| Code | Description | Claims | Beneficiaries | Total Paid |
| 00003 |
Internal/system code - not a standard HCPCS code |
1,465,619 |
555,123 |
$410.06M |
| T1015 |
Clinic visit/encounter, all-inclusive |
194,103 |
160,310 |
$52.86M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
77,582 |
69,559 |
$41K |
| 0012A |
|
280 |
162 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,407 |
6,825 |
$7K |
| 0011A |
|
244 |
146 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,909 |
1,848 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
10,903 |
7,853 |
$2K |
| 0064A |
|
33 |
33 |
$1K |
| 0071A |
|
35 |
33 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
379 |
242 |
$1K |
| 0031A |
|
34 |
19 |
$973.50 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,644 |
7,118 |
$925.19 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
720 |
695 |
$218.70 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,065 |
3,015 |
$186.95 |
| G9920 |
Screening performed and negative |
380 |
378 |
$174.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,913 |
1,884 |
$138.76 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,680 |
2,618 |
$131.55 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,996 |
1,940 |
$109.11 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
680 |
668 |
$102.90 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
365 |
342 |
$69.83 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,389 |
7,252 |
$63.09 |
| 99215 |
Prolong outpt/office vis |
65 |
61 |
$57.20 |
| 99000 |
|
5,335 |
5,115 |
$36.30 |
| 90651 |
|
923 |
894 |
$36.00 |
| 81025 |
|
532 |
529 |
$33.60 |
| 92551 |
|
704 |
668 |
$31.76 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,845 |
4,757 |
$23.80 |
| 90715 |
|
615 |
611 |
$18.00 |
| 90734 |
|
644 |
633 |
$18.00 |
| 90686 |
|
1,728 |
1,713 |
$18.00 |
| 90670 |
|
1,975 |
1,955 |
$15.00 |
| 81003 |
|
2,893 |
2,393 |
$9.56 |
| 92552 |
|
1,035 |
1,011 |
$9.50 |
| 90647 |
|
1,081 |
1,067 |
$9.00 |
| 90681 |
|
721 |
718 |
$6.00 |
| 90697 |
|
208 |
205 |
$6.00 |
| 99173 |
|
1,141 |
1,103 |
$3.44 |
| 90619 |
|
54 |
52 |
$1.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13,702 |
12,376 |
$0.18 |
| 1033F |
|
129 |
119 |
$0.00 |
| Z6308 |
|
143 |
142 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
932 |
866 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
359 |
329 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
183 |
183 |
$0.00 |
| 96160 |
|
3,115 |
3,015 |
$0.00 |
| 4004F |
|
566 |
536 |
$0.00 |
| Z6300 |
|
219 |
219 |
$0.00 |
| 90633 |
|
1,325 |
1,307 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
383 |
359 |
$0.00 |
| 2022F |
|
74 |
70 |
$0.00 |
| Z6400 |
|
724 |
722 |
$0.00 |
| 90710 |
|
352 |
347 |
$0.00 |
| 3078F |
|
488 |
439 |
$0.00 |
| 3077F |
|
136 |
127 |
$0.00 |
| 2028F |
|
39 |
37 |
$0.00 |
| 90473 |
|
572 |
571 |
$0.00 |
| Z6414 |
|
234 |
233 |
$0.00 |
| 90707 |
|
398 |
390 |
$0.00 |
| 90700 |
|
297 |
292 |
$0.00 |
| 82948 |
|
113 |
109 |
$0.00 |
| 72100 |
|
19 |
19 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
197 |
194 |
$0.00 |
| 73562 |
|
18 |
18 |
$0.00 |
| 83655 |
|
238 |
238 |
$0.00 |
| CURES |
|
91 |
87 |
$0.00 |
| Z6200 |
|
156 |
156 |
$0.00 |
| 90750 |
|
75 |
75 |
$0.00 |
| Z6304 |
|
343 |
343 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
54 |
52 |
$0.00 |
| 81002 |
|
139 |
105 |
$0.00 |
| S9441 |
Asthma education, non-physician provider, per session |
14 |
13 |
$0.00 |
| G8780 |
Counseling for diet and physical activity performed |
177 |
160 |
$0.00 |
| 86328 |
|
114 |
108 |
$0.00 |
| Z6208 |
|
158 |
157 |
$0.00 |
| 82274 |
|
20 |
18 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
29 |
29 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
230 |
225 |
$0.00 |
| 99188 |
|
37 |
37 |
$0.00 |
| 99001 |
|
12 |
12 |
$0.00 |
| 73130 |
|
12 |
12 |
$0.00 |
| 73630 |
|
12 |
12 |
$0.00 |
| Z6500 |
|
47 |
47 |
$0.00 |
| 73030 |
|
13 |
13 |
$0.00 |
| Z1034 |
|
3,184 |
2,429 |
$0.00 |
| 1031F |
|
7,434 |
6,971 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
884 |
837 |
$0.00 |
| Z6410 |
|
2,962 |
2,482 |
$0.00 |
| 90739 |
|
44 |
44 |
$0.00 |
| Z6406 |
|
366 |
365 |
$0.00 |
| 3351F |
|
5,478 |
5,103 |
$0.00 |
| 90696 |
|
339 |
333 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
51 |
49 |
$0.00 |
| 1000F |
|
344 |
318 |
$0.00 |
| 99383 |
|
72 |
72 |
$0.00 |
| 3075F |
|
52 |
52 |
$0.00 |
| 90688 |
|
196 |
196 |
$0.00 |
| Z6402 |
|
213 |
213 |
$0.00 |
| H0033 |
Oral medication administration, direct observation |
71 |
69 |
$0.00 |
| 3079F |
|
223 |
212 |
$0.00 |
| 90723 |
|
1,321 |
1,314 |
$0.00 |
| 90716 |
|
408 |
400 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
42 |
42 |
$0.00 |
| 99172 |
|
504 |
504 |
$0.00 |
| 3074F |
|
503 |
459 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
391 |
389 |
$0.00 |
| 85018 |
|
603 |
602 |
$0.00 |
| Z6404 |
|
48 |
46 |
$0.00 |
| 90620 |
|
186 |
184 |
$0.00 |
| 99381 |
|
363 |
362 |
$0.00 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
15 |
15 |
$0.00 |
| Z6204 |
|
357 |
356 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,684 |
1,633 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
360 |
356 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
228 |
210 |
$0.00 |
| 96127 |
|
362 |
344 |
$0.00 |
| 1220F |
|
1,156 |
1,061 |
$0.00 |
| Z1032 |
|
95 |
95 |
$0.00 |
| 86580 |
|
97 |
97 |
$0.00 |
| 99384 |
|
52 |
52 |
$0.00 |
| 3080F |
|
42 |
41 |
$0.00 |
| 93000 |
|
66 |
63 |
$0.00 |
| 81000 |
|
157 |
155 |
$0.00 |
| 99385 |
|
45 |
42 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
206 |
200 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
55 |
55 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
176 |
166 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
12 |
12 |
$0.00 |
| Z1038 |
|
81 |
81 |
$0.00 |
| V5008 |
Hearing screening |
17 |
17 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
33 |
29 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
32 |
32 |
$0.00 |
| 72081 |
|
23 |
19 |
$0.00 |
| D1330 |
|
52 |
52 |
$0.00 |
| 3044F |
|
13 |
12 |
$0.00 |
| J7626 |
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg |
13 |
12 |
$0.00 |