| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
37,014 |
30,840 |
$5.60M |
| 00003 |
Internal/system code - not a standard HCPCS code |
6,538 |
5,411 |
$1.18M |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,840 |
815 |
$44K |
| 97811 |
|
9,290 |
5,722 |
$24K |
| 97810 |
|
9,288 |
5,722 |
$24K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
8,941 |
5,687 |
$23K |
| 90834 |
Psychotherapy, 45 minutes with patient |
417 |
249 |
$9K |
| 97026 |
|
8,930 |
5,680 |
$6K |
| 92551 |
|
2,572 |
1,800 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
46 |
42 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,870 |
15,998 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
994 |
678 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
946 |
642 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
72 |
52 |
$987.86 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,011 |
1,410 |
$769.91 |
| 90651 |
|
1,136 |
805 |
$757.02 |
| 90633 |
|
470 |
315 |
$550.03 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,221 |
4,588 |
$490.14 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
430 |
426 |
$360.32 |
| 90744 |
|
225 |
168 |
$280.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,488 |
9,510 |
$274.71 |
| 90698 |
|
245 |
154 |
$200.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
617 |
353 |
$128.92 |
| 90715 |
|
172 |
114 |
$127.00 |
| 90686 |
|
1,407 |
1,183 |
$110.65 |
| 97039 |
|
6,398 |
3,964 |
$101.76 |
| 90670 |
|
85 |
51 |
$90.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,188 |
843 |
$82.12 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
37 |
27 |
$74.42 |
| 90734 |
|
189 |
154 |
$45.00 |
| 90620 |
|
208 |
124 |
$30.00 |
| 90716 |
|
21 |
13 |
$30.00 |
| 90677 |
|
281 |
175 |
$28.00 |
| 90674 |
|
780 |
517 |
$20.06 |
| 90619 |
|
345 |
225 |
$20.02 |
| 90681 |
|
39 |
27 |
$9.00 |
| 98961 |
|
8,246 |
5,537 |
$0.03 |
| 1158F |
|
483 |
476 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
329 |
307 |
$0.00 |
| 99397 |
|
51 |
51 |
$0.00 |
| 2028F |
|
371 |
366 |
$0.00 |
| 92015 |
Determination of refractive state |
302 |
301 |
$0.00 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
541 |
534 |
$0.00 |
| 1160F |
|
439 |
433 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,270 |
1,258 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
209 |
209 |
$0.00 |
| 4004F |
|
1,296 |
1,155 |
$0.00 |
| 1159F |
|
439 |
433 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
150 |
146 |
$0.00 |
| 99080 |
|
1,168 |
703 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
85 |
68 |
$0.00 |
| 3078F |
|
2,294 |
2,243 |
$0.00 |
| 90661 |
|
437 |
307 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
98 |
97 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
21 |
21 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
162 |
103 |
$0.00 |
| 3077F |
|
28 |
28 |
$0.00 |
| 1111F |
|
141 |
120 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,326 |
1,169 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,308 |
1,230 |
$0.00 |
| 94760 |
|
2,728 |
1,838 |
$0.00 |
| 3008F |
|
9,694 |
6,875 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,192 |
2,032 |
$0.00 |
| 3079F |
|
1,412 |
1,397 |
$0.00 |
| 3074F |
|
2,438 |
2,389 |
$0.00 |
| 3017F |
|
260 |
251 |
$0.00 |
| 94762 |
|
3,407 |
2,118 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,352 |
1,588 |
$0.00 |
| 99386 |
|
43 |
38 |
$0.00 |
| 3075F |
|
1,129 |
1,113 |
$0.00 |
| 1170F |
|
438 |
432 |
$0.00 |
| 1034F |
|
1,295 |
1,154 |
$0.00 |
| 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 |
2,697 |
2,401 |
$0.00 |
| 99385 |
|
19 |
12 |
$0.00 |
| 1126F |
|
435 |
420 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
221 |
220 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
115 |
115 |
$0.00 |
| 99383 |
|
73 |
55 |
$0.00 |
| G0296 |
Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) |
127 |
127 |
$0.00 |
| 90694 |
|
73 |
73 |
$0.00 |
| 90656 |
|
212 |
212 |
$0.00 |
| 88142 |
|
83 |
83 |
$0.00 |
| 2023F |
|
74 |
72 |
$0.00 |
| 99172 |
|
197 |
197 |
$0.00 |
| 90688 |
|
92 |
92 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
242 |
242 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
24 |
24 |
$0.00 |
| 93000 |
|
12 |
12 |
$0.00 |
| 94761 |
|
23 |
19 |
$0.00 |
| 90697 |
|
16 |
12 |
$0.00 |