| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
221,039 |
205,064 |
$90.76M |
| 00003 |
Internal/system code - not a standard HCPCS code |
64,895 |
56,731 |
$33.78M |
| 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 |
9,613 |
8,387 |
$1.06M |
| G9012 |
Other specified case management service not elsewhere classified |
3,539 |
2,613 |
$517K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
152,488 |
96,049 |
$328K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
1,291 |
773 |
$283K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
52,553 |
34,440 |
$183K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
21,427 |
13,648 |
$87K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15,667 |
10,778 |
$66K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
43,959 |
26,210 |
$64K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14,002 |
8,721 |
$56K |
| 90651 |
|
5,879 |
3,854 |
$50K |
| 0011A |
|
2,115 |
1,145 |
$42K |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
7,515 |
7,096 |
$41K |
| 91320 |
|
321 |
321 |
$37K |
| 81513 |
|
1,035 |
1,025 |
$31K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
3,944 |
3,903 |
$27K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
3,935 |
3,898 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,674 |
3,960 |
$27K |
| 92551 |
|
21,942 |
13,688 |
$23K |
| 90677 |
|
4,066 |
2,715 |
$23K |
| 90686 |
|
24,626 |
18,351 |
$22K |
| 80061 |
Lipid panel |
12,814 |
12,794 |
$19K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
19,885 |
19,810 |
$18K |
| 86481 |
|
1,567 |
1,564 |
$18K |
| 84443 |
Thyroid stimulating hormone (TSH) |
11,661 |
11,605 |
$17K |
| 87481 |
|
1,184 |
1,175 |
$17K |
| 90715 |
|
4,550 |
3,356 |
$16K |
| 99215 |
Prolong outpt/office vis |
1,902 |
1,253 |
$15K |
| 99188 |
|
7,011 |
3,949 |
$15K |
| 90670 |
|
11,002 |
8,007 |
$14K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,680 |
2,568 |
$14K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
4,313 |
4,222 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21,134 |
16,384 |
$11K |
| 90480 |
|
412 |
412 |
$10K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,187 |
1,177 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
10,539 |
10,449 |
$9K |
| 85027 |
|
8,634 |
8,593 |
$8K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
1,281 |
1,277 |
$8K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
2,330 |
2,316 |
$7K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
609 |
353 |
$7K |
| 91322 |
|
67 |
67 |
$7K |
| 86803 |
|
2,621 |
2,616 |
$5K |
| 80076 |
|
6,116 |
6,072 |
$5K |
| 83655 |
|
2,189 |
2,187 |
$4K |
| 90732 |
|
284 |
260 |
$4K |
| 91321 |
|
149 |
149 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
499 |
305 |
$3K |
| 90746 |
|
304 |
189 |
$3K |
| D1206 |
Topical application of fluoride varnish |
1,456 |
1,447 |
$3K |
| 86780 |
|
941 |
934 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
130 |
79 |
$2K |
| 90656 |
|
2,301 |
1,682 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
709 |
688 |
$2K |
| 81025 |
|
3,668 |
2,751 |
$2K |
| 86480 |
|
326 |
324 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
127 |
127 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,402 |
1,396 |
$2K |
| 0124A |
|
40 |
40 |
$2K |
| 87653 |
|
125 |
124 |
$2K |
| 82947 |
|
18,126 |
17,502 |
$2K |
| 99173 |
|
20,470 |
17,355 |
$1K |
| 90680 |
|
8,188 |
5,815 |
$1K |
| 99381 |
|
151 |
102 |
$1K |
| 0081A |
|
38 |
38 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,158 |
725 |
$1K |
| 80051 |
|
15,685 |
15,445 |
$1K |
| 97803 |
|
227 |
227 |
$1K |
| 82274 |
|
818 |
817 |
$1K |
| 90662 |
|
914 |
728 |
$1K |
| 90698 |
|
10,859 |
7,814 |
$1K |
| 87905 |
|
464 |
460 |
$1K |
| 82565 |
|
16,047 |
15,800 |
$1K |
| 87340 |
|
509 |
507 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
601 |
586 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
416 |
288 |
$1K |
| 80053 |
Comprehensive metabolic panel |
1,159 |
1,154 |
$926.15 |
| 90678 |
|
525 |
385 |
$874.12 |
| 85610 |
|
1,884 |
1,343 |
$844.46 |
| 97802 |
|
197 |
111 |
$824.62 |
| 87808 |
|
482 |
479 |
$804.03 |
| 99070 |
|
142 |
142 |
$773.01 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
43 |
43 |
$766.22 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,380 |
1,343 |
$738.70 |
| 90697 |
|
2,198 |
1,374 |
