| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
69,485 |
46,492 |
$11.88M |
| 00003 |
Internal/system code - not a standard HCPCS code |
7,228 |
4,320 |
$1.61M |
| 96156 |
|
22,199 |
19,029 |
$1.14M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37,990 |
26,314 |
$644K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,006 |
17,391 |
$289K |
| 97802 |
|
10,599 |
10,459 |
$150K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,601 |
4,567 |
$141K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,784 |
2,752 |
$138K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
210 |
210 |
$128K |
| 99205 |
Prolong outpt/office vis |
1,319 |
875 |
$77K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
1,772 |
1,524 |
$73K |
| G9920 |
Screening performed and negative |
3,177 |
3,160 |
$69K |
| 99215 |
Prolong outpt/office vis |
1,838 |
1,064 |
$66K |
| 99384 |
|
1,220 |
1,198 |
$62K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,815 |
2,546 |
$60K |
| 99383 |
|
1,134 |
1,124 |
$50K |
| 92551 |
|
5,085 |
5,014 |
$45K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,903 |
1,767 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,776 |
2,453 |
$33K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,687 |
2,685 |
$24K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,474 |
1,988 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
428 |
304 |
$14K |
| 98960 |
|
505 |
505 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
532 |
515 |
$10K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
3,374 |
3,364 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,294 |
3,271 |
$10K |
| 96127 |
|
5,441 |
5,374 |
$9K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
261 |
214 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
117 |
108 |
$8K |
| 99385 |
|
86 |
86 |
$8K |
| 85018 |
|
5,572 |
5,505 |
$8K |
| 99382 |
|
204 |
203 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
693 |
645 |
$8K |
| 99406 |
|
3,173 |
3,154 |
$7K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
711 |
708 |
$7K |
| 81002 |
|
4,212 |
4,127 |
$6K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,764 |
2,734 |
$6K |
| 87428 |
|
86 |
85 |
$5K |
| 90686 |
|
890 |
890 |
$4K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
169 |
166 |
$4K |
| 90651 |
|
445 |
431 |
$4K |
| 93000 |
|
169 |
165 |
$3K |
| 90619 |
|
326 |
320 |
$3K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
399 |
396 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,193 |
842 |
$3K |
| 90688 |
|
317 |
313 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
133 |
131 |
$3K |
| 81001 |
|
2,738 |
2,728 |
$3K |
| 90620 |
|
261 |
253 |
$2K |
| 97803 |
|
79 |
76 |
$2K |
| 96160 |
|
3,780 |
3,704 |
$2K |
| 87110 |
|
79 |
78 |
$1K |
| 87430 |
|
418 |
415 |
$1K |
| 0002A |
|
36 |
36 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
85 |
83 |
$1K |
| 90734 |
|
106 |
103 |
$945.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
278 |
269 |
$733.92 |
| 0001A |
|
16 |
16 |
$640.00 |
| 87070 |
|
80 |
79 |
$636.86 |
| 90633 |
|
71 |
70 |
$603.00 |
| 90670 |
|
60 |
57 |
$522.00 |
| 90698 |
|
55 |
53 |
$477.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
25 |
24 |
$404.00 |
| 90715 |
|
44 |
43 |
$396.00 |
| 83655 |
|
53 |
52 |
$391.58 |
| 90710 |
|
45 |
43 |
$378.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
13 |
13 |
$377.00 |
| 1031F |
|
3,889 |
3,870 |
$131.15 |
| 3008F |
|
4,468 |
4,369 |
$89.11 |
| 90656 |
|
58 |
58 |
$45.00 |
| 99173 |
|
277 |
277 |
$40.00 |
| 81005 |
|
16 |
16 |
$5.92 |
| 90832 |
Psychotherapy, 30 minutes with patient |
12,599 |
4,907 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
551 |
498 |
$0.00 |
| 1158F |
|
304 |
304 |
$0.00 |
| 1033F |
|
3,840 |
3,822 |
$0.00 |
| 3078F |
|
1,141 |
1,093 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
13 |
$0.00 |
| 3077F |
|
13 |
12 |
$0.00 |
| 3074F |
|
1,005 |
973 |
$0.00 |
| 3079F |
|
273 |
260 |
$0.00 |
| 1034F |
|
3,112 |
3,103 |
$0.00 |
| 3044F |
|
201 |
185 |
$0.00 |
| 1157F |
|
393 |
390 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
497 |
496 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
122 |
118 |
$0.00 |
| 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 |
71 |
61 |
$0.00 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
81 |
59 |
$0.00 |
| 3075F |
|
55 |
55 |
$0.00 |