| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
109,272 |
89,595 |
$13.73M |
| 00003 |
Internal/system code - not a standard HCPCS code |
6,280 |
4,596 |
$1.07M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
114,839 |
65,831 |
$152K |
| 90832 |
Psychotherapy, 30 minutes with patient |
7,405 |
5,151 |
$49K |
| 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 |
1,348 |
942 |
$28K |
| 90834 |
Psychotherapy, 45 minutes with patient |
672 |
460 |
$14K |
| 98940 |
|
5,169 |
3,447 |
$12K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
3,624 |
2,088 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,037 |
1,894 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
873 |
760 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,934 |
1,493 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,759 |
1,018 |
$4K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
513 |
315 |
$3K |
| 59425 |
|
252 |
167 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,106 |
1,274 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,788 |
1,298 |
$3K |
| 85018 |
|
9,923 |
7,026 |
$2K |
| 0012A |
|
65 |
40 |
$2K |
| 90686 |
|
3,901 |
3,003 |
$1K |
| 92551 |
|
5,155 |
3,535 |
$1K |
| 0002A |
|
18 |
12 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
39 |
25 |
$889.84 |
| 99173 |
|
4,983 |
3,430 |
$852.30 |
| 99000 |
|
6,568 |
4,915 |
$841.65 |
| 81005 |
|
3,855 |
2,552 |
$717.96 |
| 90723 |
|
762 |
620 |
$667.93 |
| 90648 |
|
1,082 |
854 |
$389.14 |
| G9920 |
Screening performed and negative |
181 |
166 |
$319.00 |
| 81025 |
|
990 |
665 |
$297.92 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
156 |
129 |
$286.11 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
133 |
118 |
$247.55 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
17 |
12 |
$246.96 |
| 0011A |
|
12 |
12 |
$237.16 |
| 90670 |
|
1,257 |
1,018 |
$215.82 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
98 |
73 |
$191.81 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
311 |
264 |
$143.50 |
| 90791 |
Psychiatric diagnostic evaluation |
36 |
23 |
$128.08 |
| 81003 |
|
1,049 |
759 |
$122.91 |
| 90680 |
|
468 |
386 |
$99.93 |
| 81000 |
|
454 |
355 |
$92.11 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
688 |
540 |
$91.97 |
| 90656 |
|
209 |
147 |
$63.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
22 |
14 |
$55.95 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
417 |
412 |
$53.44 |
| 90633 |
|
395 |
282 |
$36.90 |
| 90647 |
|
197 |
151 |
$18.00 |
| 90651 |
|
226 |
157 |
$18.00 |
| 99401 |
|
18 |
15 |
$8.41 |
| 86580 |
|
140 |
92 |
$3.36 |
| 1036F |
|
2,942 |
1,839 |
$0.00 |
| Z1034 |
|
1,312 |
880 |
$0.00 |
| 2001F |
|
3,466 |
2,201 |
$0.00 |
| 3008F |
|
3,465 |
2,202 |
$0.00 |
| 3074F |
|
971 |
515 |
$0.00 |
| 1111F |
|
1,976 |
1,216 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,134 |
596 |
$0.00 |
| Z6406 |
|
170 |
142 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
81 |
53 |
$0.00 |
| 3049F |
|
17 |
12 |
$0.00 |
| 3048F |
|
110 |
70 |
$0.00 |
| 3075F |
|
18 |
12 |
$0.00 |
| 3079F |
|
240 |
148 |
$0.00 |
| 3080F |
|
22 |
12 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
25 |
14 |
$0.00 |
| 87428 |
|
15 |
12 |
$0.00 |
| 99381 |
|
44 |
39 |
$0.00 |
| 90620 |
|
25 |
24 |
$0.00 |
| 90710 |
|
235 |
157 |
$0.00 |
| Z6400 |
|
475 |
468 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,052 |
550 |
$0.00 |
| 3078F |
|
713 |
373 |
$0.00 |
| 90734 |
|
176 |
120 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
64 |
64 |
$0.00 |
| 90700 |
|
22 |
15 |
$0.00 |
| 90681 |
|
21 |
17 |
$0.00 |
| Z6304 |
|
41 |
27 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
21 |
13 |
$0.00 |
| 90715 |
|
67 |
44 |
$0.00 |
| 3077F |
|
21 |
13 |
$0.00 |
| 97803 |
|
12 |
12 |
$0.00 |