| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
107,263 |
88,522 |
$14.37M |
| 00003 |
Internal/system code - not a standard HCPCS code |
37,681 |
19,138 |
$5.51M |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
745 |
735 |
$277K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
84,021 |
51,773 |
$123K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28,514 |
18,844 |
$70K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,127 |
1,632 |
$46K |
| 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 |
1,171 |
953 |
$35K |
| 90791 |
Psychiatric diagnostic evaluation |
658 |
449 |
$30K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,572 |
1,613 |
$3K |
| 0012A |
|
48 |
48 |
$3K |
| J3490 |
Unclassified drugs |
548 |
438 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,696 |
3,093 |
$2K |
| 81025 |
|
7,972 |
5,753 |
$2K |
| G9920 |
Screening performed and negative |
1,386 |
885 |
$2K |
| 0011A |
|
27 |
27 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,000 |
670 |
$2K |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
535 |
317 |
$974.06 |
| 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 |
69 |
69 |
$856.59 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
84 |
62 |
$787.48 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,456 |
3,973 |
$535.15 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
309 |
195 |
$342.42 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,994 |
1,926 |
$318.42 |
| 59425 |
|
257 |
200 |
$308.85 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
221 |
134 |
$261.34 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,397 |
3,037 |
$205.83 |
| 81002 |
|
6,804 |
4,772 |
$153.59 |
| H2000 |
Comprehensive multidisciplinary evaluation |
38 |
38 |
$135.83 |
| 92551 |
|
970 |
661 |
$132.97 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
609 |
608 |
$105.05 |
| 85018 |
|
2,890 |
1,911 |
$86.99 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
54 |
30 |
$74.04 |
| 99173 |
|
1,567 |
1,023 |
$70.34 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
30 |
25 |
$60.48 |
| 82962 |
|
4,305 |
2,973 |
$40.32 |
| 90651 |
|
65 |
39 |
$26.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
973 |
732 |
$18.75 |
| 90686 |
|
773 |
664 |
$17.00 |
| 99401 |
|
151 |
151 |
$8.33 |
| 97803 |
|
149 |
149 |
$8.33 |
| 96156 |
|
326 |
326 |
$8.33 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
60,175 |
32,154 |
$4.74 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
709 |
601 |
$4.39 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,328 |
792 |
$0.81 |
| 99406 |
|
763 |
417 |
$0.04 |
| 3078F |
|
5,381 |
3,316 |
$0.03 |
| 3074F |
|
5,223 |
3,208 |
$0.03 |
| 3079F |
|
4,626 |
2,784 |
$0.02 |
| 3075F |
|
2,666 |
1,633 |
$0.01 |
| 3077F |
|
3,183 |
1,870 |
$0.00 |
| 3051F |
|
56 |
37 |
$0.00 |
| Z6304 |
|
142 |
142 |
$0.00 |
| Z6400 |
|
247 |
247 |
$0.00 |
| 90715 |
|
113 |
73 |
$0.00 |
| 3046F |
|
103 |
68 |
$0.00 |
| 90713 |
|
19 |
12 |
$0.00 |
| 90734 |
|
45 |
25 |
$0.00 |
| Z6414 |
|
12 |
12 |
$0.00 |
| Z6500 |
|
25 |
25 |
$0.00 |
| Z6308 |
|
12 |
12 |
$0.00 |
| 90700 |
|
24 |
14 |
$0.00 |
| 3080F |
|
624 |
366 |
$0.00 |
| Z6406 |
|
145 |
145 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
243 |
226 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
1,065 |
716 |
$0.00 |
| 3044F |
|
359 |
238 |
$0.00 |
| Z1034 |
|
332 |
290 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
79 |
65 |
$0.00 |
| Z6204 |
|
144 |
144 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
144 |
127 |
$0.00 |
| 96151 |
|
17 |
17 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
54 |
37 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
12 |
12 |
$0.00 |
| 93000 |
|
30 |
26 |
$0.00 |
| 99243 |
|
57 |
43 |
$0.00 |