| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
133,572 |
112,687 |
$17.46M |
| 00003 |
Internal/system code - not a standard HCPCS code |
46,144 |
29,365 |
$7.22M |
| 90832 |
Psychotherapy, 30 minutes with patient |
8,684 |
5,221 |
$146K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
86,328 |
53,102 |
$115K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37,716 |
24,221 |
$68K |
| 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 |
1,669 |
1,368 |
$57K |
| 90791 |
Psychiatric diagnostic evaluation |
1,149 |
882 |
$40K |
| 0011A |
|
225 |
225 |
$15K |
| 90834 |
Psychotherapy, 45 minutes with patient |
580 |
393 |
$15K |
| G9920 |
Screening performed and negative |
7,394 |
4,763 |
$14K |
| 0012A |
|
151 |
151 |
$10K |
| 0001A |
|
134 |
106 |
$8K |
| 99460 |
|
689 |
482 |
$7K |
| 0002A |
|
93 |
74 |
$6K |
| 0031A |
|
69 |
69 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
528 |
334 |
$4K |
| J3490 |
Unclassified drugs |
728 |
531 |
$3K |
| 81025 |
|
13,266 |
8,714 |
$2K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
289 |
289 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,780 |
1,140 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,060 |
3,171 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
82 |
55 |
$1K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,839 |
1,334 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,422 |
1,121 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,543 |
1,740 |
$594.50 |
| H1000 |
Prenatal care, at-risk assessment |
68 |
68 |
$378.93 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,203 |
1,594 |
$295.88 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
120 |
82 |
$285.44 |
| 90686 |
|
2,796 |
2,245 |
$260.14 |
| 90715 |
|
972 |
670 |
$249.01 |
| 92551 |
|
6,839 |
4,731 |
$247.91 |
| 81002 |
|
13,593 |
8,249 |
$189.03 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
14 |
12 |
$155.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,473 |
1,792 |
$141.93 |
| 85018 |
|
12,911 |
8,920 |
$138.18 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
484 |
297 |
$135.99 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,956 |
2,401 |
$127.56 |
| 99173 |
|
7,713 |
5,276 |
$123.43 |
| G9919 |
Screening performed and positive and provision of recommendations |
110 |
60 |
$116.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,538 |
1,044 |
$109.11 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,701 |
1,737 |
$96.90 |
| 90670 |
|
1,175 |
906 |
$72.00 |
| 59425 |
|
943 |
697 |
$60.48 |
| 90734 |
|
471 |
325 |
$42.75 |
| 90647 |
|
650 |
525 |
$36.00 |
| 90651 |
|
787 |
573 |
$24.75 |
| 90688 |
|
711 |
395 |
$24.37 |
| 82962 |
|
3,972 |
2,538 |
$19.99 |
| 90716 |
|
29 |
26 |
$18.00 |
| 90633 |
|
458 |
328 |
$18.00 |
| 90707 |
|
25 |
24 |
$18.00 |
| 90677 |
|
103 |
67 |
$9.00 |
| 90700 |
|
669 |
481 |
$9.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
55 |
29 |
$8.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
693 |
473 |
$7.76 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
31,107 |
17,152 |
$1.42 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
4,284 |
2,696 |
$1.20 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
2,724 |
2,496 |
$0.01 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
25 |
$0.00 |
| 3079F |
|
3,193 |
1,851 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,094 |
706 |
$0.00 |
| 3074F |
|
3,566 |
2,043 |
$0.00 |
| Z1034 |
|
3,912 |
2,847 |
$0.00 |
| 93000 |
|
95 |
56 |
$0.00 |
| 86580 |
|
185 |
121 |
$0.00 |
| 3075F |
|
1,931 |
1,139 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
855 |
555 |
$0.00 |
| 90680 |
|
510 |
402 |
$0.00 |
| 3080F |
|
890 |
499 |
$0.00 |
| Z1032 |
|
220 |
220 |
$0.00 |
| Z1038 |
|
68 |
68 |
$0.00 |
| 90723 |
|
434 |
353 |
$0.00 |
| 59430 |
|
59 |
59 |
$0.00 |
| 96151 |
|
13 |
13 |
$0.00 |
| 90697 |
|
80 |
55 |
$0.00 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
18 |
12 |
$0.00 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
18 |
14 |
$0.00 |
| 11976 |
|
24 |
13 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$0.00 |
| 88720 |
|
23 |
12 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
962 |
599 |
$0.00 |
| 3078F |
|
3,666 |
2,106 |
$0.00 |
| 3077F |
|
2,235 |
1,253 |
$0.00 |
| G9357 |
Post-partum screenings, evaluations and education performed |
115 |
84 |
$0.00 |
| 83655 |
|
337 |
230 |
$0.00 |
| 11981 |
|
22 |
12 |
$0.00 |
| 90713 |
|
197 |
139 |
$0.00 |
| Z6400 |
|
80 |
80 |
$0.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
12 |
12 |
$0.00 |
| 90710 |
|
115 |
80 |
$0.00 |
| 90685 |
|
13 |
12 |
$0.00 |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
22 |
12 |
$0.00 |
| 99401 |
|
14 |
14 |
$0.00 |
| 97803 |
|
13 |
13 |
$0.00 |
| 90678 |
|
27 |
15 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
17 |
13 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
16 |
12 |
$0.00 |