| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
430,702 |
367,496 |
$79.25M |
| 00003 |
Internal/system code - not a standard HCPCS code |
54,639 |
51,290 |
$12.64M |
| G9012 |
Other specified case management service not elsewhere classified |
38,036 |
22,752 |
$1.67M |
| 0001A |
|
22,232 |
16,572 |
$1.09M |
| 0002A |
|
19,910 |
14,685 |
$988K |
| H0043 |
Supported housing, per diem |
7,922 |
7,125 |
$922K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
30,424 |
15,726 |
$849K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
192,938 |
171,876 |
$683K |
| 90834 |
Psychotherapy, 45 minutes with patient |
18,693 |
12,072 |
$608K |
| 90791 |
Psychiatric diagnostic evaluation |
5,370 |
3,814 |
$277K |
| 90832 |
Psychotherapy, 30 minutes with patient |
10,367 |
7,145 |
$245K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,415 |
16,572 |
$169K |
| T2041 |
Supports brokerage, self-directed, waiver; per 15 minutes |
1,338 |
1,168 |
$160K |
| 0004A |
|
2,903 |
2,736 |
$159K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
33,172 |
32,014 |
$52K |
| 0072A |
|
857 |
852 |
$48K |
| 0064A |
|
739 |
690 |
$43K |
| 0071A |
|
736 |
732 |
$43K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,966 |
1,562 |
$39K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
3,044 |
1,323 |
$29K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,056 |
757 |
$22K |
| 99205 |
Prolong outpt/office vis |
660 |
506 |
$22K |
| 99215 |
Prolong outpt/office vis |
1,743 |
1,620 |
$20K |
| 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 |
562 |
498 |
$19K |
| 0011A |
|
319 |
301 |
$19K |
| 0003A |
|
349 |
278 |
$18K |
| G9920 |
Screening performed and negative |
28,959 |
26,911 |
$18K |
| V2020 |
Frames, purchases |
1,610 |
1,288 |
$17K |
| H2016 |
Comprehensive community support services, per diem |
1,126 |
486 |
$12K |
| 92015 |
Determination of refractive state |
3,094 |
2,332 |
$10K |
| 92341 |
|
632 |
537 |
$10K |
| 0124A |
|
123 |
123 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,866 |
1,829 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
871 |
664 |
$7K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
20,198 |
19,747 |
$7K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
20,233 |
19,421 |
$6K |
| J3490 |
Unclassified drugs |
299 |
274 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,037 |
1,016 |
$5K |
| 81025 |
|
6,427 |
6,259 |
$5K |
| 0031A |
|
103 |
63 |
$5K |
| 92552 |
|
15,683 |
15,409 |
$4K |
| 0012A |
|
72 |
57 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,002 |
3,951 |
$3K |
| 90651 |
|
1,475 |
1,460 |
$2K |
| 11981 |
|
24 |
15 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,214 |
6,187 |
$1K |
| 90686 |
|
8,384 |
8,317 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,749 |
2,718 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
36 |
25 |
$1K |
| T2040 |
Financial management, self-directed, waiver; per 15 minutes |
107 |
69 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
96 |
96 |
$1K |
| 0082A |
|
15 |
15 |
$1K |
| 80053 |
Comprehensive metabolic panel |
33,021 |
32,504 |
$942.04 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,561 |
3,427 |
$925.60 |
| D4341 |
|
612 |
494 |
$848.85 |
| 0013A |
|
12 |
12 |
$804.00 |
| 0081A |
|
28 |
28 |
$670.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
121 |
104 |
$667.00 |
| A4267 |
Contraceptive supply, condom, male, each |
56 |
56 |
$568.63 |
| 99000 |
|
22,346 |
