| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
125,661 |
112,407 |
$19.27M |
| 00003 |
Internal/system code - not a standard HCPCS code |
55,580 |
41,681 |
$10.90M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
115,080 |
91,834 |
$108K |
| 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 |
10,172 |
8,724 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,750 |
19,300 |
$36K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,712 |
1,046 |
$28K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,539 |
1,189 |
$18K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
2,604 |
2,494 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,959 |
6,527 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15,254 |
12,225 |
$14K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
8,742 |
7,549 |
$12K |
| 90756 |
|
1,863 |
1,634 |
$11K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13,422 |
11,284 |
$9K |
| 90658 |
|
707 |
687 |
$5K |
| D4341 |
|
810 |
249 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
391 |
188 |
$3K |
| 90750 |
|
1,470 |
914 |
$2K |
| 90686 |
|
3,328 |
2,601 |
$2K |
| 3008F |
|
38,833 |
32,657 |
$2K |
| D4910 |
|
186 |
160 |
$1K |
| 90688 |
|
2,668 |
2,204 |
$1K |
| 93000 |
|
211 |
197 |
$1K |
| 90746 |
|
1,672 |
1,116 |
$701.67 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
163 |
148 |
$647.89 |
| D0210 |
Intraoral - complete series of radiographic images |
99 |
61 |
$620.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
86 |
49 |
$601.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,772 |
2,349 |
$567.36 |
| 90715 |
|
630 |
432 |
$550.00 |
| 88142 |
|
1,685 |
1,573 |
$432.00 |
| 1034F |
|
13,016 |
10,614 |
$330.00 |
| 92551 |
|
682 |
643 |
$326.60 |
| 90674 |
|
1,089 |
918 |
$295.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,199 |
1,023 |
$293.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,914 |
1,195 |
$230.00 |
| 90632 |
|
74 |
48 |
$210.00 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
1,845 |
1,599 |
$172.79 |
| 99397 |
|
403 |
315 |
$140.00 |
| 3725F |
|
2,762 |
2,594 |
$125.00 |
| 99497 |
|
83 |
80 |
$110.00 |
| 90662 |
|
13 |
13 |
$98.00 |
| D0120 |
Periodic oral evaluation - established patient |
107 |
96 |
$93.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,087 |
1,537 |
$55.00 |
| 97026 |
|
3,331 |
2,483 |
$50.08 |
| G0008 |
Administration of influenza virus vaccine |
1,150 |
1,035 |
$50.00 |
| 92015 |
Determination of refractive state |
1,769 |
1,306 |
$47.58 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
14 |
14 |
$45.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
3,331 |
2,483 |
$44.42 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
713 |
621 |
$39.44 |
| 1160F |
|
1,047 |
936 |
$30.00 |
| 97039 |
|
3,158 |
2,360 |
$28.54 |
| D0230 |
Intraoral - periapical each additional radiographic image |
399 |
96 |
$26.40 |
| 1126F |
|
845 |
748 |
$25.98 |
| 36415 |
Collection of venous blood by venipuncture |
4,070 |
3,183 |
$18.00 |
| 97810 |
|
3,286 |
2,457 |
$5.79 |
| 97811 |
|
3,286 |
2,457 |
$5.79 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
8,508 |
7,548 |
$0.14 |
| 98961 |
|
33,950 |
28,501 |
$0.03 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
59 |
59 |
$0.01 |
| 3078F |
|
5,625 |
4,890 |
$0.00 |
| 4004F |
|
13,015 |
10,613 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
252 |
194 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
914 |
758 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
290 |
290 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
151 |
128 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
49 |
47 |
$0.00 |
| 90661 |
|
56 |
56 |
$0.00 |
| 3077F |
|
1,216 |
949 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
334 |
313 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
91 |
90 |
$0.00 |
| 2022F |
|
818 |
670 |
$0.00 |
| 2028F |
|
605 |
514 |
$0.00 |
| 90734 |
|
146 |
145 |
$0.00 |
| 1158F |
|
603 |
538 |
$0.00 |
| 82948 |
|
37 |
37 |
$0.00 |
| 1090F |
|
59 |
54 |
$0.00 |
| 1159F |
|
582 |
529 |
$0.00 |
| 90707 |
|
20 |
12 |
$0.00 |
| 3288F |
|
29 |
26 |
$0.00 |
| 99173 |
|
134 |
132 |
$0.00 |
| 99080 |
|
99 |
91 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
32 |
29 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
59 |
59 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
14 |
12 |
$0.00 |
| 90670 |
|
69 |
49 |
$0.00 |
| 0054A |
|
39 |
39 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
21 |
21 |
$0.00 |
| A4614 |
Peak expiratory flow rate meter, hand held |
15 |
15 |
$0.00 |
| 3080F |
|
687 |
532 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
24 |
24 |
$0.00 |
| 2023F |
|
603 |
382 |
$0.00 |
| 0012A |
|
189 |
189 |
$0.00 |
| 3075F |
|
3,170 |
2,735 |
$0.00 |
| 99172 |
|
299 |
293 |
$0.00 |
| 3074F |
|
5,986 |
5,172 |
$0.00 |
| 1170F |
|
1,043 |
932 |
$0.00 |
| 3079F |
|
4,984 |
4,234 |
$0.00 |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
343 |
343 |
$0.00 |
| 90651 |
|
224 |
213 |
$0.00 |
| 99386 |
|
447 |
362 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
51 |
42 |
$0.00 |
| 90656 |
|
386 |
348 |
$0.00 |
| 1111F |
|
367 |
285 |
$0.00 |
| 3017F |
|
65 |
53 |
$0.00 |
| 99385 |
|
162 |
120 |
$0.00 |
| 3072F |
|
91 |
90 |
$0.00 |
| 94762 |
|
336 |
306 |
$0.00 |
| 94760 |
|
149 |
149 |
$0.00 |
| 3044F |
|
73 |
72 |
$0.00 |
| 3061F |
|
66 |
66 |
$0.00 |
| 1101F |
|
58 |
53 |
$0.00 |
| 0011A |
|
58 |
58 |
$0.00 |
| 82607 |
|
12 |
12 |
$0.00 |
| 3014F |
|
13 |
12 |
$0.00 |
| G0296 |
Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) |
30 |
26 |
$0.00 |
| 0064A |
|
237 |
237 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
17 |
17 |
$0.00 |