| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
255,161 |
231,518 |
$30.97M |
| 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 |
58,382 |
44,487 |
$1.31M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51,568 |
38,612 |
$1.24M |
| 00003 |
Internal/system code - not a standard HCPCS code |
3,963 |
3,078 |
$667K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29,960 |
21,220 |
$616K |
| 99334 |
|
61,523 |
47,329 |
$432K |
| 99335 |
|
24,384 |
20,679 |
$308K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,344 |
5,524 |
$170K |
| 99347 |
|
58,197 |
42,478 |
$153K |
| 99336 |
|
6,060 |
5,357 |
$147K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,062 |
1,677 |
$139K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
7,127 |
5,912 |
$87K |
| 90832 |
Psychotherapy, 30 minutes with patient |
6,372 |
3,184 |
$37K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
703 |
502 |
$28K |
| 99348 |
|
6,171 |
4,595 |
$28K |
| 90686 |
|
4,533 |
3,677 |
$26K |
| 96156 |
|
4,268 |
3,280 |
$23K |
| 36415 |
Collection of venous blood by venipuncture |
2,752 |
2,432 |
$13K |
| 99349 |
|
2,518 |
1,875 |
$13K |
| 99000 |
|
3,183 |
2,799 |
$11K |
| 92551 |
|
6,892 |
5,294 |
$11K |
| 82962 |
|
14,048 |
11,063 |
$9K |
| 99173 |
|
7,741 |
6,109 |
$8K |
| 85018 |
|
9,966 |
7,755 |
$8K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
676 |
477 |
$8K |
| 11720 |
|
5,041 |
4,453 |
$6K |
| 11721 |
|
1,534 |
1,398 |
$5K |
| 93000 |
|
164 |
147 |
$5K |
| 99443 |
|
1,311 |
884 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
421 |
360 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
13 |
$4K |
| 99442 |
|
1,911 |
1,267 |
$4K |
| 81002 |
|
7,429 |
4,663 |
$4K |
| 99325 |
|
311 |
221 |
$3K |
| 59425 |
|
449 |
289 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
453 |
315 |
$3K |
| 0134A |
|
121 |
102 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
155 |
126 |
$2K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
1,274 |
964 |
$2K |
| 90685 |
|
178 |
151 |
$2K |
| 99324 |
|
166 |
127 |
$2K |
| 99215 |
Prolong outpt/office vis |
1,052 |
728 |
$1K |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
686 |
536 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
208 |
178 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
246 |
210 |
$593.30 |
| 86803 |
|
288 |
196 |
$582.88 |
| 99341 |
|
237 |
197 |
$577.32 |
| 0012A |
|
194 |
140 |
$575.95 |
| 90677 |
|
21 |
16 |
$547.40 |
| 82274 |
|
284 |
229 |
$483.66 |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
696 |
474 |
$478.46 |
| 97026 |
|
572 |
269 |
$440.80 |
| 92015 |
Determination of refractive state |
340 |
288 |
$382.39 |
| 81000 |
|
413 |
309 |
$358.37 |
| 90670 |
|
424 |
300 |
$333.59 |
| 97810 |
|
916 |
388 |
$325.87 |
| 81025 |
|
329 |
267 |
$304.10 |
| 99342 |
|
87 |
69 |
$292.26 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
50 |
44 |
$289.96 |
| 90791 |
Psychiatric diagnostic evaluation |
84 |
58 |
$276.80 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
452 |
355 |
$274.79 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
240 |
185 |
$266.49 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,418 |
963 |
$243.65 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
195 |
152 |
$217.85 |
| 90662 |
|
27 |
27 |
$217.35 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
330 |
220 |
$200.92 |
| 90658 |
|
56 |
56 |
$184.30 |
| 69210 |
|
16 |
12 |
$181.34 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
214 |
141 |
$181.02 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
460 |
302 |
$172.80 |
| 90715 |
|
60 |
38 |
$129.25 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
257 |
170 |
$117.60 |
| 11055 |
|
39 |
31 |
$99.48 |
| 86580 |
|
132 |
67 |
$97.32 |
| 90648 |
|
367 |
257 |
$87.75 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
482 |
347 |
$59.30 |
| 91301 |
|
317 |
231 |
$56.90 |
| 99441 |
|
266 |
173 |
$51.30 |
| 11056 |
|
60 |
43 |
$50.14 |
| 86701 |
|
83 |
71 |
$45.55 |
| 99337 |
|
39 |
27 |
$42.30 |
| 0064A |
|
58 |
47 |
$40.00 |
| 90633 |
|
80 |
53 |
$36.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
215 |
180 |
$33.96 |
| 90700 |
|
37 |
26 |
$27.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
84 |
63 |
$23.49 |
| 0011A |
|
117 |
82 |
$22.86 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
39 |
39 |
$13.26 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
66 |
59 |
$9.00 |
| 90713 |
|
45 |
28 |
$9.00 |
| 91313 |
|
120 |
101 |
$0.32 |
| 3078F |
|
13,730 |
10,226 |
$0.01 |
| 3074F |
|
15,625 |
11,501 |
$0.01 |
| 3077F |
|
2,153 |
1,680 |
$0.00 |
| Z6400 |
|
535 |
470 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
38 |
37 |
$0.00 |
| 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 |
62 |
62 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
37 |
$0.00 |
| 97803 |
|
51 |
38 |
$0.00 |
| 11719 |
|
34 |
26 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
138 |
113 |
$0.00 |
| Z6300 |
|
13 |
13 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
132 |
105 |
$0.00 |
| 1160F |
|
22 |
22 |
$0.00 |
| 0521 |
|
98 |
87 |
$0.00 |
| 90734 |
|
25 |
25 |
$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 |
94 |
94 |
$0.00 |
| 97811 |
|
49 |
24 |
$0.00 |
| 90710 |
|
23 |
15 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
34 |
34 |
$0.00 |
| 2024F |
|
17 |
15 |
$0.00 |
| Z6200 |
|
13 |
13 |
$0.00 |
| Z1034 |
|
1,230 |
822 |
$0.00 |
| 3079F |
|
5,914 |
4,495 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
390 |
375 |
$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) |
481 |
379 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
91 |
91 |
$0.00 |
| 3080F |
|
1,342 |
1,024 |
$0.00 |
| 98943 |
|
214 |
165 |
$0.00 |
| 3075F |
|
3,276 |
2,535 |
$0.00 |
| 92250 |
|
70 |
52 |
$0.00 |
| Z6410 |
|
347 |
244 |
$0.00 |
| Z6406 |
|
107 |
84 |
$0.00 |
| 90680 |
|
54 |
43 |
$0.00 |
| 90723 |
|
111 |
80 |
$0.00 |
| Z6204 |
|
88 |
76 |
$0.00 |
| 97014 |
|
58 |
29 |
$0.00 |
| 97802 |
|
51 |
38 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
34 |
34 |
$0.00 |
| 91306 |
|
57 |
46 |
$0.00 |
| 99344 |
|
18 |
18 |
$0.00 |
| 90651 |
|
26 |
26 |
$0.00 |
| Z1032 |
|
39 |
39 |
$0.00 |
| Z6402 |
|
13 |
13 |
$0.00 |
| 1111F |
|
18 |
12 |
$0.00 |