| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
188,318 |
161,896 |
$18.37M |
| 00003 |
Internal/system code - not a standard HCPCS code |
8,682 |
7,659 |
$1.53M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
131,683 |
99,714 |
$498K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12,860 |
10,772 |
$113K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
10,028 |
8,401 |
$102K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
11,683 |
10,025 |
$79K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,484 |
5,779 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,215 |
5,143 |
$36K |
| G9920 |
Screening performed and negative |
4,913 |
4,665 |
$27K |
| 90832 |
Psychotherapy, 30 minutes with patient |
15,893 |
12,773 |
$21K |
| 85018 |
|
31,772 |
26,883 |
$21K |
| 92551 |
|
22,558 |
19,007 |
$18K |
| 90791 |
Psychiatric diagnostic evaluation |
2,731 |
2,597 |
$15K |
| 90686 |
|
14,271 |
12,208 |
$14K |
| 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 |
558 |
494 |
$14K |
| 99215 |
Prolong outpt/office vis |
1,846 |
1,405 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,470 |
2,951 |
$9K |
| 0071A |
|
470 |
409 |
$8K |
| 99381 |
|
1,005 |
913 |
$4K |
| 99173 |
|
22,059 |
18,736 |
$4K |
| 0072A |
|
440 |
423 |
$4K |
| 90633 |
|
3,960 |
3,436 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
287 |
274 |
$2K |
| 0012A |
|
40 |
23 |
$2K |
| 90677 |
|
710 |
654 |
$2K |
| 90651 |
|
4,213 |
3,497 |
$2K |
| 90670 |
|
6,136 |
5,496 |
$1K |
| 90723 |
|
3,840 |
3,471 |
$1K |
| 90700 |
|
2,017 |
1,759 |
$1K |
| 90734 |
|
3,469 |
2,896 |
$1K |
| 90648 |
|
6,522 |
5,827 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,138 |
1,134 |
$1K |
| 0001A |
|
68 |
54 |
$952.88 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,458 |
2,193 |
$823.80 |
| 90680 |
|
4,038 |
3,671 |
$767.23 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
43 |
40 |
$655.41 |
| 90696 |
|
890 |
751 |
$630.57 |
| 0011A |
|
22 |
16 |
$592.90 |
| 0054A |
|
76 |
73 |
$588.00 |
| 90716 |
|
1,037 |
878 |
$542.61 |
| 0081A |
|
14 |
12 |
$469.00 |
| 99383 |
|
44 |
39 |
$457.19 |
| 90620 |
|
879 |
758 |
$426.12 |
| 86580 |
|
3,528 |
3,003 |
$411.69 |
| 0002A |
|
92 |
86 |
$370.84 |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
16 |
12 |
$361.92 |
| 99000 |
|
352 |
307 |
$320.66 |
| 87428 |
|
81 |
74 |
$272.59 |
| 0052A |
|
42 |
40 |
$254.00 |
| 90688 |
|
505 |
420 |
$253.89 |
| 90834 |
Psychotherapy, 45 minutes with patient |
165 |
155 |
$201.48 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
97 |
93 |
$170.34 |
| 90707 |
|
858 |
717 |
$134.87 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
59 |
54 |
$123.48 |
| 90713 |
|
342 |
307 |
$105.30 |
| 90715 |
|
1,022 |
842 |
$94.50 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
785 |
778 |
$59.23 |
| 98940 |
|
256 |
187 |
$45.03 |
| 1111F |
|
15,370 |
14,179 |
$45.01 |
| 81025 |
|
66 |
52 |
$44.17 |
| 90710 |
|
890 |
743 |
$40.50 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
158 |
149 |
$17.91 |
| 82962 |
|
65 |
62 |
$2.62 |
| 2001F |
|
21,667 |
19,272 |
$0.01 |
| 3008F |
|
21,667 |
19,271 |
$0.01 |
| 1036F |
|
18,565 |
16,399 |
$0.01 |
| 90647 |
|
380 |
349 |
$0.00 |
| 3074F |
|
12,569 |
11,678 |
$0.00 |
| 3079F |
|
1,352 |
1,294 |
$0.00 |
| 3075F |
|
339 |
332 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
13,367 |
12,423 |
$0.00 |
| 3048F |
|
1,720 |
1,590 |
$0.00 |
| 90474 |
|
212 |
212 |
$0.00 |
| 90698 |
|
56 |
54 |
$0.00 |
| 3049F |
|
441 |
406 |
$0.00 |
| Z1034 |
|
1,005 |
633 |
$0.00 |
| 90656 |
|
1,052 |
1,022 |
$0.00 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
15 |
15 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
13 |
12 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
21 |
20 |
$0.00 |
| 81005 |
|
14 |
12 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$0.00 |
| 3078F |
|
11,779 |
10,965 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
13,066 |
12,167 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
295 |
286 |
$0.00 |
| 3077F |
|
296 |
287 |
$0.00 |
| 3050F |
|
56 |
50 |
$0.00 |
| 90621 |
|
15 |
15 |
$0.00 |
| 90681 |
|
54 |
44 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$0.00 |
| 81003 |
|
17 |
12 |
$0.00 |