| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
109,193 |
89,004 |
$17.62M |
| 00003 |
Internal/system code - not a standard HCPCS code |
12,380 |
10,925 |
$2.98M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
98,738 |
88,433 |
$2.41M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29,146 |
27,130 |
$1.14M |
| 90832 |
Psychotherapy, 30 minutes with patient |
15,877 |
9,185 |
$672K |
| 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 |
18,368 |
14,911 |
$621K |
| 90834 |
Psychotherapy, 45 minutes with patient |
6,973 |
4,159 |
$441K |
| 90837 |
Psychotherapy, 53 minutes with patient |
925 |
663 |
$93K |
| 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 |
2,981 |
1,639 |
$85K |
| 90791 |
Psychiatric diagnostic evaluation |
441 |
401 |
$49K |
| 80305 |
|
3,695 |
2,842 |
$42K |
| 90686 |
|
2,921 |
2,916 |
$38K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
691 |
689 |
$37K |
| 99215 |
Prolong outpt/office vis |
449 |
420 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
485 |
483 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
720 |
695 |
$19K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
134 |
132 |
$15K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
296 |
292 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
91 |
87 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
53 |
52 |
$5K |
| V2020 |
Frames, purchases |
331 |
329 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
88 |
88 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
50 |
50 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
370 |
369 |
$3K |
| 85018 |
|
1,459 |
1,453 |
$3K |
| 92015 |
Determination of refractive state |
431 |
430 |
$3K |
| G9920 |
Screening performed and negative |
81 |
79 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
100 |
96 |
$2K |
| 81002 |
|
531 |
507 |
$877.97 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24 |
24 |
$829.02 |
| G9919 |
Screening performed and positive and provision of recommendations |
16 |
16 |
$579.60 |
| 87449 |
|
26 |
26 |
$217.32 |
| 90662 |
|
136 |
134 |
$150.96 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
13 |
$92.48 |
| 82948 |
|
31 |
30 |
$84.29 |
| COD18 |
|
65,079 |
53,040 |
$0.00 |
| 92551 |
|
886 |
886 |
$0.00 |
| 99441 |
|
38 |
36 |
$0.00 |
| 87430 |
|
191 |
190 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
374 |
374 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
194 |
191 |
$0.00 |
| 99443 |
|
15 |
14 |
$0.00 |
| 99442 |
|
903 |
841 |
$0.00 |
| 99173 |
|
2,982 |
2,980 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
12 |
12 |
$0.00 |
| 90649 |
|
25 |
25 |
$0.00 |
| 83295 |
|
17 |
15 |
$0.00 |
| 90734 |
|
19 |
19 |
$0.00 |