| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
97,161 |
82,778 |
$23.63M |
| 00003 |
Internal/system code - not a standard HCPCS code |
27,856 |
16,775 |
$8.05M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
58,256 |
44,331 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
136,229 |
105,413 |
$29K |
| 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 |
3,747 |
3,421 |
$19K |
| 90834 |
Psychotherapy, 45 minutes with patient |
15,381 |
5,987 |
$19K |
| 90837 |
Psychotherapy, 53 minutes with patient |
5,275 |
1,665 |
$10K |
| 90658 |
|
1,792 |
1,791 |
$9K |
| G9012 |
Other specified case management service not elsewhere classified |
176 |
87 |
$7K |
| 0011A |
|
116 |
105 |
$6K |
| 90732 |
|
133 |
132 |
$5K |
| 99215 |
Prolong outpt/office vis |
5,309 |
5,062 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21,738 |
21,489 |
$3K |
| 97810 |
|
3,899 |
3,510 |
$2K |
| 98925 |
|
3,366 |
3,012 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
44,637 |
34,500 |
$2K |
| 97811 |
|
3,812 |
3,427 |
$2K |
| 90670 |
|
424 |
422 |
$2K |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
921 |
841 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
17,664 |
17,260 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,066 |
2,061 |
$843.15 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
449 |
444 |
$687.06 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
3,554 |
2,213 |
$668.96 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,613 |
2,182 |
$667.31 |
| 82947 |
|
10,542 |
10,229 |
$662.76 |
| 97026 |
|
2,680 |
2,426 |
$651.06 |
| 90832 |
Psychotherapy, 30 minutes with patient |
616 |
320 |
$490.79 |
| 92551 |
|
3,674 |
3,658 |
$488.22 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
231 |
200 |
$475.35 |
| 20552 |
|
870 |
795 |
$419.92 |
| 3078F |
|
50,473 |
48,439 |
$412.44 |
| 90656 |
|
994 |
993 |
$370.92 |
| 91320 |
|
80 |
80 |
$346.44 |
| 0124A |
|
389 |
380 |
$268.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
391 |
389 |
$254.44 |
| 90715 |
|
463 |
462 |
$206.20 |
| 90746 |
|
1,278 |
1,276 |
$180.82 |
| 83655 |
|
417 |
414 |
$178.84 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,291 |
1,184 |
$178.56 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
612 |
552 |
$170.46 |
| 92250 |
|
599 |
555 |
$166.84 |
| 90480 |
|
92 |
92 |
$160.00 |
| 90686 |
|
6,404 |
6,383 |
$158.30 |
| 85018 |
|
5,828 |
5,810 |
$146.08 |
| 0134A |
|
29 |
28 |
$134.00 |
| 3074F |
|
51,555 |
49,399 |
$127.50 |
| 93000 |
|
547 |
540 |
$123.64 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,464 |
1,463 |
$114.04 |
| 3079F |
|
15,376 |
15,032 |
$106.58 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
486 |
359 |
$101.88 |
| 0074A |
|
12 |
12 |
$88.79 |
| 90633 |
|
544 |
537 |
$85.46 |
| 81003 |
|
626 |
602 |
$82.17 |
| 90632 |
|
98 |
98 |
$80.23 |
| 90651 |
|
182 |
180 |
$75.11 |
| 99173 |
|
4,687 |
4,670 |
$70.23 |
| 99383 |
|
45 |
44 |
$70.18 |
| 91305 |
|
19 |
14 |
$68.03 |
| 0004A |
|
40 |
40 |
$67.00 |
| 97802 |
|
65 |
64 |
$60.10 |
| 3075F |
|
8,273 |
8,171 |
$39.15 |
| 90648 |
|
457 |
454 |
$28.35 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
99 |
98 |
$24.98 |
| 97814 |
|
82 |
68 |
$20.00 |
| 97813 |
|
82 |
68 |
$20.00 |
| 90723 |
|
182 |
181 |
$19.44 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,506 |
1,505 |
$18.69 |
| 90677 |
|
434 |
431 |
$17.82 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
166 |
83 |
$13.76 |
| 99386 |
|
53 |
53 |
$10.00 |
| 1170F |
|
166 |
158 |
$10.00 |
| 1158F |
|
139 |
133 |
$10.00 |
| 1159F |
|
148 |
140 |
$10.00 |
| 90657 |
|
53 |
53 |
$9.00 |
| 81025 |
|
620 |
610 |
$8.31 |
| 96127 |
|
77 |
77 |
$0.01 |
| J3490 |
Unclassified drugs |
45 |
45 |
$0.01 |
| 3008F |
|
47,263 |
45,166 |
$0.00 |
| 3080F |
|
1,030 |
1,013 |
$0.00 |
| 0012A |
|
23 |
23 |
$0.00 |
| 96156 |
|
175 |
172 |
$0.00 |
| 99385 |
|
189 |
189 |
$0.00 |
| 36416 |
|
96 |
96 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
210 |
190 |
$0.00 |
| 1111F |
|
106 |
106 |
$0.00 |
| 2033F |
|
245 |
245 |
$0.00 |
| 0101T |
|
2,043 |
1,288 |
$0.00 |
| 90697 |
|
57 |
56 |
$0.00 |
| 90716 |
|
57 |
57 |
$0.00 |
| 59430 |
|
93 |
76 |
$0.00 |
| 0503F |
|
32 |
25 |
$0.00 |
| 1126F |
|
110 |
102 |
$0.00 |
| 97124 |
|
78 |
75 |
$0.00 |
| 90688 |
|
208 |
208 |
$0.00 |
| H2000 |
Comprehensive multidisciplinary evaluation |
16 |
12 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| 91301 |
|
56 |
56 |
$0.00 |
| 4010F |
|
14 |
14 |
$0.00 |
| 1125F |
|
50 |
50 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
20 |
15 |
$0.00 |
| 3044F |
|
24 |
24 |
$0.00 |
| 3077F |
|
6,600 |
6,413 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
641 |
635 |
$0.00 |
| 3046F |
|
147 |
147 |
$0.00 |
| 81002 |
|
170 |
167 |
$0.00 |
| 90750 |
|
798 |
793 |
$0.00 |
| 90682 |
|
108 |
108 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
100 |
82 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
343 |
286 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
489 |
454 |
$0.00 |
| 90662 |
|
101 |
101 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
98 |
97 |
$0.00 |
| 1160F |
|
279 |
268 |
$0.00 |
| 2026F |
|
26 |
26 |
$0.00 |
| 99401 |
|
161 |
151 |
$0.00 |
| 91300 |
|
14 |
14 |
$0.00 |
| 90707 |
|
44 |
44 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
13 |
$0.00 |
| 90649 |
|
12 |
12 |
$0.00 |
| 3051F |
|
12 |
12 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
12 |
12 |
$0.00 |
| 91311 |
|
12 |
12 |
$0.00 |