| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
116,887 |
80,948 |
$19.99M |
| 00003 |
Internal/system code - not a standard HCPCS code |
20,603 |
16,551 |
$4.38M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
95,111 |
50,376 |
$81K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
46,042 |
24,800 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,242 |
12,811 |
$19K |
| 90832 |
Psychotherapy, 30 minutes with patient |
23,613 |
4,360 |
$19K |
| G9012 |
Other specified case management service not elsewhere classified |
466 |
438 |
$19K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,103 |
863 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
8,740 |
5,231 |
$10K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
2,504 |
1,524 |
$7K |
| 97803 |
|
14,343 |
7,923 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
686 |
471 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,267 |
2,213 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
15,878 |
11,519 |
$5K |
| 99385 |
|
252 |
218 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
992 |
763 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,426 |
931 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,576 |
1,685 |
$4K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,860 |
1,652 |
$3K |
| 93000 |
|
2,814 |
1,946 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
517 |
353 |
$2K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
3,171 |
2,141 |
$2K |
| G9920 |
Screening performed and negative |
8,085 |
5,504 |
$1K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
34 |
34 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
608 |
424 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,097 |
744 |
$1K |
| 92551 |
|
7,998 |
5,773 |
$1K |
| 99386 |
|
67 |
64 |
$986.76 |
| 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 |
2,963 |
2,136 |
$863.52 |
| 99000 |
|
6,019 |
4,230 |
$817.86 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,950 |
2,104 |
$704.38 |
| 99406 |
|
970 |
782 |
$626.92 |
| 81002 |
|
7,370 |
5,087 |
$413.77 |
| 90686 |
|
2,274 |
1,556 |
$387.64 |
| 90461 |
|
1,301 |
958 |
$336.05 |
| 99173 |
|
8,465 |
6,036 |
$328.05 |
| 94760 |
|
204 |
188 |
$212.42 |
| 92081 |
|
52 |
37 |
$212.00 |
| 98940 |
|
413 |
273 |
$182.05 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
14 |
12 |
$180.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,590 |
1,119 |
$90.78 |
| 36415 |
Collection of venous blood by venipuncture |
938 |
677 |
$90.00 |
| Q3014 |
Telehealth originating site facility fee |
23 |
23 |
$89.71 |
| 90734 |
|
350 |
286 |
$60.82 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
27,611 |
16,657 |
$50.00 |
| 90633 |
|
282 |
233 |
$40.54 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
216 |
153 |
$37.12 |
| 90651 |
|
421 |
307 |
$35.91 |
| 90700 |
|
299 |
266 |
$25.00 |
| 90670 |
|
342 |
260 |
$25.00 |
| H0001 |
Alcohol and/or drug assessment |
1,507 |
1,330 |
$20.00 |
| V2799 |
Vision item or service, miscellaneous |
15 |
12 |
$20.00 |
| 90715 |
|
108 |
90 |
$17.91 |
| 80069 |
|
441 |
273 |
$15.04 |
| 90671 |
|
30 |
28 |
$14.91 |
| 81025 |
|
120 |
98 |
$13.54 |
| 82043 |
|
265 |
162 |
$10.06 |
| 90697 |
|
16 |
14 |
$8.91 |
| 0001F |
|
1,514 |
1,182 |
$7.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
15 |
15 |
$0.12 |
| 3077F |
|
8,441 |
5,532 |
$0.00 |
| 3078F |
|
32,329 |
20,337 |
$0.00 |
| D1120 |
Prophylaxis - child |
81 |
81 |
$0.00 |
| 90648 |
|
114 |
70 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
168 |
168 |
$0.00 |
| 99446 |
|
1,464 |
729 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
107 |
107 |
$0.00 |
| D1110 |
Prophylaxis - adult |
159 |
159 |
$0.00 |
| D9430 |
|
1,435 |
1,399 |
$0.00 |
| D4341 |
|
