| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
295,337 |
189,950 |
$48.57M |
| 00003 |
Internal/system code - not a standard HCPCS code |
72,995 |
41,493 |
$13.96M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
110,683 |
61,328 |
$921K |
| 90834 |
Psychotherapy, 45 minutes with patient |
5,635 |
2,506 |
$418K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
9,067 |
8,990 |
$343K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,300 |
22,196 |
$281K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
8,687 |
8,461 |
$121K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,632 |
3,545 |
$106K |
| 90791 |
Psychiatric diagnostic evaluation |
506 |
493 |
$65K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,935 |
1,907 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,700 |
2,196 |
$48K |
| 92015 |
Determination of refractive state |
11,494 |
11,491 |
$48K |
| H0043 |
Supported housing, per diem |
98 |
78 |
$35K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12,695 |
12,144 |
$31K |
| 90837 |
Psychotherapy, 53 minutes with patient |
283 |
216 |
$31K |
| 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 |
2,473 |
1,573 |
$30K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
539 |
535 |
$25K |
| 99385 |
|
455 |
454 |
$21K |
| 99386 |
|
365 |
365 |
$19K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,262 |
925 |
$19K |
| 96156 |
|
1,359 |
1,340 |
$18K |
| 92551 |
|
2,248 |
2,183 |
$18K |
| 90832 |
Psychotherapy, 30 minutes with patient |
270 |
249 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
296 |
288 |
$16K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
2,854 |
2,846 |
$16K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
841 |
382 |
$15K |
| G9012 |
Other specified case management service not elsewhere classified |
27 |
27 |
$15K |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
378 |
378 |
$14K |
| 90715 |
|
733 |
730 |
$14K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,802 |
2,529 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
270 |
269 |
$12K |
| 90651 |
|
297 |
294 |
$11K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
490 |
476 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
964 |
951 |
$11K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
985 |
966 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
198 |
192 |
$10K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,233 |
1,225 |
$8K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
89 |
83 |
$8K |
| 96127 |
|
13,146 |
12,476 |
$8K |
| 90688 |
|
1,214 |
1,201 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,752 |
6,304 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
141 |
140 |
$5K |
| 76641 |
|
245 |
241 |
$4K |
| 99215 |
Prolong outpt/office vis |
110 |
110 |
$4K |
| 96150 |
|
430 |
427 |
$4K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
34 |
32 |
$3K |
| 90746 |
|
58 |
58 |
$3K |
| 82947 |
|
2,349 |
1,977 |
$3K |
| 99205 |
Prolong outpt/office vis |
75 |
74 |
$3K |
| 90716 |
|
87 |
86 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
62 |
58 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
198 |
195 |
$2K |
| 99242 |
|
115 |
114 |
$2K |
| 71047 |
|
276 |
275 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
314 |
310 |
$2K |
| 85018 |
|
1,179 |
1,145 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
148 |
147 |
$1K |
| 90750 |
|
13 |
13 |
$1K |
| 99384 |
|
29 |
29 |
$1K |
| 77066 |
Tomosynthesis, mammo |
18 |
18 |
$1K |
| 90656 |
|
91 |
91 |
$1K |
| 76536 |
|
120 |
118 |
$1K |
| 99401 |
|
1,783 |
1,578 |
$941.15 |
| 83655 |
|
113 |
113 |
$938.90 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
89 |
85 |
$937.97 |
| 77080 |
|
122 |
121 |
$925.29 |
| 90707 |
|
38 |
38 |
$897.49 |
| 91320 |
|
28 |
27 |
$876.30 |
| 81025 |
|
660 |
639 |
$797.30 |
| 81002 |
|
2,124 |
1,936 |
$793.85 |
| 72110 |
|
149 |
149 |
$789.30 |
| 90734 |
|
191 |
190 |
$786.46 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$706.73 |
| 93000 |
|
39 |
39 |
$652.66 |
| 76770 |
|
47 |
47 |
$645.76 |
| 90686 |
|
305 |
304 |
$645.04 |
| 99173 |
|
4,593 |
4,546 |
$588.29 |
| 76830 |
Ultrasound, transvaginal |
36 |
36 |
$541.20 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
136 |
100 |
$503.97 |
| 72050 |
|
91 |
91 |
$440.00 |
| 3008F |
|
19,147 |
12,717 |
$364.58 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
131 |
127 |
$360.45 |
| 73562 |
|
152 |
149 |
$280.56 |
| 71046 |
Radiologic examination, chest; 2 views |
38 |
38 |
$247.32 |
| 73630 |
|
80 |
80 |
$242.20 |
| 73030 |
|
83 |
82 |
$232.74 |
| 3074F |
|
10,345 |
7,662 |
$230.79 |
| 99406 |
|
41 |
39 |
$198.43 |
| 93970 |
|
16 |
16 |
$168.24 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
733 |
720 |
$165.34 |
| 93880 |
|
14 |
14 |
$156.64 |
| 73502 |
|
21 |
21 |
$149.12 |
| 90633 |
|
59 |
58 |
$144.00 |
| 70220 |
|
14 |
14 |
$133.40 |
| 86580 |
|
31 |
31 |
$92.33 |
| 3078F |
|
8,288 |
6,234 |
$79.67 |
| 73610 |
|
32 |
32 |
$75.42 |
| 74018 |
|
16 |
16 |
$73.89 |
| 72202 |
|
15 |
15 |
$59.14 |
| 76881 |
|
16 |
16 |
$53.29 |
| 73130 |
|
22 |
22 |
$50.28 |
| 73110 |
|
20 |
20 |
$50.28 |
| 90480 |
|
44 |
44 |
$44.00 |
| 97802 |
|
60 |
53 |
$30.35 |
| 72080 |
|
17 |
17 |
$27.39 |
| 73080 |
|
16 |
16 |
$25.98 |
| 3079F |
|
5,359 |
4,160 |
$9.01 |
| 3077F |
|
2,032 |
1,609 |
$0.01 |
| 91300 |
|
591 |
501 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
12,722 |
9,044 |
$0.00 |
| 0521 |
|
28 |
18 |
$0.00 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
23 |
23 |
$0.00 |
| 82948 |
|
15 |
12 |
$0.00 |
| 3075F |
|
3,110 |
2,479 |
$0.00 |
| 3080F |
|
1,966 |
1,632 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
17 |
16 |
$0.00 |
| 91200 |
|
33 |
33 |
$0.00 |
| 73221 |
|
18 |
18 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
75 |
49 |
$0.00 |
| 91301 |
|
107 |
95 |
$0.00 |