| Code | Description | Claims | Beneficiaries | Total Paid |
| 00003 |
Internal/system code - not a standard HCPCS code |
716,736 |
364,609 |
$186.79M |
| T1015 |
Clinic visit/encounter, all-inclusive |
367,335 |
297,652 |
$82.88M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
147,517 |
128,863 |
$192K |
| 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 |
6,135 |
5,228 |
$86K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,428 |
9,841 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26,723 |
24,478 |
$27K |
| 59425 |
|
810 |
564 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,235 |
4,810 |
$19K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,067 |
1,003 |
$18K |
| 90670 |
|
4,348 |
4,316 |
$14K |
| 0012A |
|
385 |
226 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,718 |
3,666 |
$11K |
| 0011A |
|
356 |
217 |
$11K |
| 90832 |
Psychotherapy, 30 minutes with patient |
7,985 |
6,109 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,492 |
8,168 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,628 |
1,589 |
$9K |
| 90651 |
|
1,464 |
1,445 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,563 |
1,433 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,500 |
1,468 |
$4K |
| 90715 |
|
1,198 |
1,188 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,071 |
8,884 |
$4K |
| 96160 |
|
24,055 |
23,664 |
$2K |
| 99000 |
|
22,095 |
20,630 |
$2K |
| 90710 |
|
839 |
833 |
$2K |
| 0064A |
|
61 |
57 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,292 |
3,204 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,269 |
5,123 |
$2K |
| 90686 |
|
7,517 |
7,429 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,717 |
10,526 |
$2K |
| 96156 |
|
79 |
77 |
$2K |
| 99215 |
Prolong outpt/office vis |
74 |
73 |
$2K |
| 92552 |
|
4,525 |
4,392 |
$2K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
237 |
221 |
$1K |
| 0071A |
|
78 |
68 |
$1K |
| 0031A |
|
49 |
25 |
$1K |
| 0072A |
|
44 |
42 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,413 |
4,372 |
$1K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
49 |
41 |
$1K |
| 81003 |
|
8,655 |
6,829 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,009 |
884 |
$953.87 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
997 |
927 |
$869.28 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,704 |
1,572 |
$862.17 |
| 90633 |
|
1,799 |
1,788 |
$794.15 |
| 90681 |
|
1,597 |
1,591 |
$785.51 |
| 90648 |
|
2,981 |
2,965 |
$636.88 |
| 90739 |
|
144 |
144 |
$618.60 |
| 99242 |
|
171 |
162 |
$604.93 |
| 99385 |
|
111 |
111 |
$565.94 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,041 |
1,917 |
$556.61 |
| 81025 |
|
1,837 |
1,775 |
$549.44 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,613 |
8,508 |
$498.96 |
| 59430 |
|
12 |
12 |
$479.04 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
115 |
101 |
$474.89 |
| 92551 |
|
4,178 |
4,083 |
$454.03 |
| 97802 |
|
33 |
33 |
$433.84 |
| 90723 |
|
2,861 |
2,847 |
$415.66 |
| 90696 |
|
566 |
566 |
$405.39 |
| 90461 |
|
4,938 |
4,886 |
$386.57 |
| 99173 |
|
8,841 |
8,694 |
$321.82 |
| 36415 |
Collection of venous blood by venipuncture |
3,921 |
3,813 |
$291.28 |
| 90620 |
|
380 |
378 |
$193.51 |
| 90791 |
Psychiatric diagnostic evaluation |
543 |
536 |
$188.08 |
| 99460 |
|
607 |
602 |
$175.29 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
428 |
421 |
$154.20 |
| 90834 |
Psychotherapy, 45 minutes with patient |
569 |
473 |
$134.32 |
| 90734 |
|
843 |
840 |
$131.37 |
| 90647 |
|
761 |
757 |
$124.26 |
| 36416 |
|
2,603 |
2,574 |
$119.51 |
| 71046 |
Radiologic examination, chest; 2 views |
386 |
383 |
$108.96 |
| 85018 |
|
5,189 |
5,076 |
$106.99 |
| 96127 |
|
223 |
219 |
$94.85 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
62,489 |
54,753 |
$79.65 |
| 99401 |
|
3,078 |
3,067 |
$54.00 |
| 73562 |
|
165 |
164 |
$34.72 |
| 73630 |
|
95 |
95 |
$34.54 |
| 83655 |
|
933 |
930 |
$28.00 |
| 72100 |
|
132 |
131 |
$20.90 |
| 81000 |
|
88 |
80 |
$12.90 |
