| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
217,318 |
176,652 |
$33.46M |
| 00003 |
Internal/system code - not a standard HCPCS code |
76,471 |
49,307 |
$13.96M |
| G9012 |
Other specified case management service not elsewhere classified |
2,665 |
2,394 |
$441K |
| 98940 |
|
5,182 |
3,179 |
$368K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
180,426 |
103,752 |
$194K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
72,784 |
45,917 |
$81K |
| 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 |
4,086 |
3,185 |
$79K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
225 |
217 |
$50K |
| 90832 |
Psychotherapy, 30 minutes with patient |
835 |
504 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,775 |
8,912 |
$13K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,386 |
404 |
$11K |
| G9920 |
Screening performed and negative |
1,598 |
1,297 |
$8K |
| 99233 |
Prolong inpt eval add15 m |
647 |
222 |
$7K |
| 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 |
563 |
563 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
302 |
196 |
$5K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
207 |
181 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
442 |
306 |
$3K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,534 |
1,106 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
70 |
45 |
$2K |
| 81025 |
|
10,779 |
7,041 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,479 |
1,530 |
$2K |
| 0012A |
|
27 |
27 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
573 |
366 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
122 |
81 |
$1K |
| J3490 |
Unclassified drugs |
299 |
225 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,899 |
1,291 |
$916.04 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,161 |
993 |
$889.85 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
11,175 |
6,706 |
$815.33 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,192 |
2,532 |
$583.39 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,198 |
1,628 |
$548.36 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,746 |
1,150 |
$479.32 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
104,041 |
54,233 |
$473.30 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,653 |
1,698 |
$384.38 |
| 92551 |
|
5,715 |
4,160 |
$381.78 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,441 |
2,262 |
$373.56 |
| 90686 |
|
3,349 |
2,594 |
$364.85 |
| 58300 |
|
24 |
13 |
$358.38 |
| 81002 |
|
16,686 |
10,586 |
$269.49 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
258 |
246 |
$243.81 |
| 99173 |
|
7,876 |
5,569 |
$233.36 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
773 |
714 |
$190.06 |
| 85018 |
|
9,083 |
6,692 |
$165.82 |
| 90715 |
|
498 |
341 |
$141.18 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,669 |
1,865 |
$130.03 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
10,142 |
6,239 |
$100.34 |
| 90670 |
|
1,110 |
941 |
$72.00 |
| 59425 |
|
1,187 |
850 |
$60.48 |
| 82962 |
|
3,014 |
2,109 |
$52.35 |
| 90651 |
|
614 |
431 |
$47.55 |
| 90734 |
|
425 |
296 |
$11.55 |
| 83655 |
|
325 |
278 |
$10.52 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
433 |
272 |
$10.42 |
| 90700 |
|
204 |
134 |
$9.00 |
| 90713 |
|
93 |
57 |
$9.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
655 |
411 |
$5.00 |
| 86580 |
|
200 |
133 |
$3.36 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
880 |
830 |
$0.01 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
3,439 |
3,248 |
$0.01 |
| 3078F |
|
11,342 |
6,434 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
1,022 |
567 |
$0.00 |
| 3077F |
|
3,101 |
1,717 |
$0.00 |
| 90633 |
|
529 |
419 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 99382 |
|
193 |
193 |
$0.00 |
| 90746 |
|
124 |
79 |
$0.00 |
| 99401 |
|
240 |
131 |
$0.00 |
| 90710 |
|
278 |
212 |
$0.00 |
| 99201 |
|
13 |
12 |
$0.00 |
| 86703 |
|
80 |
54 |
$0.00 |
| G9357 |
Post-partum screenings, evaluations and education performed |
26 |
15 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
15 |
13 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
62 |
58 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
57 |
33 |
$0.00 |
| H1000 |
Prenatal care, at-risk assessment |
28 |
28 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| Z1034 |
|
3,427 |
2,515 |
$0.00 |
| 3079F |
|
5,050 |
2,921 |
$0.00 |
| 3075F |
|
3,796 |
2,257 |
$0.00 |
| 3074F |
|
8,821 |
5,120 |
$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) |
1,205 |
784 |
$0.00 |
| 90698 |
|
656 |
562 |
$0.00 |
| 90680 |
|
446 |
382 |
$0.00 |
| 90688 |
|
718 |
395 |
$0.00 |
| 99383 |
|
305 |
281 |
$0.00 |
| 90744 |
|
293 |
229 |
$0.00 |
| 88720 |
|
31 |
26 |
$0.00 |
| Z1038 |
|
30 |
30 |
$0.00 |
| Z1032 |
|
242 |
241 |
$0.00 |
| 3080F |
|
91 |
56 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
14 |
14 |
$0.00 |
| 99381 |
|
40 |
39 |
$0.00 |
| 20610 |
|
50 |
27 |
$0.00 |
| 59430 |
|
59 |
59 |
$0.00 |
| 99384 |
|
106 |
103 |
$0.00 |
| 99406 |
|
113 |
50 |
$0.00 |
| 3044F |
|
113 |
72 |
$0.00 |
| 99460 |
|
98 |
93 |
$0.00 |
| 99462 |
|
21 |
20 |
$0.00 |