$731.89 |
| 84460 |
|
2,944 |
2,938 |
$724.08 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
68 |
68 |
$715.38 |
| 84520 |
|
15,686 |
15,446 |
$711.12 |
| 90744 |
|
4,199 |
3,042 |
$703.37 |
| 81001 |
|
1,359 |
1,341 |
$633.31 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
12 |
$571.48 |
| 0154A |
|
14 |
14 |
$560.00 |
| 0173A |
|
13 |
13 |
$520.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$457.49 |
| 82570 |
|
637 |
628 |
$436.69 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
194 |
193 |
$419.43 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
435 |
388 |
$371.22 |
| 92250 |
|
154 |
154 |
$360.05 |
| 88142 |
|
140 |
136 |
$358.32 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
96 |
96 |
$337.48 |
| 82951 |
|
83 |
83 |
$335.22 |
| 87088 |
|
259 |
257 |
$312.86 |
| 90633 |
|
6,919 |
4,650 |
$292.49 |
| 80074 |
|
31 |
31 |
$280.84 |
| 0038U |
|
1,739 |
1,731 |
$273.54 |
| 86706 |
|
162 |
162 |
$272.81 |
| 87631 |
|
14 |
14 |
$263.84 |
| 86762 |
|
52 |
52 |
$212.47 |
| 73562 |
|
145 |
120 |
$207.76 |
| 99383 |
|
17 |
12 |
$194.23 |
| 84439 |
|
606 |
606 |
$191.74 |
| 82043 |
|
307 |
307 |
$177.46 |
| 87102 |
|
103 |
101 |
$168.23 |
| 86140 |
|
274 |
274 |
$150.73 |
| 99000 |
|
316 |
311 |
$148.96 |
| 99401 |
|
67 |
63 |
$145.38 |
| 84450 |
|
1,224 |
1,219 |
$142.96 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,073 |
580 |
$138.78 |
| 86704 |
|
40 |
40 |
$128.61 |
| 90716 |
|
1,186 |
785 |
$128.58 |
| 99406 |
|
123 |
78 |
$125.65 |
| 83550 |
|
79 |
79 |
$103.48 |
| 90710 |
|
709 |
472 |
$89.09 |
| 72100 |
|
108 |
104 |
$86.01 |
| 83540 |
|
79 |
79 |
$85.94 |
| 87077 |
|
70 |
69 |
$83.70 |
| 82728 |
|
272 |
272 |
$71.95 |
| 82962 |
|
215 |
210 |
$54.94 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
110 |
98 |
$51.34 |
| 99443 |
|
53 |
52 |
$41.50 |
| 84156 |
|
14 |
14 |
$31.41 |
| 86850 |
|
40 |
40 |
$29.67 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
13 |
13 |
$29.43 |
| 86901 |
|
40 |
40 |
$28.09 |
| 87081 |
|
16 |
16 |
$27.25 |
| 86900 |
|
40 |
40 |
$27.09 |
| 86787 |
|
15 |
15 |
$26.70 |
| 90734 |
|
1,364 |
945 |
$26.39 |
| 73030 |
|
42 |
38 |
$22.48 |
| 90696 |
|
533 |
361 |
$19.84 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,450 |
1,360 |
$17.69 |
| 90619 |
|
1,100 |
648 |
$16.47 |
| 90685 |
|
651 |
647 |
$15.30 |
| 90655 |
|
138 |
84 |
$9.00 |
| 99442 |
|
3,247 |
3,136 |
$1.47 |
| 99441 |
|
2,204 |
2,092 |
$1.15 |
| 3044F |
|
9,946 |
8,572 |
$0.00 |
| 3075F |
|
8,680 |
6,050 |
$0.00 |
| 3074F |
|
44,673 |
30,604 |
$0.00 |
| 4086F |
|
567 |
515 |
$0.00 |
| 3079F |
|
9,238 |
6,181 |
$0.00 |
| 3080F |
|
2,118 |
1,340 |
$0.00 |
| 1125F |
|
3,152 |
2,835 |
$0.00 |
| J3490 |
Unclassified drugs |
3,062 |
2,965 |
$0.00 |
| 1126F |
|
7,596 |
6,538 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
549 |
422 |
$0.00 |
| 90620 |
|
502 |
327 |
$0.00 |
| 90688 |
|
1,095 |
1,093 |
$0.00 |
| 3048F |
|
1,555 |
1,003 |
$0.00 |
| 0503F |
|
341 |
221 |
$0.00 |
| 0500F |
|
438 |
284 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
119 |
111 |
$0.00 |
| Z6204 |
|
227 |
227 |
$0.00 |
| 3049F |
|
515 |
347 |
$0.00 |
| 1111F |
|
89 |
46 |
$0.00 |
| 96380 |
|
279 |
216 |
$0.00 |
| Z6404 |
|
95 |
93 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
70 |
41 |
$0.00 |
| 88141 |
|
12 |
12 |
$0.00 |
| 3052F |
|
16 |
16 |
$0.00 |
| 91318 |
|
53 |
53 |
$0.00 |
| 91319 |
|
53 |
53 |
$0.00 |
| 90381 |
|
74 |
51 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
12 |
12 |
$0.00 |
| 3078F |
|
47,997 |
33,375 |
$0.00 |
| 1159F |
|
37,571 |
22,220 |
$0.00 |
| 1160F |
|
20,216 |
12,225 |
$0.00 |
| 3077F |
|
6,994 |
4,832 |
$0.00 |
| 90707 |
|
1,124 |
758 |
$0.00 |
| 0502F |
|
4,287 |
1,921 |
$0.00 |
| 90461 |
|
802 |
780 |
$0.00 |
| 3051F |
|
265 |
214 |
$0.00 |
| G8935 |
Clinician prescribed angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy |
583 |
561 |
$0.00 |
| Z6202 |
|
82 |
82 |
$0.00 |
| Z6400 |
|
330 |
328 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
171 |
145 |
$0.00 |
| 3046F |
|
19 |
12 |
$0.00 |
| 0071A |
|
28 |
25 |
$0.00 |
| 3050F |
|
226 |
150 |
$0.00 |
| Z6200 |
|
84 |
84 |
$0.00 |
| 90682 |
|
12 |
12 |
$0.00 |
| 86849 |
|
79 |
79 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
12 |
12 |
$0.00 |
| 1124F |
|
116 |
115 |
$0.00 |
| 81002 |
|
12 |
12 |
$0.00 |