 |
| 0064A |
|
70 |
70 |
$0.00 |
| 91301 |
|
17 |
17 |
$0.00 |
| 1159F |
|
377 |
369 |
$0.00 |
| 3078F |
|
5,664 |
5,349 |
$0.00 |
| 4004F |
|
1,714 |
1,578 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
403 |
387 |
$0.00 |
| 3725F |
|
2,103 |
2,014 |
$0.00 |
| 2028F |
|
81 |
81 |
$0.00 |
| 1160F |
|
470 |
462 |
$0.00 |
| 3077F |
|
1,016 |
969 |
$0.00 |
| 99397 |
|
194 |
177 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
57 |
57 |
$0.00 |
| 1158F |
|
414 |
406 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
47 |
47 |
$0.00 |
| 99080 |
|
93 |
90 |
$0.00 |
| 82948 |
|
173 |
171 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
173 |
173 |
$0.00 |
| 90746 |
|
101 |
98 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
12 |
12 |
$0.00 |
| 99173 |
|
137 |
137 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
12 |
12 |
$0.00 |
| 90661 |
|
16 |
16 |
$0.00 |
| 99497 |
|
50 |
49 |
$0.00 |
| 91312 |
|
44 |
44 |
$0.00 |
| 3045F |
|
14 |
14 |
$0.00 |
| 3288F |
|
47 |
46 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
25 |
25 |
$0.00 |
| 0124A |
|
44 |
44 |
$0.00 |
| 4040F |
|
19 |
12 |
$0.00 |
| 97039 |
|
19 |
14 |
$0.00 |
| 1090F |
|
21 |
21 |
$0.00 |