| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
98,331 |
85,384 |
$14.36M |
| 00003 |
Internal/system code - not a standard HCPCS code |
16,624 |
11,614 |
$3.21M |
| 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 |
2,583 |
2,176 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
45,750 |
28,250 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
60,535 |
37,962 |
$19K |
| 94760 |
|
130,444 |
76,956 |
$5K |
| 0011A |
|
142 |
79 |
$4K |
| 0012A |
|
96 |
50 |
$3K |
| 99385 |
|
464 |
324 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
824 |
508 |
$2K |
| 86580 |
|
1,018 |
907 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
682 |
552 |
$932.25 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,001 |
673 |
$878.70 |
| 92553 |
|
12,003 |
8,146 |
$824.64 |
| 87428 |
|
94 |
67 |
$763.08 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
139 |
103 |
$641.91 |
| 0001A |
|
41 |
31 |
$600.00 |
| 92551 |
|
14,221 |
9,052 |
$572.82 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
3,668 |
2,706 |
$539.84 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,904 |
1,161 |
$439.10 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
3,431 |
2,246 |
$427.73 |
| 80074 |
|
3,376 |
2,377 |
$395.57 |
| 80055 |
|
47 |
24 |
$390.17 |
| 0072A |
|
25 |
25 |
$341.50 |
| 0064A |
|
39 |
37 |
$331.25 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
469 |
357 |
$306.94 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,547 |
1,110 |
$296.16 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,802 |
3,731 |
$293.60 |
| 0071A |
|
13 |
13 |
$291.25 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,357 |
530 |
$265.54 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,513 |
1,643 |
$260.46 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,350 |
877 |
$248.46 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
9,290 |
6,759 |
$230.91 |
| 90837 |
Psychotherapy, 53 minutes with patient |
358 |
179 |
$185.94 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
954 |
721 |
$163.88 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
4,014 |
3,191 |
$159.12 |
| 99215 |
Prolong outpt/office vis |
4,714 |
2,876 |
$113.26 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
687 |
449 |
$108.56 |
| 90834 |
Psychotherapy, 45 minutes with patient |
206 |
126 |
$84.96 |
| 99205 |
Prolong outpt/office vis |
57 |
52 |
$81.87 |
| 86696 |
|
2,228 |
1,400 |
$81.54 |
| 97803 |
|
1,496 |
1,149 |
$77.55 |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,999 |
2,464 |
$73.26 |
| 81002 |
|
8,797 |
6,163 |
$68.16 |
| 80061 |
Lipid panel |
5,128 |
4,066 |
$60.06 |
| 86695 |
|
2,059 |
1,283 |
$59.82 |
| 85018 |
|
7,566 |
5,415 |
$59.16 |
| 90791 |
Psychiatric diagnostic evaluation |
157 |
119 |
$53.20 |
| 80053 |
Comprehensive metabolic panel |
5,419 |
4,258 |
$49.71 |
| 82950 |
|
904 |
748 |
$37.35 |
| 81025 |
|
282 |
221 |
$29.13 |
| 86592 |
|
2,688 |
1,759 |
$25.94 |
| 97802 |
|
987 |
687 |
$22.54 |
| 90686 |
|
481 |
354 |
$17.84 |
| 90651 |
|
313 |
222 |
$17.82 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
699 |
403 |
$14.16 |
| 82274 |
|
954 |
662 |
$14.15 |
| 86703 |
|
3,539 |
2,612 |
$11.84 |
| 99173 |
|
14,152 |
8,939 |
$10.23 |
| 90710 |
|
154 |
102 |
$8.91 |
| 90715 |
|
222 |
181 |
$8.91 |
| 90734 |
|
127 |
83 |
$8.91 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
85,351 |
47,387 |
$4.93 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
276 |
126 |
$3.84 |
| 81005 |
|
391 |
181 |
$3.50 |
| 93000 |
|
66 |
38 |
$2.96 |
| 86762 |
|
35 |
24 |
$2.93 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
8,893 |
5,587 |
$1.00 |
| 1000F |
|
13,980 |
8,833 |
$0.02 |
| 90756 |
|
50 |
50 |
$0.02 |
| 3079F |
|
30,417 |
17,931 |
$0.00 |
| 3044F |
|
2,621 |
2,141 |
$0.00 |
| 88142 |
|
14 |
14 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
284 |
199 |
$0.00 |
| 3080F |
|
14,406 |
8,522 |
$0.00 |
| 3075F |
|
13,495 |
8,136 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
419 |
359 |
$0.00 |
| T1016 |
Case management, each 15 minutes |
330 |
211 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
90,847 |
50,692 |
$0.00 |
| 81001 |
|
1,280 |
967 |
$0.00 |
| 99447 |
|
334 |
218 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
137 |
115 |
$0.00 |
| 3074F |
|