| 90716 |
|
538 |
535 |
$6.33 |
| 90619 |
|
177 |
169 |
$4.30 |
| 3510F |
|
1,204 |
1,176 |
$3.60 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,697 |
1,580 |
$1.27 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
128 |
125 |
$0.66 |
| S9470 |
Nutritional counseling, dietitian visit |
1,914 |
1,866 |
$0.07 |
| G9920 |
Screening performed and negative |
54 |
54 |
$0.01 |
| 1031F |
|
4,423 |
4,103 |
$0.00 |
| Z1034 |
|
10,090 |
6,419 |
$0.00 |
| Z6410 |
|
1,902 |
1,598 |
$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) |
125 |
124 |
$0.00 |
| S0612 |
Annual gynecological examination, established patient |
1,464 |
1,421 |
$0.00 |
| 99383 |
|
154 |
154 |
$0.00 |
| 3351F |
|
297 |
273 |
$0.00 |
| 1220F |
|
682 |
623 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
70 |
69 |
$0.00 |
| 1000F |
|
654 |
618 |
$0.00 |
| 90688 |
|
382 |
382 |
$0.00 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
574 |
319 |
$0.00 |
| Z6406 |
|
466 |
461 |
$0.00 |
| 1111F |
|
450 |
420 |
$0.00 |
| Z1038 |
|
513 |
483 |
$0.00 |
| 96161 |
|
52 |
52 |
$0.00 |
| 99381 |
|
651 |
647 |
$0.00 |
| Z1032 |
|
595 |
581 |
$0.00 |
| 94760 |
|
59 |
56 |
$0.00 |
| Z6204 |
|
99 |
99 |
$0.00 |
| 99070 |
|
258 |
252 |
$0.00 |
| 3008F |
|
61 |
61 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
54 |
53 |
$0.00 |
| 99991 |
|
35 |
35 |
$0.00 |
| 91307 |
|
14 |
14 |
$0.00 |
| D0999 |
Unspecified diagnostic procedure, by report |
73 |
72 |
$0.00 |
| H0033 |
Oral medication administration, direct observation |
25 |
24 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
207 |
199 |
$0.00 |
| 99024 |
|
19 |
19 |
$0.00 |
| 90677 |
|
54 |
54 |
$0.00 |
| D9999 |
Unspecified adjunctive procedure, by report |
15 |
15 |
$0.00 |
| Z6402 |
|
43 |
42 |
$0.00 |
| 99462 |
|
226 |
177 |
$0.00 |
| 99406 |
|
66 |
59 |
$0.00 |
| 99384 |
|
86 |
86 |
$0.00 |
| D9995 |
|
59 |
57 |
$0.00 |
| 99992 |
|
31 |
31 |
$0.00 |
| 90480 |
|
16 |
16 |
$0.00 |
| Q2036 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
13 |
13 |
$0.00 |
| G9642 |
Current smoker (e.g., cigarette, cigar, pipe, e-cigarette or marijuana) |
13 |
13 |
$0.00 |
| D1320 |
|
41 |
39 |
$0.00 |
| 93000 |
|
13 |
13 |
$0.00 |
| 90697 |
|
14 |
14 |
$0.00 |
| 99386 |
|
13 |
13 |
$0.00 |
| 90680 |
|
31 |
31 |
$0.00 |
| OBUS |
|
32 |
31 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
18 |
18 |
$0.00 |
| 90707 |
|
504 |
504 |
$0.00 |
| 99051 |
|
223 |
216 |
$0.00 |
| Z6400 |
|
386 |
386 |
$0.00 |
| 90672 |
|
129 |
129 |
$0.00 |
| 90473 |
|
833 |
832 |
$0.00 |
| 1033F |
|
317 |
307 |
$0.00 |
| S0613 |
Annual gynecological examination; clinical breast examination without pelvic evaluation |
1,868 |
1,810 |
$0.00 |
| 2028F |
|
99 |
94 |
$0.00 |
| Z6414 |
|
215 |
205 |
$0.00 |
| Z6308 |
|
27 |
27 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
331 |
329 |
$0.00 |
| Z6200 |
|
41 |
40 |
$0.00 |
| 90700 |
|
637 |
637 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
83 |
79 |
$0.00 |
| Z6500 |
|
189 |
189 |
$0.00 |
| Z6304 |
|
98 |
98 |
$0.00 |
| G8938 |
Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible |
68 |
68 |
$0.00 |
| 99382 |
|
50 |
50 |
$0.00 |
| 98940 |
|
677 |
373 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
88 |
78 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
397 |
393 |
$0.00 |
| 81002 |
|
60 |
56 |
$0.00 |
| FLUVF |
|
236 |
233 |
$0.00 |
| 82948 |
|
43 |
43 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
26 |
26 |
$0.00 |
| 69210 |
|
16 |
16 |
$0.00 |
| 99201 |
|
29 |
29 |
$0.00 |
| 73030 |
|
26 |
26 |
$0.00 |
| Z6300 |
|
42 |
41 |
$0.00 |
| 17110 |
|
13 |
12 |
$0.00 |
| S0610 |
Annual gynecological examination, new patient |
14 |
13 |
$0.00 |
| Z6208 |
|
28 |
28 |
$0.00 |
| 73140 |
|
14 |
13 |
$0.00 |
| G8780 |
Counseling for diet and physical activity performed |
63 |
63 |
$0.00 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
16 |
16 |
$0.00 |
| 98960 |
|
13 |
12 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$0.00 |