| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00003 |
Internal/system code - not a standard HCPCS code |
38,523 |
30,813 |
$8.87M |
| T1015 |
Clinic visit/encounter, all-inclusive |
27,054 |
19,861 |
$5.42M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,215 |
11,177 |
$308K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,987 |
9,342 |
$278K |
| 0012A |
|
4,619 |
4,584 |
$184K |
| 0011A |
|
4,430 |
4,320 |
$137K |
| 0031A |
|
2,875 |
2,831 |
$115K |
| 59425 |
|
462 |
299 |
$40K |
| 90686 |
|
2,274 |
1,739 |
$30K |
| 92551 |
|
2,474 |
1,542 |
$25K |
| 90791 |
Psychiatric diagnostic evaluation |
141 |
117 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
351 |
227 |
$23K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
451 |
349 |
$23K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
331 |
230 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
352 |
221 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
424 |
261 |
$15K |
| 0001A |
|
350 |
350 |
$14K |
| 0064A |
|
317 |
317 |
$13K |
| 0002A |
|
318 |
317 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
377 |
221 |
$12K |
| 99401 |
|
787 |
591 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,037 |
1,438 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
350 |
338 |
$8K |
| 99173 |
|
2,639 |
1,680 |
$7K |
| 85018 |
|
4,610 |
2,864 |
$6K |
| 90670 |
|
400 |
269 |
$6K |
| 90715 |
|
197 |
163 |
$4K |
| 90648 |
|
246 |
161 |
$3K |
| 90677 |
|
62 |
38 |
$3K |
| 81002 |
|
2,679 |
1,882 |
$2K |
| 96156 |
|
104 |
95 |
$2K |
| 90651 |
|
56 |
56 |
$2K |
| 0072A |
|
41 |
41 |
$2K |
| 86580 |
|
499 |
408 |
$1K |
| 0071A |
|
30 |
30 |
$1K |
| 81025 |
|
549 |
444 |
$1K |
| 90656 |
|
160 |
127 |
$1K |
| 90716 |
|
74 |
68 |
$1K |
| 96158 |
|
52 |
37 |
$671.24 |
| 90633 |
|
75 |
60 |
$648.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
30 |
24 |
$594.88 |
| 90680 |
|
74 |
41 |
$585.00 |
| 90734 |
|
35 |
29 |
$522.00 |
| 97803 |
|
51 |
43 |
$506.80 |
| 90662 |
|
13 |
12 |
$418.32 |
| 99188 |
|
29 |
16 |
$252.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
16 |
14 |
$217.92 |
| 90619 |
|
16 |
12 |
$198.00 |
| 90723 |
|
19 |
12 |
$198.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
14 |
13 |
$174.72 |
| 90697 |
|
26 |
13 |
$117.00 |
| 90707 |
|
20 |
12 |
$99.00 |
| 83655 |
|
16 |
13 |
$54.20 |
| 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 |
1,302 |
1,255 |
$31.70 |
| Z6406 |
|
543 |
354 |
$0.00 |
| Z1034 |
|
839 |
530 |
$0.00 |
| Z6204 |
|
351 |
289 |
$0.00 |
| Z6402 |
|
91 |
91 |
$0.00 |
| Z6304 |
|
264 |
174 |
$0.00 |
| Z6308 |
|
84 |
77 |
$0.00 |
| Z6414 |
|
85 |
77 |
$0.00 |
| Z6400 |
|
249 |
212 |
$0.00 |
| Z6200 |
|
28 |
28 |
$0.00 |
| Z6300 |
|
84 |
84 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$0.00 |
| Z6208 |
|
13 |
13 |
$0.00 |