| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
338,857 |
256,872 |
$51.13M |
| 90834 |
Psychotherapy, 45 minutes with patient |
15,786 |
5,678 |
$445K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
157,626 |
111,776 |
$422K |
| 99460 |
|
13,345 |
9,842 |
$340K |
| G9920 |
Screening performed and negative |
48,727 |
40,179 |
$322K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
32,138 |
25,243 |
$289K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25,562 |
21,430 |
$255K |
| 00003 |
Internal/system code - not a standard HCPCS code |
1,434 |
1,394 |
$243K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25,655 |
18,879 |
$198K |
| 92552 |
|
45,877 |
39,387 |
$178K |
| 99462 |
|
10,816 |
6,794 |
$142K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14,822 |
10,657 |
$124K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,585 |
1,365 |
$114K |
| 97802 |
|
49,317 |
34,870 |
$108K |
| 90791 |
Psychiatric diagnostic evaluation |
1,884 |
1,419 |
$88K |
| 90686 |
|
45,340 |
36,534 |
$86K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
44,111 |
33,171 |
$83K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
81,636 |
69,979 |
$69K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,942 |
1,389 |
$60K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,976 |
1,411 |
$48K |
| 90670 |
|
15,605 |
13,539 |
$47K |
| 90648 |
|
14,922 |
13,100 |
$45K |
| 0001A |
|
1,096 |
693 |
$43K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
38,721 |
33,706 |
$42K |
| 0002A |
|
892 |
597 |
$35K |
| 85018 |
|
81,033 |
70,100 |
$35K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,015 |
2,948 |
$32K |
| 83655 |
|
8,417 |
7,143 |
$31K |
| 90723 |
|
10,044 |
8,890 |
$31K |
| 0004A |
|
474 |
474 |
$30K |
| 90633 |
|
8,491 |
7,018 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,739 |
1,780 |
$25K |
| 0072A |
|
380 |
380 |
$24K |
| 90677 |
|
3,429 |
2,728 |
$24K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
3,218 |
2,024 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,791 |
2,864 |
$22K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
23,987 |
19,335 |
$21K |
| 0012A |
|
492 |
275 |
$18K |
| 0011A |
|
463 |
254 |
$16K |
| 0071A |
|
262 |
262 |
$16K |
| 90651 |
|
5,005 |
3,552 |
$15K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
6,792 |
5,577 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,180 |
3,124 |
$14K |
| 0124A |
|
229 |
229 |
$14K |
| 99173 |
|
42,529 |
36,232 |
$12K |
| 90680 |
|
2,682 |
2,670 |
$11K |
| 90681 |
|
4,702 |
3,726 |
$11K |
| 0064A |
|
154 |
154 |
$9K |
| 90685 |
|
1,157 |
1,063 |
$9K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
444 |
226 |
$8K |
| 80061 |
Lipid panel |
6,641 |
5,139 |
$8K |
| 90716 |
|
1,755 |
1,445 |
$7K |
| 90707 |
|
1,752 |
1,414 |
$7K |
| 90700 |
|
1,531 |
1,258 |
$7K |
| 90734 |
|
2,375 |
2,007 |
$6K |
| 0154A |
|
83 |
83 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
113 |
109 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
329 |
108 |
$5K |
| 90697 |
|
3,684 |
2,355 |
$4K |
| 59430 |
|
529 |
428 |
$4K |
| 0134A |
|
76 |
76 |
$4K |
| 90696 |
|
1,125 |
811 |
$4K |
| 94760 |
|
10,699 |
8,307 |
$4K |
| 90710 |
|
991 |
794 |
$4K |
| 82962 |
|
12,579 |
10,644 |
$4K |
| 90381 |
|
140 |
117 |
$3K |
| 96127 |
|
5,869 |
4,758 |
$3K |
| 0074A |
|
49 |
49 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
256 |
199 |
$3K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
2,510 |
1,383 |
$3K |
| 0082A |
|
49 |
49 |
$3K |
| 90620 |
|
1,665 |
1,183 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,178 |
2,138 |
$2K |
| 0081A |
|
37 |
36 |
$2K |
| 90715 |
|
656 |
430 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,061 |
1,419 |
$2K |
| 80053 |
Comprehensive metabolic panel |
2,309 |
1,930 |
$2K |
| 96156 |
|
908 |
888 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
32 |
31 |
