| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
90,019 |
75,180 |
$11.41M |
| 00003 |
Internal/system code - not a standard HCPCS code |
13,216 |
11,049 |
$2.30M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,447 |
27,330 |
$118K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27,310 |
22,142 |
$115K |
| 0002A |
|
1,010 |
1,010 |
$68K |
| 0001A |
|
980 |
980 |
$66K |
| 0011A |
|
1,054 |
1,054 |
$60K |
| 0012A |
|
695 |
695 |
$47K |
| 0064A |
|
690 |
689 |
$46K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
846 |
730 |
$36K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
694 |
652 |
$32K |
| 0004A |
|
394 |
394 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,786 |
2,782 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,594 |
1,187 |
$18K |
| 90837 |
Psychotherapy, 53 minutes with patient |
822 |
329 |
$18K |
| J3490 |
Unclassified drugs |
450 |
449 |
$17K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
417 |
396 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
352 |
270 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,110 |
906 |
$15K |
| 0013A |
|
209 |
209 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
747 |
632 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
608 |
566 |
$13K |
| 0072A |
|
172 |
172 |
$12K |
| 0071A |
|
155 |
155 |
$10K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
707 |
528 |
$8K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,207 |
1,005 |
$7K |
| 59425 |
|
252 |
168 |
$7K |
| 81025 |
|
3,814 |
3,658 |
$6K |
| 99384 |
|
71 |
49 |
$3K |
| 90633 |
|
419 |
386 |
$3K |
| 90677 |
|
401 |
391 |
$3K |
| 90697 |
|
376 |
321 |
$3K |
| 90686 |
|
427 |
395 |
$2K |
| 0031A |
|
36 |
36 |
$2K |
| 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 |
104 |
97 |
$2K |
| 0134A |
|
33 |
33 |
$2K |
| 90716 |
|
195 |
185 |
$2K |
| 90680 |
|
254 |
218 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,362 |
1,318 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
179 |
118 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
618 |
546 |
$1K |
| 90651 |
|
142 |
134 |
$1K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
97 |
81 |
$1K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
144 |
136 |
$1K |
| 99000 |
|
1,626 |
1,424 |
$1K |
| 99383 |
|
124 |
73 |
$1K |
| 92551 |
|
380 |
359 |
$959.50 |
| 90670 |
|
257 |
235 |
$941.40 |
| 0003A |
|
14 |
14 |
$938.00 |
| 90707 |
|
114 |
105 |
$906.24 |
| 90791 |
Psychiatric diagnostic evaluation |
131 |
76 |
$901.68 |
| 81003 |
|
2,705 |
2,168 |
$796.29 |
| 90648 |
|
261 |
240 |
$768.60 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
347 |
267 |
$664.50 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
264 |
200 |
$638.92 |
| 90715 |
|
95 |
86 |
$417.55 |
| 90734 |
|
46 |
46 |
$414.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,094 |
1,007 |
$355.71 |
| G9920 |
Screening performed and negative |
223 |
153 |
$319.00 |
| 90658 |
|
64 |
64 |
$315.00 |
| 93000 |
|
16 |
16 |
$299.97 |
| 85018 |
|
568 |
532 |
$273.49 |
| 90744 |
|
32 |
28 |
$243.00 |
| 90723 |
|
69 |
61 |
$234.00 |
| 81002 |
|
2,640 |
1,736 |
$204.01 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
15 |
12 |
$184.10 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
82 |
81 |
$168.75 |
| 90656 |
|
18 |
18 |
$162.00 |
| 90621 |
|
14 |
14 |
$126.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
368 |
346 |
$114.30 |
| 99381 |
|
64 |
55 |
$90.66 |
| 90619 |
|
14 |
12 |
$90.00 |
| 90674 |
|
27 |
27 |
$57.02 |
| 99382 |
|
53 |
31 |
$47.13 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
26 |
$41.94 |
| 3008F |
|
11,309 |
10,315 |
$20.00 |
| 3074F |
|
8,378 |
7,649 |
$18.00 |
| 3078F |
|
8,211 |
7,514 |
$18.00 |
| 90461 |
|
709 |
691 |
$9.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
16 |
13 |
$6.73 |
| 1036F |
|
14,891 |
13,067 |
$0.00 |
| 1126F |
|
10,237 |
9,268 |
$0.00 |
| 2000F |
|
10,190 |
9,255 |
$0.00 |
| 2001F |
|
11,407 |
10,397 |
$0.00 |
| 1125F |
|
755 |
733 |
$0.00 |
| 2010F |
|
13,156 |
11,797 |
$0.00 |
| 81000 |
|
164 |
164 |
$0.00 |
| 3075F |
|
304 |
298 |
$0.00 |
| 1170F |
|
8,530 |
7,890 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
154 |
136 |
$0.00 |
| Z1034 |
|
2,895 |
2,099 |
$0.00 |
| 3351F |
|
7,981 |
7,140 |
$0.00 |
| 4037F |
|
105 |
105 |
$0.00 |
| Z6204 |
|
141 |
124 |
$0.00 |
| 3079F |
|
1,032 |
987 |
$0.00 |
| 4010F |
|
716 |
643 |
$0.00 |
| 92250 |
|
27 |
24 |
$0.00 |
| 92002 |
|
102 |
102 |
$0.00 |
| 99172 |
|
13 |
13 |
$0.00 |
| Z1038 |
|
32 |
29 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$0.00 |
| 85032 |
|
14 |
14 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
100 |
93 |
$0.00 |
| 97802 |
|
14 |
14 |
$0.00 |
| 1034F |
|
35 |
24 |
$0.00 |
| Z1032 |
|
148 |
148 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$0.00 |
| Z6410 |
|
136 |
120 |
$0.00 |
| 99385 |
|
12 |
12 |
$0.00 |
| Z6406 |
|
16 |
16 |
$0.00 |
| 3080F |
|
13 |
13 |
$0.00 |
| 1160F |
|
10,660 |
9,331 |
$0.00 |
| 1159F |
|
10,658 |
9,330 |
$0.00 |
| 3077F |
|
357 |
332 |
$0.00 |
| 4040F |
|
944 |
867 |
$0.00 |
| 4274F |
|
1,722 |
1,515 |
$0.00 |
| Z6400 |
|
177 |
154 |
$0.00 |
| 0502F |
|
709 |
492 |
$0.00 |
| 99173 |
|
281 |
258 |
$0.00 |
| S0197 |
Prenatal vitamins, 30-day supply |
85 |
80 |
$0.00 |
| 92015 |
Determination of refractive state |
35 |
33 |
$0.00 |
| 82948 |
|
50 |
49 |
$0.00 |
| 90700 |
|
41 |
39 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
37 |
35 |
$0.00 |
| 97803 |
|
16 |
14 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
41 |
41 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$0.00 |
| Z6500 |
|
16 |
16 |
$0.00 |
| 99401 |
|
14 |
14 |
$0.00 |
| Z6304 |
|
14 |
14 |
$0.00 |