| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
344,629 |
307,173 |
$62.54M |
| 00003 |
Internal/system code - not a standard HCPCS code |
38,719 |
36,643 |
$8.85M |
| 90791 |
Psychiatric diagnostic evaluation |
14,170 |
8,847 |
$935K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
90,753 |
64,164 |
$861K |
| 90832 |
Psychotherapy, 30 minutes with patient |
19,077 |
10,440 |
$582K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
240,202 |
145,952 |
$562K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
22,733 |
13,724 |
$432K |
| 96127 |
|
163,596 |
97,684 |
$401K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
81,004 |
53,239 |
$233K |
| 90746 |
|
3,153 |
2,800 |
$195K |
| 90834 |
Psychotherapy, 45 minutes with patient |
6,605 |
4,142 |
$188K |
| 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 |
2,140 |
1,911 |
$166K |
| 59425 |
|
2,034 |
1,480 |
$148K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
7,856 |
5,254 |
$148K |
| G9012 |
Other specified case management service not elsewhere classified |
2,754 |
1,678 |
$108K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
5,711 |
3,822 |
$98K |
| D1206 |
Topical application of fluoride varnish |
8,131 |
5,503 |
$91K |
| 99173 |
|
55,992 |
37,650 |
$89K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,718 |
1,019 |
$80K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
19,328 |
13,928 |
$74K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
179 |
135 |
$74K |
| 90686 |
|
35,741 |
25,509 |
$66K |
| 0001A |
|
1,048 |
1,041 |
$62K |
| 99381 |
|
4,127 |
3,909 |
$61K |
| J3490 |
Unclassified drugs |
1,384 |
1,050 |
$56K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22,266 |
13,534 |
$55K |
| 90715 |
|
8,154 |
5,726 |
$51K |
| 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 |
632 |
494 |
$44K |
| G9920 |
Screening performed and negative |
2,657 |
1,738 |
$42K |
| 0011A |
|
636 |
631 |
$41K |
| 97802 |
|
390 |
390 |
$40K |
| 0500F |
|
968 |
708 |
$37K |
| 83655 |
|
6,811 |
4,567 |
$30K |
| 99188 |
|
3,861 |
2,604 |
$30K |
| 0072A |
|
465 |
464 |
$30K |
| 0002A |
|
414 |
406 |
$27K |
| 0071A |
|
496 |
493 |
$26K |
| 59430 |
|
411 |
393 |
$25K |
| 92552 |
|
59,190 |
38,835 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25,138 |
16,346 |
$22K |
| 97803 |
|
354 |
349 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
20,591 |
13,326 |
$21K |
| 11981 |
|
221 |
92 |
$20K |
| 0012A |
|
287 |
286 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26,314 |
16,973 |
$18K |
| 81003 |
|
11,658 |
6,779 |
$11K |
| 17110 |
|
189 |
80 |
$10K |
| 90839 |
|
263 |
204 |
$10K |
| 80305 |
|
1,369 |
988 |
$9K |
| 81025 |
|
4,825 |
3,461 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
959 |
711 |
$7K |
| 90651 |
|
10,996 |
7,475 |
$7K |
| 0054A |
|
130 |
125 |
$7K |
| 0082A |
|
98 |
98 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
923 |
680 |
$5K |
| 90837 |
Psychotherapy, 53 minutes with patient |
72 |
45 |
$5K |
| 0052A |
|
71 |
71 |
$5K |
| 0081A |
|
71 |
70 |
$4K |
| 88720 |
|
2,993 |
2,459 |
$4K |
| 90747 |
|
42 |
39 |
$4K |
| 0083A |
|
53 |
53 |
$4K |
| 90677 |
|
5,104 |
3,899 |
$3K |
| 69209 |
|
602 |
209 |
$3K |
| 0064A |
|
61 |
60 |
$3K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
740 |
470 |
$3K |
| 11721 |
|
105 |
59 |
$2K |
| 0051A |
|
47 |
47 |
$2K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
123 |
74 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
610 |
360 |
$2K |
| 90620 |
|
4,508 |
3,080 |
$2K |
| 99385 |
|
314 |
264 |
$2K |
| 86580 |
|
791 |
621 |
$2K |
| 98940 |
