| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
62,585 |
52,132 |
$11.64M |
| 00003 |
Internal/system code - not a standard HCPCS code |
16,055 |
13,033 |
$3.88M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,945 |
16,269 |
$25K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
3,306 |
1,963 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,276 |
7,592 |
$11K |
| 90832 |
Psychotherapy, 30 minutes with patient |
714 |
311 |
$9K |
| G9920 |
Screening performed and negative |
1,495 |
1,469 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,704 |
6,235 |
$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 |
247 |
190 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
90 |
60 |
$2K |
| 98940 |
|
660 |
454 |
$2K |
| 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 |
124 |
95 |
$1K |
| G9919 |
Screening performed and positive and provision of recommendations |
119 |
115 |
$659.75 |
| 91320 |
|
65 |
65 |
$466.68 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
917 |
911 |
$444.82 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
38 |
37 |
$374.67 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
214 |
208 |
$305.55 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
610 |
590 |
$284.79 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
151 |
146 |
$228.23 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
382 |
378 |
$175.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,012 |
2,980 |
$164.06 |
| 90480 |
|
65 |
65 |
$160.00 |
| 90686 |
|
786 |
782 |
$129.07 |
| 92552 |
|
579 |
574 |
$100.14 |
| 99201 |
|
17 |
15 |
$89.52 |
| 90698 |
|
30 |
30 |
$87.36 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,102 |
1,082 |
$70.17 |
| 90746 |
|
76 |
76 |
$69.58 |
| 90688 |
|
130 |
128 |
$63.00 |
| 90715 |
|
180 |
179 |
$62.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
738 |
735 |
$37.87 |
| 85018 |
|
2,574 |
2,541 |
$37.87 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
222 |
221 |
$37.39 |
| 99401 |
|
891 |
888 |
$19.07 |
| 99173 |
|
1,537 |
1,532 |
$12.09 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
787 |
787 |
$12.00 |
| 92551 |
|
719 |
718 |
$10.10 |
| 36415 |
Collection of venous blood by venipuncture |
86 |
86 |
$7.80 |
| 99177 |
|
67 |
66 |
$7.50 |
| 99000 |
|
3,943 |
3,906 |
$3.63 |
| 3078F |
|
8,266 |
7,815 |
$0.00 |
| 1160F |
|
6,685 |
6,049 |
$0.00 |
| 82947 |
|
309 |
302 |
$0.00 |
| 3077F |
|
1,304 |
1,223 |
$0.00 |
| 90734 |
|
65 |
65 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
29 |
28 |
$0.00 |
| 81002 |
|
29 |
27 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
269 |
269 |
$0.00 |
| 1159F |
|
6,685 |
6,049 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$0.00 |
| 90670 |
|
73 |
73 |
$0.00 |
| 97803 |
|
783 |
782 |
$0.00 |
| 96160 |
|
87 |
86 |
$0.00 |
| 90633 |
|
15 |
15 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
14 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$0.00 |
| 90662 |
|
15 |
15 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
16 |
$0.00 |
| 83655 |
|
26 |
26 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
12 |
12 |
$0.00 |
| 3075F |
|
1,860 |
1,816 |
$0.00 |
| 3074F |
|
9,005 |
8,496 |
$0.00 |
| 3079F |
|
3,434 |
3,289 |
$0.00 |
| 1126F |
|
4,580 |
4,272 |
$0.00 |
| 96150 |
|
13 |
13 |
$0.00 |
| 3008F |
|
44 |
42 |
$0.00 |
| 3044F |
|
438 |
437 |
$0.00 |
| 1125F |
|
2,271 |
2,080 |
$0.00 |
| 90677 |
|
69 |
69 |
$0.00 |
| 90656 |
|
163 |
163 |
$0.00 |
| 3080F |
|
471 |
445 |
$0.00 |
| 97802 |
|
13 |
13 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
513 |
513 |
$0.00 |
| 96156 |
|
432 |
431 |
$0.00 |
| 90651 |
|
41 |
41 |
$0.00 |
| 96151 |
|
407 |
407 |
$0.00 |
| 94760 |
|
15 |
14 |
$0.00 |
| 82962 |
|
30 |
30 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
32 |
32 |
$0.00 |