| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
223,403 |
184,591 |
$69.78M |
| 00003 |
Internal/system code - not a standard HCPCS code |
7,385 |
6,459 |
$2.88M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
85,218 |
49,963 |
$892K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
157,369 |
88,543 |
$802K |
| 90834 |
Psychotherapy, 45 minutes with patient |
19,337 |
8,584 |
$558K |
| 90832 |
Psychotherapy, 30 minutes with patient |
23,088 |
10,699 |
$529K |
| T2033 |
Residential care, not otherwise specified (nos), waiver; per diem |
1,810 |
99 |
$164K |
| 90791 |
Psychiatric diagnostic evaluation |
2,247 |
1,185 |
$130K |
| 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 |
4,334 |
3,301 |
$77K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,539 |
608 |
$64K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16,230 |
9,839 |
$35K |
| 97811 |
|
7,162 |
3,653 |
$28K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
5,059 |
3,947 |
$22K |
| 99215 |
Prolong outpt/office vis |
2,508 |
1,627 |
$19K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,448 |
1,023 |
$18K |
| 97810 |
|
8,263 |
3,949 |
$17K |
| 0031A |
|
150 |
150 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
569 |
361 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
203 |
134 |
$6K |
| 0064A |
|
88 |
88 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,191 |
5,277 |
$6K |
| 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 |
427 |
287 |
$5K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
58 |
57 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
379 |
236 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
937 |
543 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,131 |
659 |
$4K |
| 90739 |
|
124 |
86 |
$3K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
2,415 |
1,113 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
949 |
574 |
$3K |
| 99078 |
|
281 |
118 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
524 |
313 |
$2K |
| 99310 |
Prolong nursin fac eval 15m |
67 |
49 |
$2K |
| 98940 |
|
1,200 |
577 |
$2K |
| 90746 |
|
68 |
40 |
$2K |
| 92552 |
|
250 |
181 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
121 |
81 |
$952.26 |
| 85018 |
|
4,015 |
2,399 |
$844.05 |
| 99460 |
|
29 |
18 |
$843.68 |
| 0012A |
|
12 |
12 |
$804.00 |
| 96156 |
|
412 |
374 |
$799.23 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
77 |
45 |
$602.33 |
| 99315 |
|
41 |
31 |
$575.56 |
| 86580 |
|
2,436 |
1,438 |
$504.42 |
| 0134A |
|
202 |
167 |
$469.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
18 |
12 |
$422.15 |
| 11721 |
|
988 |
881 |
$381.99 |
| 99305 |
|
14 |
12 |
$375.12 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
124 |
75 |
$347.43 |
| 81002 |
|
1,384 |
890 |
$220.46 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,032 |
702 |
$217.82 |
| 99382 |
|
26 |
16 |
$200.31 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,961 |
1,326 |
$187.50 |
| 81025 |
|
920 |
585 |
$182.14 |
| 99307 |
|
402 |
336 |
$165.07 |
| 82948 |
|
1,394 |
963 |
$150.27 |
| 86703 |
|
83 |
53 |
$146.09 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
70 |
63 |
$62.16 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
78 |
45 |
$55.20 |
| 99173 |
|
280 |
206 |
$40.36 |
| 80305 |
|
197 |
101 |
$39.51 |
| 90756 |
|
28 |
16 |
$35.04 |
| 11056 |
|
205 |
149 |
$27.85 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
363 |
264 |
$27.58 |
| 83655 |
|
33 |
24 |
$22.32 |
| 90723 |
|
22 |
13 |
$20.00 |
| 87400 |
|
316 |
237 |
$12.16 |
| 90734 |
|
70 |
57 |
$10.00 |
| Z6304 |
|
405 |
370 |
$0.00 |
| 90653 |
|
28 |
25 |
$0.00 |
| Z6300 |
|
39 |
39 |
$0.00 |
| 11719 |
|
218 |
212 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 91313 |
|
117 |
117 |
$0.00 |
| 90715 |
|
48 |
38 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
521 |
520 |
$0.00 |
| 11720 |
|
92 |
68 |
$0.00 |
| 90661 |
|
166 |
147 |
$0.00 |
| Z6400 |
|
54 |
54 |
$0.00 |
| 11057 |
|
19 |
12 |
$0.00 |
| Z6200 |
|
37 |
37 |
$0.00 |
| Z1034 |
|
195 |
139 |
$0.00 |
| 99000 |
|
42 |
41 |
$0.00 |
| 11055 |
|
118 |
82 |
$0.00 |
| 90674 |
|
96 |
96 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
164 |
133 |
$0.00 |
| 90651 |
|
91 |
90 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
86 |
66 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
24 |
24 |
$0.00 |
| Z6204 |
|
18 |
12 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| Z6402 |
|
39 |
39 |
$0.00 |
| 90686 |
|
58 |
58 |
$0.00 |
| 90677 |
|
38 |
24 |
$0.00 |