58,946 |
33,543 |
$0.00 |
| 96127 |
|
242 |
136 |
$0.00 |
| 3353F |
|
264 |
197 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
6,426 |
4,957 |
$0.00 |
| 1036F |
|
3,661 |
2,114 |
$0.00 |
| 0001F |
|
513 |
327 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
978 |
651 |
$0.00 |
| 87340 |
|
31 |
25 |
$0.00 |
| 82043 |
|
338 |
221 |
$0.00 |
| 99441 |
|
315 |
201 |
$0.00 |
| 90647 |
|
15 |
15 |
$0.00 |
| G9281 |
Screening performed and documentation that vaccination not indicated/patient refusal |
95 |
83 |
$0.00 |
| 3352F |
|
1,916 |
1,214 |
$0.00 |
| 99444 |
|
31 |
30 |
$0.00 |
| 90723 |
|
56 |
45 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
46 |
39 |
$0.00 |
| 86901 |
|
15 |
12 |
$0.00 |
| 90697 |
|
204 |
145 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,826 |
1,309 |
$0.00 |
| 94761 |
|
29 |
28 |
$0.00 |
| 87430 |
|
55 |
54 |
$0.00 |
| 4000F |
|
13 |
13 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
67 |
44 |
$0.00 |
| 84479 |
|
232 |
141 |
$0.00 |
| 90680 |
|
54 |
41 |
$0.00 |
| 99443 |
|
63 |
43 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
67 |
41 |
$0.00 |
| 1111F |
|
722 |
682 |
$0.00 |
| 90474 |
|
37 |
29 |
$0.00 |
| 92250 |
|
48 |
29 |
$0.00 |
| 99381 |
|
12 |
12 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
55 |
55 |
$0.00 |
| 99386 |
|
73 |
54 |
$0.00 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
21 |
13 |
$0.00 |
| 84153 |
|
47 |
30 |
$0.00 |
| 90696 |
|
72 |
43 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
69 |
46 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
66 |
55 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
17 |
12 |
$0.00 |
| 90657 |
|
19 |
19 |
$0.00 |
| 86850 |
|
15 |
12 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
14 |
14 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
17 |
12 |
$0.00 |
| 91306 |
|
27 |
27 |
$0.00 |
| 90716 |
|
17 |
12 |
$0.00 |
| 1032F |
|
858 |
578 |
$0.00 |
| 1033F |
|
32,135 |
19,219 |
$0.00 |
| 3078F |
|
47,953 |
27,842 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,105 |
1,027 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
337 |
250 |
$0.00 |
| 90658 |
|
219 |
187 |
$0.00 |
| 3077F |
|
20,174 |
11,997 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
154 |
115 |
$0.00 |
| 90473 |
|
713 |
472 |
$0.00 |
| 3045F |
|
1,662 |
1,585 |
$0.00 |
| 83655 |
|
448 |
386 |
$0.00 |
| 3046F |
|
2,351 |
1,982 |
$0.00 |
| 90713 |
|
129 |
84 |
$0.00 |
| 83037 |
|
1,785 |
1,667 |
$0.00 |
| 90633 |
|
315 |
229 |
$0.00 |
| 2028F |
|
51 |
30 |
$0.00 |
| 2026F |
|
42 |
28 |
$0.00 |
| 82570 |
|
340 |
222 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
219 |
200 |
$0.00 |
| 99448 |
|
110 |
76 |
$0.00 |
| 99449 |
|
847 |
623 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,940 |
1,693 |
$0.00 |
| 90685 |
|
171 |
97 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
23 |
14 |
$0.00 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
217 |
208 |
$0.00 |
| 90461 |
|
129 |
65 |
$0.00 |
| 90670 |
|
369 |
293 |
$0.00 |
| H2014 |
Skills training and development, per 15 minutes |
118 |
89 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
959 |
646 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
135 |
108 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
310 |
288 |
$0.00 |
| 81003 |
|
80 |
42 |
$0.00 |
| 99446 |
|
269 |
197 |
$0.00 |
| 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 |
54 |
32 |
$0.00 |
| 99442 |
|
82 |
62 |
$0.00 |
| 90648 |
|
30 |
24 |
$0.00 |
| 2022F |
|
45 |
28 |
$0.00 |
| 87210 |
|
112 |
112 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
65 |
55 |
$0.00 |
| 82272 |
|
67 |
64 |
$0.00 |
| 90700 |
|
211 |
136 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
208 |
141 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
52 |
47 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
68 |
68 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
18 |
17 |
$0.00 |
| 92552 |
|
40 |
26 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
69 |
43 |
$0.00 |
| 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 |
20 |
20 |
$0.00 |
| 90707 |
|
33 |
21 |
$0.00 |
| 0002A |
|
14 |
13 |
$0.00 |
| 90671 |
|
21 |
13 |
$0.00 |
| 86900 |
|
15 |
12 |
$0.00 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
18 |
13 |
$0.00 |