| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
159,940 |
145,404 |
$54.31M |
| 0510 |
|
120,833 |
112,721 |
$9.79M |
| 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 |
3,011 |
2,716 |
$580K |
| 00003 |
Internal/system code - not a standard HCPCS code |
1,239 |
1,087 |
$525K |
| 0002A |
|
3,218 |
3,211 |
$127K |
| 0001A |
|
3,238 |
3,227 |
$127K |
| 0012A |
|
1,014 |
982 |
$40K |
| 99078 |
|
952 |
453 |
$38K |
| 0004A |
|
1,063 |
1,063 |
$38K |
| 90791 |
Psychiatric diagnostic evaluation |
1,594 |
455 |
$36K |
| 0011A |
|
985 |
916 |
$36K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,577 |
374 |
$35K |
| 0054A |
|
713 |
701 |
$28K |
| 0064A |
|
586 |
586 |
$21K |
| 0124A |
|
432 |
375 |
$13K |
| 0071A |
|
320 |
318 |
$12K |
| 90837 |
Psychotherapy, 53 minutes with patient |
292 |
117 |
$12K |
| 0052A |
|
156 |
156 |
$6K |
| 0051A |
|
114 |
114 |
$5K |
| 0134A |
|
92 |
92 |
$4K |
| 0003A |
|
74 |
74 |
$3K |
| 0031A |
|
64 |
64 |
$3K |
| Z7500 |
|
77,623 |
73,957 |
$1K |
| 91322 |
|
230 |
134 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,847 |
3,366 |
$738.36 |
| 0154A |
|
41 |
29 |
$737.00 |
| 0013A |
|
18 |
18 |
$640.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,944 |
1,348 |
$574.28 |
| 90480 |
|
818 |
468 |
$560.00 |
| 0034A |
|
13 |
13 |
$520.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
114,923 |
70,489 |
$340.12 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,170 |
16,569 |
$269.27 |
| 0074A |
|
21 |
13 |
$134.00 |
| 90739 |
|
3,054 |
1,973 |
$77.42 |
| 36415 |
Collection of venous blood by venipuncture |
16,825 |
15,096 |
$77.40 |
| Q3014 |
Telehealth originating site facility fee |
58,921 |
31,310 |
$46.60 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
604 |
503 |
$26.00 |
| 90686 |
|
23,093 |
10,490 |
$16.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26,796 |
17,692 |
$10.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
11,336 |
8,832 |
$7.77 |
| D1208 |
Topical application of fluoride, excluding varnish |
2,750 |
1,688 |
$0.00 |
| 90677 |
|
1,149 |
705 |
$0.00 |
| 90656 |
|
2,625 |
1,080 |
$0.00 |
| 85027 |
|
3,349 |
2,892 |
$0.00 |
| D1310 |
|
1,060 |
734 |
$0.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
899 |
835 |
$0.00 |
| 88720 |
|
847 |
563 |
$0.00 |
| Z7610 |
|
2,824 |
2,700 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
501 |
337 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
41 |
26 |
$0.00 |
| 90723 |
|
2,420 |
1,308 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
689 |
628 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,095 |
1,038 |
$0.00 |
| 88142 |
|
475 |
346 |
$0.00 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
3,617 |
775 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,182 |
1,102 |
$0.00 |
| 90647 |
|
3,108 |
1,657 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
2,715 |
2,485 |
$0.00 |
| 82728 |
|
149 |
136 |
$0.00 |
| Z1034 |
|
2,211 |
1,747 |
$0.00 |
| 90680 |
|
1,368 |
796 |
$0.00 |
| J3490 |
Unclassified drugs |
4,098 |
3,910 |
$0.00 |
| 85018 |
|
1,088 |
689 |
$0.00 |
| 20610 |
|
193 |
52 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,120 |
712 |
$0.00 |
| 82043 |
|
