| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
105,874 |
92,931 |
$11.61M |
| 00003 |
Internal/system code - not a standard HCPCS code |
9,688 |
7,751 |
$1.67M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58,169 |
48,133 |
$290K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
10,472 |
9,528 |
$106K |
| 96156 |
|
4,159 |
3,373 |
$74K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,047 |
9,062 |
$70K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,880 |
10,441 |
$67K |
| 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 |
3,899 |
3,563 |
$53K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,969 |
2,926 |
$44K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,068 |
902 |
$37K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
293 |
219 |
$18K |
| 90686 |
|
2,415 |
2,158 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
511 |
392 |
$13K |
| 90750 |
|
113 |
90 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
592 |
495 |
$8K |
| 90791 |
Psychiatric diagnostic evaluation |
306 |
270 |
$7K |
| 92551 |
|
1,379 |
1,250 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
427 |
341 |
$3K |
| 85018 |
|
8,532 |
7,642 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
264 |
182 |
$3K |
| 99334 |
|
2,022 |
1,828 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
279 |
226 |
$2K |
| 99173 |
|
5,677 |
5,280 |
$2K |
| 59425 |
|
76 |
52 |
$2K |
| 81025 |
|
1,390 |
1,228 |
$2K |
| 82962 |
|
7,523 |
6,456 |
$2K |
| 81002 |
|
4,842 |
4,126 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,355 |
1,196 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
419 |
307 |
$2K |
| 0012A |
|
69 |
51 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
118 |
101 |
$1K |
| 0011A |
|
43 |
26 |
$1K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
148 |
103 |
$1K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
105 |
103 |
$966.89 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
140 |
137 |
$882.35 |
| 93000 |
|
295 |
279 |
$803.05 |
| 90715 |
|
50 |
41 |
$682.00 |
| 99397 |
|
17 |
13 |
$651.20 |
| 90685 |
|
241 |
241 |
$613.53 |
| 90480 |
|
180 |
136 |
$608.28 |
| 90677 |
|
264 |
176 |
$564.06 |
| 90662 |
|
12 |
12 |
$559.47 |
| 83655 |
|
178 |
134 |
$429.85 |
| 91321 |
|
36 |
27 |
$406.07 |
| 91322 |
|
16 |
12 |
$390.03 |
| 81000 |
|
586 |
485 |
$355.83 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
101 |
98 |
$353.65 |
| 99215 |
Prolong outpt/office vis |
19 |
13 |
$343.20 |
| 90633 |
|
174 |
145 |
$339.06 |
| 0064A |
|
91 |
91 |
$320.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,360 |
1,177 |
$267.81 |
| 99335 |
|
215 |
169 |
$248.50 |
| 97802 |
|
220 |
206 |
$207.33 |
| 90680 |
|
103 |
76 |
$198.00 |
| 96127 |
|
492 |
362 |
$195.87 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
235 |
233 |
$176.40 |
| 90697 |
|
149 |
110 |
$171.00 |
| 97803 |
|
414 |
266 |
$169.26 |
| 99000 |
|
62 |
51 |
$137.94 |
| 99348 |
|
426 |
373 |
$137.20 |
| 88141 |
|
49 |
49 |
$126.36 |
| 99383 |
|
16 |
14 |
$70.73 |
| 90672 |
|
135 |
117 |
$63.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$59.78 |
| 0134A |
|
92 |
92 |
$50.25 |
| 0071A |
|
12 |
12 |
$40.00 |
| 99324 |
|
32 |
28 |
$37.40 |
| 90651 |
|
46 |
40 |
$27.00 |
| 90716 |
|
13 |
13 |
$9.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$3.09 |
| 3074F |
|
14,348 |
11,626 |
$0.00 |
| 3008F |
|
1,507 |
1,185 |
$0.00 |
| 3079F |
|
1,728 |
1,459 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
151 |
148 |
$0.00 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
309 |
292 |
$0.00 |
| 3075F |
|
1,906 |
1,614 |
$0.00 |
| 91301 |
|
35 |
35 |
$0.00 |
| 3080F |
|
462 |
336 |
$0.00 |
| Z1034 |
|
2,145 |
1,561 |
$0.00 |
| Z1032 |
|
51 |
50 |
$0.00 |
| 90698 |
|
87 |
87 |
$0.00 |
| 36416 |
|
118 |
99 |
$0.00 |
| 91306 |
|
83 |
83 |
$0.00 |
| 94760 |
|
69 |
68 |
$0.00 |
| 99443 |
|
96 |
94 |
$0.00 |
| 91307 |
|
13 |
12 |
$0.00 |
| 99441 |
|
12 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |
| 97026 |
|
19 |
13 |
$0.00 |
| 90744 |
|
25 |
25 |
$0.00 |
| 86580 |
|
22 |
18 |
$0.00 |
| 3078F |
|
15,911 |
12,931 |
$0.00 |
| 90670 |
|
310 |
310 |
$0.00 |
| 3077F |
|
1,475 |
1,224 |
$0.00 |
| 99442 |
|
298 |
289 |
$0.00 |
| J2426 |
Injection, paliperidone palmitate extended release (invega sustenna), 1 mg |
15 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
42 |
41 |
$0.00 |
| 90461 |
|
21 |
21 |
$0.00 |
| 97810 |
|
114 |
37 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
84 |
81 |
$0.00 |
| 91313 |
|
40 |
40 |
$0.00 |
| 0521 |
|
274 |
220 |
$0.00 |
| 99347 |
|
23 |
22 |
$0.00 |
| 99336 |
|
13 |
13 |
$0.00 |
| 90734 |
|
15 |
15 |
$0.00 |
| Z6400 |
|
13 |
12 |
$0.00 |
| 0528F |
|
12 |
12 |
$0.00 |