|
509 |
318 |
$2K |
| 90662 |
|
80 |
72 |
$2K |
| 11982 |
|
34 |
13 |
$2K |
| 0013A |
|
33 |
33 |
$2K |
| 69210 |
|
130 |
57 |
$2K |
| 0124A |
|
23 |
23 |
$1K |
| 57454 |
|
58 |
24 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,358 |
1,218 |
$1K |
| 90480 |
|
78 |
70 |
$1K |
| 87210 |
|
468 |
222 |
$866.45 |
| 90670 |
|
13,311 |
8,990 |
$860.36 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
68 |
68 |
$845.52 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
115 |
61 |
$842.05 |
| 0074A |
|
15 |
15 |
$737.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
24 |
24 |
$716.55 |
| 0004A |
|
12 |
12 |
$670.00 |
| 99383 |
|
1,212 |
812 |
$592.20 |
| 97597 |
|
15 |
12 |
$555.83 |
| 90716 |
|
4,523 |
2,964 |
$546.00 |
| 90707 |
|
3,761 |
2,381 |
$497.88 |
| 90734 |
|
6,060 |
3,813 |
$453.44 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
55 |
41 |
$445.64 |
| 90619 |
|
3,174 |
2,264 |
$445.64 |
| 99384 |
|
814 |
556 |
$436.36 |
| 90633 |
|
12,067 |
8,166 |
$410.58 |
| 90744 |
|
12,417 |
8,854 |
$396.00 |
| 17250 |
|
110 |
59 |
$377.94 |
| 58300 |
|
62 |
31 |
$358.38 |
| 11055 |
|
25 |
13 |
$342.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
369 |
207 |
$282.69 |
| 88142 |
|
1,063 |
613 |
$240.93 |
| 90785 |
|
291 |
188 |
$238.34 |
| 96156 |
|
26 |
25 |
$230.63 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
150 |
143 |
$224.40 |
| 90698 |
|
13,792 |
9,590 |
$214.20 |
| 96161 |
|
6,641 |
6,323 |
$165.92 |
| 99386 |
|
37 |
27 |
$145.44 |
| 85018 |
|
34,763 |
33,325 |
$139.15 |
| 90681 |
|
6,226 |
4,437 |
$122.40 |
| 99382 |
|
255 |
158 |
$113.12 |
| 90710 |
|
4,136 |
2,807 |
$81.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,543 |
1,428 |
$56.92 |
| 90696 |
|
3,604 |
2,359 |
$45.00 |
| 90700 |
|
3,508 |
2,229 |
$36.00 |
| 82947 |
|
5,268 |
4,806 |
$34.17 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
547 |
516 |
$33.32 |
| 90688 |
|
295 |
295 |
$31.57 |
| 90656 |
|
2,367 |
2,330 |
$25.59 |
| 3078F |
|
74,570 |
69,080 |
$24.72 |
| 90648 |
|
2,646 |
1,658 |
$9.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
23 |
20 |
$6.54 |
| 96160 |
|
4,696 |
4,543 |
$0.00 |
| 90713 |
|
876 |
669 |
$0.00 |
| 3077F |
|
5,406 |
4,886 |
$0.00 |
| 0502F |
|
4,003 |
2,790 |
$0.00 |
| 82075 |
|
473 |
389 |
$0.00 |
| Z6400 |
|
179 |
179 |
$0.00 |
| 91313 |
|
38 |
38 |
$0.00 |
| 91300 |
|
82 |
80 |
$0.00 |
| 97039 |
|
74 |
54 |
$0.00 |
| 2028F |
|
145 |
140 |
$0.00 |
| 90685 |
|
40 |
40 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |
| 90380 |
|
16 |
15 |
$0.00 |
| 99177 |
|
29 |
28 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
80 |
60 |
$0.00 |
| CMC19 |
|
73 |
72 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
540 |
391 |
$0.00 |
| 3074F |
|
78,596 |
72,824 |
$0.00 |
| Z1032 |
|
689 |
689 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
23,758 |
19,571 |
$0.00 |
| 0503F |
|
425 |
379 |
$0.00 |
| Z1034 |
|
4,036 |
3,006 |
$0.00 |
| 3079F |
|
13,724 |
12,752 |
$0.00 |
| 3075F |
|
7,284 |
6,746 |
$0.00 |
| 90381 |
|
37 |
35 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
639 |
440 |
$0.00 |
| 3080F |
|
2,510 |
2,280 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
25 |
25 |
$0.00 |
| Z1038 |
|
310 |
295 |
$0.00 |
| 0134A |
|
26 |
26 |
$0.00 |
| 91307 |
|
95 |
93 |
$0.00 |
| 91305 |
|
27 |
27 |
$0.00 |
| 97010 |
|
174 |
149 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
109 |
57 |
$0.00 |
| 92567 |
|
42 |
41 |
$0.00 |
| 92551 |
|
38 |
38 |
$0.00 |
| Z6204 |
|
37 |
30 |
$0.00 |
| 82962 |
|
36 |
29 |
$0.00 |
| 91301 |
|
31 |
28 |
$0.00 |