44 |
40 |
$0.00 |
| 90651 |
|
568 |
303 |
$0.00 |
| 90716 |
|
111 |
99 |
$0.00 |
| 0271 |
|
246 |
246 |
$0.00 |
| 90696 |
|
353 |
132 |
$0.00 |
| 86901 |
|
181 |
138 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,514 |
1,413 |
$0.00 |
| 86592 |
|
212 |
174 |
$0.00 |
| 90619 |
|
563 |
317 |
$0.00 |
| Z1032 |
|
186 |
176 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
39 |
39 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
220 |
153 |
$0.00 |
| 82607 |
|
287 |
254 |
$0.00 |
| 87625 |
|
115 |
69 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
116 |
70 |
$0.00 |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
79 |
40 |
$0.00 |
| 86803 |
|
74 |
73 |
$0.00 |
| 86850 |
|
181 |
138 |
$0.00 |
| 90688 |
|
400 |
393 |
$0.00 |
| 81001 |
|
38 |
28 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
60 |
40 |
$0.00 |
| 90674 |
|
89 |
88 |
$0.00 |
| 86762 |
|
12 |
12 |
$0.00 |
| 90732 |
|
58 |
38 |
$0.00 |
| 87340 |
|
12 |
12 |
$0.00 |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
76 |
50 |
$0.00 |
| 84478 |
|
34 |
30 |
$0.00 |
| Z6204 |
|
12 |
12 |
$0.00 |
| 90633 |
|
3,222 |
1,476 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,429 |
5,343 |
$0.00 |
| 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 |
50,622 |
26,265 |
$0.00 |
| 90649 |
|
2,517 |
1,470 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,621 |
3,430 |
$0.00 |
| 90670 |
|
4,120 |
2,222 |
$0.00 |
| 80061 |
Lipid panel |
1,606 |
1,551 |
$0.00 |
| 83540 |
|
90 |
86 |
$0.00 |
| 97811 |
|
3,247 |
593 |
$0.00 |
| 83655 |
|
324 |
308 |
$0.00 |
| 59425 |
|
356 |
272 |
$0.00 |
| 83721 |
|
1,069 |
955 |
$0.00 |
| 98940 |
|
11,745 |
2,378 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,963 |
5,431 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
7,347 |
4,399 |
$0.00 |
| 81002 |
|
1,548 |
700 |
$0.00 |
| 90750 |
|
1,295 |
799 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,961 |
1,275 |
$0.00 |
| 86038 |
|
13 |
13 |
$0.00 |
| 83718 |
|
597 |
526 |
$0.00 |
| 90710 |
|
1,192 |
385 |
$0.00 |
| 90715 |
|
2,381 |
1,117 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,145 |
729 |
$0.00 |
| 86900 |
|
181 |
138 |
$0.00 |
| 84460 |
|
435 |
406 |
$0.00 |
| 82947 |
|
204 |
202 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,462 |
973 |
$0.00 |
| 86480 |
|
12 |
12 |
$0.00 |
| 82465 |
|
550 |
489 |
$0.00 |
| 99188 |
|
303 |
166 |
$0.00 |
| 82274 |
|
24 |
24 |
$0.00 |
| 81003 |
|
103 |
81 |
$0.00 |
| 82565 |
|
40 |
26 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
601 |
362 |
$0.00 |
| 90700 |
|
134 |
90 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
574 |
370 |
$0.00 |
| 84466 |
|
73 |
72 |
$0.00 |
| 97810 |
|
2,559 |
476 |
$0.00 |
| 90707 |
|
98 |
79 |
$0.00 |
| Z6400 |
|
171 |
170 |
$0.00 |
| 90734 |
|
158 |
156 |
$0.00 |
| 90671 |
|
402 |
246 |
$0.00 |
| 82570 |
|
58 |
52 |
$0.00 |
| 84450 |
|
107 |
92 |
$0.00 |
| Z6414 |
|
15 |
12 |
$0.00 |
| 0272 |
|
30 |
30 |
$0.00 |
| Z6304 |
|
30 |
28 |
$0.00 |
| 86787 |
|
13 |
13 |
$0.00 |
| 87210 |
|
36 |
25 |
$0.00 |
| 90662 |
|
143 |
114 |
$0.00 |
| 91321 |
|
22 |
12 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
51 |
29 |
$0.00 |
| Z6202 |
|
35 |
29 |
$0.00 |