| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
128,483 |
112,281 |
$21.52M |
| 00003 |
Internal/system code - not a standard HCPCS code |
18,355 |
17,733 |
$4.18M |
| 90832 |
Psychotherapy, 30 minutes with patient |
9,111 |
3,674 |
$337K |
| 90837 |
Psychotherapy, 53 minutes with patient |
4,198 |
2,010 |
$337K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
101,937 |
63,640 |
$279K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,784 |
1,340 |
$152K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14,831 |
9,770 |
$118K |
| 90791 |
Psychiatric diagnostic evaluation |
879 |
526 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,288 |
12,363 |
$54K |
| 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 |
1,088 |
960 |
$49K |
| J3490 |
Unclassified drugs |
1,025 |
932 |
$42K |
| G9920 |
Screening performed and negative |
9,816 |
6,201 |
$29K |
| 0002A |
|
235 |
234 |
$16K |
| 0001A |
|
229 |
228 |
$15K |
| 92133 |
|
658 |
498 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,201 |
3,068 |
$13K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
15 |
15 |
$10K |
| G9012 |
Other specified case management service not elsewhere classified |
330 |
163 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,394 |
4,584 |
$5K |
| 0071A |
|
67 |
67 |
$4K |
| 0064A |
|
64 |
64 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
779 |
570 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,156 |
3,238 |
$3K |
| 0072A |
|
50 |
50 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
852 |
533 |
$3K |
| 81025 |
|
4,874 |
3,686 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,276 |
878 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,316 |
2,004 |
$3K |
| 90750 |
|
167 |
118 |
$2K |
| 0124A |
|
33 |
33 |
$2K |
| 11981 |
|
24 |
15 |
$2K |
| 0082A |
|
29 |
29 |
$2K |
| 90686 |
|
10,481 |
6,768 |
$2K |
| 99215 |
Prolong outpt/office vis |
428 |
304 |
$2K |
| 97802 |
|
566 |
534 |
$2K |
| 90677 |
|
433 |
280 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
649 |
368 |
$1K |
| 92025 |
|
85 |
55 |
$1K |
| 0004A |
|
21 |
21 |
$1K |
| 90739 |
|
180 |
135 |
$1K |
| 90715 |
|
621 |
435 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
87 |
56 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,903 |
3,557 |
$951.24 |
| 92134 |
|
47 |
39 |
$870.75 |
| 90670 |
|
3,076 |
2,188 |
$853.00 |
| 0054A |
|
12 |
12 |
$804.00 |
| 81003 |
|
7,587 |
4,857 |
$594.02 |
| 92015 |
Determination of refractive state |
2,575 |
1,932 |
$564.35 |
| 96156 |
|
429 |
425 |
$543.94 |
| 90723 |
|
2,080 |
1,520 |
$538.00 |
| 97803 |
|
733 |
674 |
$494.40 |
| 90647 |
|
2,205 |
1,565 |
$485.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
278 |
188 |
$376.00 |
| 90633 |
|
2,418 |
1,549 |
$289.00 |
| 90656 |
|
833 |
551 |
$270.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
237 |
221 |
$253.14 |
| 87428 |
|
542 |
340 |
$252.00 |
| 90480 |
|
77 |
72 |
$240.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,292 |
11,462 |
$205.39 |
| 0074A |
|
16 |
12 |
$201.00 |
| 90716 |
|
306 |
204 |
$170.00 |
| 85018 |
|
4,030 |
2,588 |
$137.56 |
| 99385 |
|
114 |
61 |
$125.51 |
| 90651 |
|
1,499 |
936 |
$124.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
14 |
$96.21 |
| 90619 |
|
256 |
154 |
$90.00 |
| 90681 |
|
558 |
449 |
$70.00 |
| 99401 |
|
221 |
219 |
$67.28 |
| 99383 |
|
14 |
12 |
$60.31 |
| 99381 |
|
164 |
158 |
$42.38 |
| 99000 |
|
31 |
31 |
$39.93 |
| 90461 |
|
6,206 |
5,400 |
$37.64 |
| 90710 |
|
425 |
253 |
$30.00 |
| 90734 |
|
664 |
399 |
$30.00 |
| 90744 |
|
16 |
15 |
$26.00 |
| 90707 |
|
20 |
13 |
$10.00 |
| 92551 |
|
1,694 |
1,682 |
$0.00 |
| Z6204 |
|
273 |
272 |
$0.00 |
| Z1034 |
|
5,770 |
4,536 |
$0.00 |
| 92499 |
|
203 |
203 |
$0.00 |
| Z6404 |
|
229 |
229 |
$0.00 |
| Z6406 |
|
264 |
261 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,737 |
1,368 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
148 |
77 |
$0.00 |
| Z1032 |
|
213 |
212 |
$0.00 |
| 99386 |
|
22 |
15 |
$0.00 |
| 91305 |
|
15 |
13 |
$0.00 |
| 0081A |
|
16 |
12 |
$0.00 |
| 88720 |
|
67 |
56 |
$0.00 |
| 59430 |
|
64 |
62 |
$0.00 |
| Z6410 |
|
111 |
100 |
$0.00 |
| Z1038 |
|
64 |
64 |
$0.00 |
| 90620 |
|
67 |
36 |
$0.00 |
| 92227 |
|
114 |
114 |
$0.00 |
| 91307 |
|
51 |
39 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
13 |
13 |
$0.00 |
| 90473 |
|
322 |
301 |
$0.00 |
| Z6300 |
|
179 |
178 |
$0.00 |
| 99173 |
|
1,812 |
1,802 |
$0.00 |
| Z6302 |
|
202 |
202 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
51 |
30 |
$0.00 |
| Z6400 |
|
280 |
279 |
$0.00 |
| 91308 |
|
32 |
25 |
$0.00 |
| Z6200 |
|
433 |
431 |
$0.00 |
| 81002 |
|
383 |
282 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
45 |
24 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
49 |
38 |
$0.00 |
| Z6500 |
|
14 |
14 |
$0.00 |
| 90713 |
|
34 |
25 |
$0.00 |