| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
186,382 |
163,205 |
$27.90M |
| 00003 |
Internal/system code - not a standard HCPCS code |
26,396 |
22,103 |
$5.38M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
60,247 |
52,447 |
$195K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25,437 |
22,039 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,844 |
10,422 |
$37K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
483 |
387 |
$23K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,573 |
3,421 |
$19K |
| 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 |
593 |
530 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,856 |
6,522 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,161 |
1,995 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,379 |
5,013 |
$13K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,902 |
1,777 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
849 |
812 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,337 |
2,109 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,041 |
960 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,547 |
1,410 |
$6K |
| 99401 |
|
460 |
427 |
$5K |
| 90686 |
|
3,380 |
3,079 |
$5K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,884 |
3,390 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
1,524 |
1,487 |
$4K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
24 |
24 |
$4K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
114 |
112 |
$3K |
| 90723 |
|
3,482 |
3,345 |
$2K |
| 99381 |
|
1,462 |
1,438 |
$2K |
| 92551 |
|
3,663 |
3,398 |
$2K |
| 90670 |
|
2,416 |
2,226 |
$2K |
| 90698 |
|
820 |
743 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13,364 |
13,038 |
$2K |
| 90648 |
|
4,422 |
4,228 |
$1K |
| 90633 |
|
2,130 |
2,006 |
$1K |
| 96156 |
|
530 |
526 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
397 |
327 |
$1K |
| 90739 |
|
71 |
64 |
$1K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
253 |
225 |
$1K |
| 81025 |
|
2,912 |
2,726 |
$1K |
| 99383 |
|
263 |
244 |
$1K |
| 97802 |
|
51 |
51 |
$1K |
| 90680 |
|
3,290 |
3,132 |
$955.44 |
| 90715 |
|
676 |
636 |
$858.79 |
| 83655 |
|
1,822 |
1,715 |
$849.97 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,655 |
4,632 |
$807.03 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
556 |
545 |
$764.48 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,483 |
1,430 |
$742.07 |
| 85018 |
|
2,217 |
2,078 |
$728.76 |
| 90716 |
|
1,078 |
1,000 |
$633.07 |
| 90707 |
|
1,023 |
950 |
$567.00 |
| 99188 |
|
605 |
569 |
$539.82 |
| 99173 |
|
4,362 |
4,136 |
$527.44 |
| 97803 |
|
81 |
77 |
$521.42 |
| 90834 |
Psychotherapy, 45 minutes with patient |
57 |
52 |
$448.20 |
| 90677 |
|
3,021 |
2,922 |
$438.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,334 |
1,209 |
$383.69 |
| 90651 |
|
784 |
727 |
$382.34 |
| 90700 |
|
467 |
445 |
$378.00 |
| 3078F |
|
8,828 |
7,921 |
$328.71 |
| 81002 |
|
2,709 |
2,470 |
$308.68 |
| 90688 |
|
93 |
85 |
$274.34 |
| 90734 |
|
484 |
451 |
$274.03 |
| 90744 |
|
561 |
512 |
$234.00 |
| 92250 |
|
194 |
181 |
$213.46 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,723 |
6,695 |
$171.02 |
| 99384 |
|
57 |
51 |
$131.56 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
28 |
28 |
$129.74 |
| 3079F |
|
732 |
710 |
$110.86 |
| 92552 |
|
578 |
565 |
$100.28 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
172 |
163 |
$93.75 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,388 |
1,343 |
$90.98 |
| 88720 |
|
524 |
453 |
$62.31 |
| 99382 |
|
45 |
43 |
$59.13 |
| 92134 |
|
51 |
50 |
$32.25 |
| 93000 |
|
53 |
45 |
$31.00 |
| 90656 |
|
764 |
751 |
$24.23 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
13 |
12 |
$19.37 |
| 90473 |
|
506 |
502 |
$18.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
15 |
13 |
$10.96 |
| 82962 |
|
483 |
433 |
$5.57 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
42 |
38 |
$4.48 |
| 90380 |
|
122 |
122 |
$1.80 |
| Z6204 |
|
3,658 |
3,343 |
$0.00 |
| 3074F |
|
11,168 |
10,042 |
$0.00 |
| 99460 |
|
371 |
366 |
$0.00 |
| 96380 |
|
309 |
309 |
$0.00 |
| Z1034 |
|
21,054 |
17,156 |
$0.00 |
| 2023F |
|
150 |
146 |
$0.00 |
| 90474 |
|
608 |
593 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,282 |
1,281 |
$0.00 |
| Z1032 |
|
1,608 |
1,603 |
$0.00 |
| Z6406 |
|
3,755 |
3,660 |
$0.00 |
| 90381 |
|
192 |
188 |
$0.00 |
| 90620 |
|
54 |
52 |
$0.00 |
| Z6404 |
|
108 |
108 |
$0.00 |
| Z6410 |
|
7,467 |
6,294 |
$0.00 |
| 3072F |
|
24 |
24 |
$0.00 |
| Z6402 |
|
2,541 |
2,536 |
$0.00 |
| 99385 |
|
43 |
39 |
$0.00 |
| 87807 |
|
105 |
104 |
$0.00 |
| 99462 |
|
154 |
139 |
$0.00 |
| 90696 |
|
28 |
26 |
$0.00 |
| Z1038 |
|
54 |
54 |
$0.00 |
| 3075F |
|
48 |
47 |
$0.00 |
| 86580 |
|
13 |
13 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
12 |
12 |
$0.00 |
| Z6414 |
|
795 |
795 |
$0.00 |
| Z6200 |
|
2,423 |
2,419 |
$0.00 |
| Z6208 |
|
785 |
772 |
$0.00 |
| Z6308 |
|
784 |
784 |
$0.00 |
| Z6300 |
|
2,531 |
2,526 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
411 |
394 |
$0.00 |
| 92015 |
Determination of refractive state |
6,063 |
6,057 |
$0.00 |
| Z6400 |
|
2,946 |
2,880 |
$0.00 |
| 92133 |
|
26 |
26 |
$0.00 |
| Z6304 |
|
3,204 |
3,200 |
$0.00 |
| 90681 |
|
296 |
289 |
$0.00 |
| 2021F |
|
301 |
300 |
$0.00 |
| 2022F |
|
28 |
24 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
58 |
55 |
$0.00 |
| Z6302 |
|
78 |
78 |
$0.00 |
| 90678 |
|
16 |
16 |
$0.00 |
| 90658 |
|
56 |
56 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
49 |
49 |
$0.00 |
| 90710 |
|
27 |
25 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |