| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
116,275 |
105,511 |
$47.18M |
| 00003 |
Internal/system code - not a standard HCPCS code |
9,772 |
8,511 |
$5.12M |
| 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 |
4,457 |
3,861 |
$566K |
| G9012 |
Other specified case management service not elsewhere classified |
1,691 |
1,203 |
$210K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
665 |
445 |
$155K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
89,352 |
56,503 |
$133K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,425 |
17,431 |
$57K |
| 86003 |
|
56,974 |
1,621 |
$51K |
| 91320 |
|
220 |
220 |
$27K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
3,334 |
2,324 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15,448 |
8,575 |
$14K |
| 99242 |
|
2,256 |
1,342 |
$13K |
| 99243 |
|
1,905 |
1,347 |
$12K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,275 |
1,216 |
$11K |
| 90750 |
|
1,861 |
1,306 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,057 |
2,811 |
$10K |
| 90686 |
|
10,728 |
8,297 |
$10K |
| 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 |
2,358 |
2,140 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,890 |
3,156 |
$9K |
| 90480 |
|
318 |
318 |
$8K |
| 80061 |
Lipid panel |
5,805 |
5,791 |
$7K |
| 84443 |
Thyroid stimulating hormone (TSH) |
5,415 |
5,397 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
10,757 |
10,604 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,121 |
1,991 |
$7K |
| 95117 |
|
4,841 |
2,489 |
$7K |
| 91322 |
|
43 |
43 |
$7K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,372 |
1,321 |
$6K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,312 |
1,264 |
$6K |
| 99245 |
|
230 |
230 |
$6K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,746 |
961 |
$6K |
| 90715 |
|
1,381 |
1,018 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14,721 |
11,212 |
$4K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
2,017 |
1,973 |
$4K |
| 90677 |
|
1,585 |
1,060 |
$4K |
| 90670 |
|
2,759 |
2,002 |
$3K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
397 |
385 |
$3K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,147 |
1,138 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
421 |
316 |
$3K |
| 86481 |
|
552 |
552 |
$3K |
| 86480 |
|
389 |
388 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,120 |
803 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,278 |
5,227 |
$3K |
| 90732 |
|
173 |
158 |
$3K |
| 99215 |
Prolong outpt/office vis |
289 |
216 |
$3K |
| 80076 |
|
3,544 |
3,507 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,208 |
742 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
355 |
159 |
$2K |
| 81513 |
|
92 |
92 |
$2K |
| 87631 |
|
168 |
160 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
757 |
733 |
$2K |
| 86803 |
|
1,174 |
1,172 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
471 |
470 |
$1K |
| D1206 |
Topical application of fluoride varnish |
445 |
445 |
$1K |
| 96156 |
|
369 |
369 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
592 |
591 |
$1K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
309 |
306 |
$1K |
| 92551 |
|
1,489 |
1,072 |
$1K |
| 91321 |
|
41 |
41 |
$1K |
| 0124A |
|
25 |
25 |
$1K |
| 85027 |
|
1,840 |
1,831 |
$962.62 |
| 90791 |
Psychiatric diagnostic evaluation |
383 |
223 |
$941.39 |
| 87481 |
|
80 |
80 |
$925.16 |
| 90746 |
|
45 |
45 |
$831.56 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
141 |
140 |
$741.42 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
114 |
114 |
$730.72 |
| 99401 |
|
165 |
163 |
$657.57 |
| 80053 |
Comprehensive metabolic panel |
838 |
834 |
$634.54 |
| 86780 |
|
339 |
338 |
$632.22 |
| 99188 |
|
1,281 |
767 |
$608.76 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
270 |
268 |
$598.46 |
| 87340 |
|
670 |
670 |
$586.16 |
| 90662 |
|
537 |
403 |
$563.56 |
| 80051 |
|
4,587 |
4,539 |
$466.20 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
81 |
81 |
$452.89 |
| 90698 |
|
2,716 |
1,942 |
$451.32 |
| 82947 |
|
5,323 |
5,149 |
$444.72 |
| 82565 |
|
4,824 |
4,773 |
$381.51 |
| 90680 |
|
2,307 |
1,628 |
$356.93 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
33 |
25 |
$356.03 |
| 86706 |
|
210 |
209 |
$328.49 |
| 82570 |
|
502 |
496 |
$320.94 |
| 83550 |
|
322 |
321 |
$292.26 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
138 |
101 |
$288.72 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
157 |
98 |
$285.74 |
| 90744 |
|
1,133 |
797 |
$277.17 |
| 81025 |
|
534 |
413 |
$270.39 |
| 82043 |
|
278 |
275 |
$260.70 |
| 82274 |
|
180 |
180 |
$253.15 |
| 83540 |
|
322 |
321 |
$243.12 |
| 81001 |
|
606 |
586 |
$241.89 |
| 84520 |
|
4,589 |
4,541 |
$238.86 |
| 83655 |
|
446 |
446 |
$231.70 |
| 0038U |
|
330 |
327 |
$191.10 |
| 90656 |
|
955 |
740 |
$190.72 |
| 84460 |
|
903 |
902 |
$190.46 |
| 99381 |
|
19 |
13 |
$176.79 |
| 86703 |
|
73 |
73 |
$160.72 |
| 90633 |
|
1,695 |
1,146 |
$158.15 |
| 92250 |
|
61 |
61 |
$156.04 |
| 87905 |
|
28 |
27 |
$144.38 |
| 82728 |
|
102 |
101 |
$114.73 |
| 87088 |
|
127 |
121 |
$110.25 |
| 87077 |
|
93 |
85 |
$103.87 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
157 |
104 |
$102.68 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
296 |
274 |
$98.20 |
| 71046 |
Radiologic examination, chest; 2 views |
166 |
161 |
$85.03 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
13 |
13 |
$83.93 |
| 99000 |
|
136 |
133 |
$78.40 |
| 97802 |
|
26 |
13 |
$76.99 |
| 88142 |
|
42 |
42 |
$72.56 |
| 85610 |
|
238 |
172 |
$72.56 |
| 82607 |
|
118 |
118 |
$69.06 |
| 90697 |
|
628 |
417 |
$61.98 |
| 87081 |
|
74 |
73 |
$54.50 |
| 3078F |
|
29,136 |
21,343 |
$36.72 |
| 90716 |
|
240 |
151 |
$32.94 |
| 90707 |
|
172 |
110 |
$31.77 |
| 87808 |
|
15 |
15 |
$26.19 |
| 99406 |
|
23 |
14 |
$19.05 |
| 90688 |
|
225 |
225 |
$15.30 |
| 84439 |
|
12 |
12 |
$13.68 |
| 99173 |
|
1,530 |
1,476 |
$10.16 |
| 99442 |
|
967 |
892 |
$8.84 |
| 94150 |
|
863 |
449 |
$7.58 |
| 81002 |
|
35 |
35 |
$7.44 |
| 3079F |
|
5,614 |
4,174 |
$0.00 |
| 1126F |
|
4,604 |
4,237 |
$0.00 |
| 3044F |
|
6,252 |
5,592 |
$0.00 |
| 3074F |
|
26,892 |
19,525 |
$0.00 |
| 3075F |
|
5,609 |
4,275 |
$0.00 |
| 84153 |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
138 |
100 |
$0.00 |
| 3080F |
|
587 |
435 |
$0.00 |
| 4086F |
|
274 |
255 |
$0.00 |
| 1125F |
|
1,818 |
1,690 |
$0.00 |
| 90651 |
|
802 |
521 |
$0.00 |
| 96380 |
|
23 |
18 |
$0.00 |
| J3490 |
Unclassified drugs |
916 |
873 |
$0.00 |
| 3048F |
|
571 |
384 |
$0.00 |
| 91318 |
|
44 |
44 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
271 |
258 |
$0.00 |
| 99441 |
|
298 |
287 |
$0.00 |
| Z6406 |
|
103 |
103 |
$0.00 |
| 3049F |
|
64 |
45 |
$0.00 |
| 86704 |
|
42 |
42 |
$0.00 |
| 90696 |
|
79 |
53 |
$0.00 |
| Z6402 |
|
75 |
75 |
$0.00 |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
81 |
80 |
$0.00 |
| 90619 |
|
160 |
95 |
$0.00 |
| 99443 |
|
175 |
169 |
$0.00 |
| 0500F |
|
40 |
30 |
$0.00 |
| 90381 |
|
62 |
40 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
12 |
12 |
$0.00 |
| Z6204 |
|
15 |
15 |
$0.00 |
| 1159F |
|
17,023 |
10,436 |
$0.00 |
| 3077F |
|
2,871 |
2,120 |
$0.00 |
| 3050F |
|
46 |
30 |
$0.00 |
| 0502F |
|
1,344 |
603 |
$0.00 |
| Z6400 |
|
323 |
316 |
$0.00 |
| 1160F |
|
9,414 |
5,753 |
$0.00 |
| Z6300 |
|
85 |
85 |
$0.00 |
| 90734 |
|
121 |
77 |
$0.00 |
| 90687 |
|
14 |
14 |
$0.00 |
| 86849 |
|
66 |
66 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
41 |
40 |
$0.00 |
| G8935 |
Clinician prescribed angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy |
318 |
303 |
$0.00 |
| 90461 |
|
179 |
179 |
$0.00 |
| 3051F |
|
96 |
87 |
$0.00 |
| Z6304 |
|
92 |
91 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
323 |
321 |
$0.00 |
| 90685 |
|
209 |
207 |
$0.00 |
| 90710 |
|
76 |
53 |
$0.00 |
| 92552 |
|
64 |
43 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12 |
12 |
$0.00 |
| 97803 |
|
12 |
12 |
$0.00 |
| 90678 |
|
71 |
53 |
$0.00 |
| 84450 |
|
14 |
14 |
$0.00 |
| 90655 |
|
53 |
33 |
$0.00 |