21,578 |
$506.85 |
| 80061 |
Lipid panel |
15,130 |
14,828 |
$459.06 |
| D9999 |
Unspecified adjunctive procedure, by report |
412 |
329 |
$432.00 |
| D0120 |
Periodic oral evaluation - established patient |
1,131 |
1,083 |
$405.00 |
| 90734 |
|
943 |
933 |
$393.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,403 |
5,352 |
$383.13 |
| 90633 |
|
2,746 |
2,734 |
$335.16 |
| 58300 |
|
23 |
12 |
$330.12 |
| 90715 |
|
1,911 |
1,901 |
$256.29 |
| D0220 |
Intraoral - periapical first radiographic image |
1,759 |
1,554 |
$235.00 |
| D1110 |
Prophylaxis - adult |
391 |
377 |
$234.50 |
| 83655 |
|
3,498 |
3,410 |
$212.49 |
| D0210 |
Intraoral - complete series of radiographic images |
547 |
515 |
$197.00 |
| D4910 |
|
146 |
140 |
$185.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
4,129 |
1,142 |
$182.70 |
| 86703 |
|
66 |
64 |
$167.47 |
| 92250 |
|
1,354 |
1,329 |
$153.67 |
| D1320 |
|
435 |
325 |
$142.50 |
| D0140 |
Limited oral evaluation - problem focused |
1,407 |
858 |
$138.60 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
342 |
329 |
$118.00 |
| D9430 |
|
325 |
243 |
$110.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12,014 |
10,657 |
$109.99 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
475 |
473 |
$102.90 |
| 85018 |
|
8,679 |
8,496 |
$99.38 |
| 99381 |
|
167 |
165 |
$95.19 |
| D1310 |
|
6,252 |
4,375 |
$92.00 |
| D0274 |
Bitewings - four radiographic images |
488 |
470 |
$84.60 |
| 99188 |
|
1,204 |
1,200 |
$71.82 |
| 3074F |
|
74,954 |
69,562 |
$68.93 |
| 99201 |
|
167 |
165 |
$68.47 |
| D1120 |
Prophylaxis - child |
388 |
387 |
$67.50 |
| 99442 |
|
6,960 |
6,091 |
$54.88 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
538 |
537 |
$47.03 |
| D7140 |
Extraction, erupted tooth or exposed root |
21 |
12 |
$45.10 |
| 96127 |
|
771 |
758 |
$43.29 |
| 81001 |
|
20,997 |
15,807 |
$42.11 |
| 99173 |
|
18,058 |
17,789 |
$34.63 |
| 99441 |
|
2,910 |
2,736 |
$33.40 |
| D1208 |
Topical application of fluoride, excluding varnish |
450 |
448 |
$31.00 |
| D0603 |
|
2,267 |
1,785 |
$30.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
211 |
149 |
$30.00 |
| 82274 |
|
843 |
837 |
$29.54 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
447 |
438 |
$28.81 |
| 82947 |
|
3,976 |
3,864 |
$27.46 |
| 82043 |
|
875 |
871 |
$22.36 |
| 82570 |
|
875 |
871 |
$20.24 |
| 90688 |
|
1,677 |
1,674 |
$19.17 |
| 90670 |
|
2,644 |
2,628 |
$17.91 |
| 36415 |
Collection of venous blood by venipuncture |
15,279 |
15,102 |
$17.00 |
| D0350 |
|
1,874 |
1,017 |
$16.80 |
| 86780 |
|
13 |
12 |
$11.40 |
| 90716 |
|
912 |
909 |
$9.00 |
| 85049 |
|
1,615 |
1,583 |
$3.77 |
| 90611 |
|
140 |
139 |
$1.28 |
| D0602 |
|
813 |
674 |
$1.00 |
| 0501F |
|
2,462 |
2,401 |
$0.00 |
| 3080F |
|
821 |
786 |
$0.00 |
| Z1032 |
|
2,323 |
2,241 |
$0.00 |
| 90723 |
|
720 |
715 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
176 |
176 |
$0.00 |
| 3079F |
|
6,466 |
6,301 |
$0.00 |
| Z1034 |
|
17,368 |
13,011 |
$0.00 |
| 82270 |
|
743 |
736 |
$0.00 |
| 3008F |
|
15,388 |
14,843 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
129 |
127 |
$0.00 |
| 90697 |
|
2,770 |
2,762 |
$0.00 |
| D1330 |
|
5,015 |
3,784 |
$0.00 |
| Z6410 |
|
18,842 |
11,325 |
$0.00 |
| 3075F |
|
3,594 |
3,532 |
$0.00 |
| INPOS |
|
3,639 |
3,564 |
$0.00 |
| 90647 |
|
803 |
801 |
$0.00 |
| 90677 |
|
2,468 |
2,461 |
$0.00 |
| 96161 |
|
133 |
133 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
1,672 |
1,589 |