123 |
103 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
360 |
357 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
202 |
144 |
$0.00 |
| 1159F |
|
337 |
315 |
$0.00 |
| 97813 |
|
286 |
117 |
$0.00 |
| 87400 |
|
31 |
15 |
$0.00 |
| 90644 |
|
33 |
26 |
$0.00 |
| M1005 |
Tb screening not performed or results not interpreted, reason not given |
131 |
88 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
106 |
93 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
89 |
57 |
$0.00 |
| 80074 |
|
167 |
123 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
52 |
27 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
72 |
46 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
249 |
156 |
$0.00 |
| 83655 |
|
19 |
12 |
$0.00 |
| 90707 |
|
18 |
12 |
$0.00 |
| 3342F |
|
14 |
12 |
$0.00 |
| 3051F |
|
16 |
13 |
$0.00 |
| 1160F |
|
163 |
157 |
$0.00 |
| 90710 |
|
24 |
17 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
145 |
93 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
18 |
18 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
85 |
70 |
$0.00 |
| 99382 |
|
15 |
14 |
$0.00 |
| D0270 |
|
12 |
12 |
$0.00 |
| G0512 |
Rural health clinic or federally qualified health center (rhc/fqhc) only, psychiatric collaborative care model (psychiatric cocm), 60 minutes or more of clinical staff time for psychiatric cocm services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm) and including services furnished by a behavioral health care manager and consultation with a psychiatric consultant, per calendar month |
19 |
12 |
$0.00 |
| 99242 |
|
13 |
13 |
$0.00 |
| 99201 |
|
54 |
43 |
$0.00 |
| 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 |
42 |
26 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
4,302 |
3,550 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
4,020 |
2,440 |
$0.00 |
| 3075F |
|
8,743 |
5,940 |
$0.00 |
| 3074F |
|
37,382 |
22,850 |
$0.00 |
| 3080F |
|
4,619 |
2,924 |
$0.00 |
| 3079F |
|
17,476 |
11,311 |
$0.00 |
| 1036F |
|
4,460 |
3,763 |
$0.00 |
| 1000F |
|
5,874 |
4,018 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
25,341 |
15,280 |
$0.00 |
| 3044F |
|
1,947 |
1,323 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
108 |
108 |
$0.00 |
| V5008 |
Hearing screening |
181 |
112 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
270 |
270 |
$0.00 |
| 99383 |
|
180 |
131 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
635 |
439 |
$0.00 |
| 97814 |
|
162 |
56 |
$0.00 |
| 90696 |
|
23 |
15 |
$0.00 |
| 81000 |
|
134 |
92 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
174 |
174 |
$0.00 |
| 99447 |
|
568 |
279 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
50 |
46 |
$0.00 |
| D1330 |
|
496 |
496 |
$0.00 |
| 83550 |
|
16 |
12 |
$0.00 |
| 90716 |
|
68 |
57 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
162 |
144 |
$0.00 |
| 1035F |
|
171 |
152 |
$0.00 |
| D1310 |
|
497 |
497 |
$0.00 |
| 1126F |
|
96 |
91 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
60 |
43 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
194 |
127 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
205 |
204 |
$0.00 |
| G9459 |
Currently a tobacco non-user |
431 |
313 |
$0.00 |
| 99384 |
|
36 |
32 |
$0.00 |
| 1125F |
|
16 |
14 |
$0.00 |
| 92228 |
|
57 |
41 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
221 |
217 |
$0.00 |
| 97026 |
|
276 |
126 |
$0.00 |
| 97802 |
|
86 |
44 |
$0.00 |
| 90723 |
|
44 |
25 |
$0.00 |
| 88150 |
|
25 |
14 |
$0.00 |
| 90688 |
|
34 |
34 |
$0.00 |
| 4000F |
|
22 |
12 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
28 |
17 |
$0.00 |
| 88142 |
|
22 |
12 |
$0.00 |
| 99050 |
|
20 |
17 |
$0.00 |
| 86580 |
|
17 |
12 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
22 |
12 |
$0.00 |