$1K |
| 81002 |
|
5,259 |
3,727 |
$973.33 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,266 |
1,250 |
$943.02 |
| 99401 |
|
903 |
803 |
$940.13 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
778 |
637 |
$912.53 |
| H2015 |
Comprehensive community support services, per 15 minutes |
86 |
65 |
$907.57 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
31 |
25 |
$861.82 |
| 86592 |
|
2,199 |
1,781 |
$818.09 |
| H2027 |
Psychoeducational service, per 15 minutes |
83 |
76 |
$791.14 |
| 81025 |
|
2,030 |
1,762 |
$753.08 |
| 90649 |
|
259 |
257 |
$744.92 |
| 82274 |
|
602 |
501 |
$727.80 |
| 97803 |
|
569 |
509 |
$681.98 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
343 |
283 |
$650.61 |
| 99385 |
|
52 |
34 |
$570.50 |
| 90688 |
|
167 |
166 |
$557.83 |
| 84443 |
Thyroid stimulating hormone (TSH) |
343 |
334 |
$553.80 |
| D1208 |
Topical application of fluoride, excluding varnish |
37 |
37 |
$552.00 |
| 69210 |
|
62 |
52 |
$547.59 |
| 90656 |
|
1,879 |
1,275 |
$481.54 |
| 84439 |
|
261 |
260 |
$473.81 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
53 |
42 |
$439.60 |
| D0145 |
Oral evaluation for a patient under three years of age |
26 |
26 |
$387.00 |
| 99000 |
|
967 |
525 |
$377.52 |
| 96112 |
|
16 |
16 |
$231.97 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
90 |
69 |
$205.24 |
| 90674 |
|
217 |
217 |
$193.50 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
95 |
73 |
$171.44 |
| 90619 |
|
540 |
414 |
$171.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
95 |
73 |
$170.89 |
| H2000 |
Comprehensive multidisciplinary evaluation |
208 |
172 |
$149.28 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
304 |
223 |
$147.66 |
| S9452 |
Nutrition classes, non-physician provider, per session |
200 |
184 |
$132.47 |
| 87340 |
|
111 |
85 |
$117.18 |
| 86704 |
|
97 |
70 |
$100.90 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
337 |
258 |
$88.50 |
| 86580 |
|
25 |
13 |
$72.10 |
| 99386 |
|
80 |
62 |
$68.40 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
665 |
659 |
$60.78 |
| 88720 |
|
234 |
200 |
$55.74 |
| 87430 |
|
36 |
27 |
$49.08 |
| 82950 |
|
104 |
104 |
$33.09 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
26 |
$20.97 |
| 86317 |
|
15 |
15 |
$19.50 |
| 85027 |
|
58 |
53 |
$10.41 |
| 87807 |
|
36 |
26 |
$8.57 |
| 83037 |
|
818 |
684 |
$6.80 |
| 87081 |
|
29 |
27 |
$5.68 |
| 81001 |
|
64 |
54 |
$4.16 |
| 3078F |
|
11,049 |
9,017 |
$0.00 |
| 18 |
F18 fdg |
64,343 |
56,828 |
$0.00 |
| 3077F |
|
1,276 |
1,027 |
$0.00 |
| D0191 |
|
43 |
43 |
$0.00 |
| 90461 |
|
353 |
342 |
$0.00 |
| Z6400 |
|
1,162 |
966 |
$0.00 |
| 86480 |
|
105 |
104 |
$0.00 |
| Z6200 |
|
423 |
389 |
$0.00 |
| Z6300 |
|
202 |
202 |
$0.00 |
| Z6414 |
|
159 |
127 |
$0.00 |
| Z6208 |
|
99 |
93 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
27 |
25 |
$0.00 |
| Z6202 |
|
220 |
205 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
23 |
15 |
$0.00 |
| 82570 |
|
91 |
65 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
75 |
47 |
$0.00 |
| 3074F |
|
12,613 |
10,199 |
$0.00 |
| 3079F |
|
4,131 |
3,403 |
$0.00 |
| Z1034 |
|
4,663 |
2,910 |
$0.00 |
| D1330 |
|
90 |
88 |
$0.00 |
| 3075F |
|
1,704 |
1,418 |
$0.00 |
| 3080F |
|
384 |
297 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
185 |
183 |
$0.00 |
| Z6204 |
|
717 |
644 |
$0.00 |
| Z6406 |
|
725 |
625 |
$0.00 |
| 82043 |
|
88 |
63 |
$0.00 |
| Z1038 |
|
481 |
391 |
$0.00 |
| Z6410 |
|
2,938 |
1,704 |
$0.00 |
| D1310 |
|
91 |
89 |
$0.00 |
| 0001F |
|
75 |
64 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
660 |
542 |
$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) |
12 |
12 |
$0.00 |
| 86780 |
|
153 |
152 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
12 |
12 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
146 |
140 |
$0.00 |
| Z1032 |
|
14 |
14 |
$0.00 |
| 99459 |
|
12 |
12 |
$0.00 |