$0.00 |
| 88720 |
|
106 |
90 |
$0.00 |
| Z6404 |
|
1,412 |
1,411 |
$0.00 |
| 1170F |
|
239 |
238 |
$0.00 |
| 0503F |
|
188 |
184 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
129 |
123 |
$0.00 |
| 94760 |
|
137 |
137 |
$0.00 |
| 82105 |
|
301 |
300 |
$0.00 |
| D0999 |
Unspecified diagnostic procedure, by report |
804 |
536 |
$0.00 |
| 87529 |
|
73 |
73 |
$0.00 |
| 2033F |
|
684 |
663 |
$0.00 |
| 99384 |
|
150 |
150 |
$0.00 |
| D9995 |
|
370 |
361 |
$0.00 |
| 90656 |
|
287 |
287 |
$0.00 |
| 1111F |
|
914 |
895 |
$0.00 |
| 90696 |
|
121 |
121 |
$0.00 |
| 91307 |
|
363 |
362 |
$0.00 |
| 90620 |
|
25 |
25 |
$0.00 |
| D0170 |
|
30 |
18 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
46 |
46 |
$0.00 |
| Z6402 |
|
220 |
220 |
$0.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
32 |
31 |
$0.00 |
| Z1038 |
|
189 |
184 |
$0.00 |
| H0033 |
Oral medication administration, direct observation |
60 |
56 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
29 |
29 |
$0.00 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
39 |
39 |
$0.00 |
| 90680 |
|
27 |
27 |
$0.00 |
| 91318 |
|
26 |
26 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
219 |
211 |
$0.00 |
| 0500F |
|
445 |
444 |
$0.00 |
| 97802 |
|
64 |
64 |
$0.00 |
| 90744 |
|
30 |
30 |
$0.00 |
| 87807 |
|
16 |
16 |
$0.00 |
| 99383 |
|
53 |
53 |
$0.00 |
| 1126F |
|
27 |
27 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
29 |
29 |
$0.00 |
| 91315 |
|
47 |
46 |
$0.00 |
| 91317 |
|
28 |
28 |
$0.00 |
| 6WKFU |
|
17 |
17 |
$0.00 |
| 90381 |
|
35 |
35 |
$0.00 |
| 1125F |
|
16 |
15 |
$0.00 |
| 99385 |
|
12 |
12 |
$0.00 |
| D4342 |
|
13 |
13 |
$0.00 |
| Z6202 |
|
2,871 |
2,856 |
$0.00 |
| 3078F |
|
84,133 |
78,447 |
$0.00 |
| 3077F |
|
7,361 |
7,085 |
$0.00 |
| 0502F |
|
17,246 |
12,905 |
$0.00 |
| D9993 |
|
1,257 |
1,200 |
$0.00 |
| 91300 |
|
1,177 |
1,148 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
2,118 |
2,059 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
65 |
65 |
$0.00 |
| Z6414 |
|
1,067 |
719 |
$0.00 |
| 1160F |
|
917 |
881 |
$0.00 |
| 90700 |
|
177 |
172 |
$0.00 |
| 90681 |
|
1,195 |
1,192 |
$0.00 |
| 90710 |
|
316 |
314 |
$0.00 |
| Z6200 |
|
1,481 |
1,478 |
$0.00 |
| Z6400 |
|
3,534 |
3,526 |
$0.00 |
| Z6500 |
|
597 |
596 |
$0.00 |
| 81420 |
Fetal chromosomal aneuploidy genomic sequence analysis panel |
436 |
428 |
$0.00 |
| Z6302 |
|
1,507 |
1,505 |
$0.00 |
| 1158F |
|
230 |
229 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
400 |
392 |
$0.00 |
| Z6300 |
|
242 |
242 |
$0.00 |
| D0270 |
|
119 |
108 |
$0.00 |
| 91312 |
|
95 |
91 |
$0.00 |
| 1WKFU |
|
385 |
376 |
$0.00 |
| 92100 |
|
338 |
336 |
$0.00 |
| 90707 |
|
445 |
443 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
273 |
272 |
$0.00 |
| 90746 |
|
187 |
186 |
$0.00 |
| 2026F |
|
193 |
189 |
$0.00 |
| 2WKFU |
|
246 |
242 |
$0.00 |
| 1159F |
|
239 |
238 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
38 |
$0.00 |
| 2022F |
|
61 |
61 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
40 |
40 |
$0.00 |
| D2140 |
|
83 |
66 |
$0.00 |
| M0239 |
Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring |
40 |
40 |
$0.00 |
| Z6208 |
|
71 |
71 |
$0.00 |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
75 |
64 |
$0.00 |
| Z6308 |
|
15 |
15 |
$0.00 |
| 90380 |
|
13 |
13 |
$0.00 |
| LTFUP |
|
13 |
13 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
13 |
13 |
$0.00 |
| 3046F |
|
47 |
47 |
$0.00 |
| 90713 |
|
16 |
16 |
$0.00 |