| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
205,232 |
165,591 |
$41.33M |
| 00003 |
Internal/system code - not a standard HCPCS code |
7,597 |
7,376 |
$1.78M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
175,181 |
108,561 |
$961K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
5,243 |
3,316 |
$375K |
| 59425 |
|
2,340 |
1,702 |
$158K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,122 |
8,092 |
$72K |
| 90686 |
|
8,595 |
5,826 |
$67K |
| 90834 |
Psychotherapy, 45 minutes with patient |
7,719 |
4,300 |
$63K |
| 96156 |
|
4,991 |
3,846 |
$55K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,251 |
552 |
$47K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
2,999 |
2,408 |
$47K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
3,795 |
2,586 |
$41K |
| 99401 |
|
3,064 |
2,506 |
$34K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
1,863 |
1,341 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16,286 |
7,991 |
$30K |
| 87428 |
|
784 |
552 |
$27K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,869 |
1,043 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,709 |
2,007 |
$18K |
| 0004A |
|
265 |
265 |
$18K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,202 |
1,259 |
$17K |
| 97803 |
|
1,426 |
1,156 |
$16K |
| H2000 |
Comprehensive multidisciplinary evaluation |
1,589 |
1,154 |
$15K |
| 80305 |
|
2,557 |
1,542 |
$15K |
| 97802 |
|
567 |
485 |
$12K |
| 0134A |
|
167 |
167 |
$11K |
| S9452 |
Nutrition classes, non-physician provider, per session |
1,137 |
853 |
$10K |
| 0071A |
|
153 |
153 |
$10K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
349 |
341 |
$9K |
| 99402 |
|
464 |
416 |
$8K |
| 0072A |
|
125 |
125 |
$8K |
| 0064A |
|
124 |
124 |
$8K |
| 81025 |
|
4,313 |
2,836 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
223 |
222 |
$8K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
14 |
12 |
$8K |
| 97810 |
|
1,471 |
797 |
$7K |
| 97811 |
|
1,467 |
796 |
$7K |
| 90649 |
|
1,277 |
904 |
$7K |
| 90715 |
|
793 |
548 |
$6K |
| 90670 |
|
1,755 |
1,370 |
$6K |
| 90656 |
|
540 |
402 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
296 |
220 |
$4K |
| 90647 |
|
1,428 |
1,055 |
$4K |
| 90723 |
|
1,330 |
1,016 |
$4K |
| 95250 |
|
43 |
30 |
$4K |
| 0012A |
|
59 |
59 |
$4K |
| 0001A |
|
67 |
60 |
$4K |
| 90680 |
|
858 |
623 |
$3K |
| 0002A |
|
47 |
47 |
$3K |
| 0011A |
|
110 |
102 |
$3K |
| 90633 |
|
885 |
689 |
$3K |
| H0049 |
Alcohol and/or drug screening |
167 |
167 |
$3K |
| 59025 |
Fetal non-stress test |
467 |
226 |
$3K |
| 0124A |
|
41 |
41 |
$3K |
| 90734 |
|
653 |
424 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,466 |
1,166 |
$3K |
| 95251 |
|
109 |
74 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,205 |
1,664 |
$2K |
| 59430 |
|
34 |
26 |
$2K |
| 97597 |
|
58 |
27 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,486 |
1,274 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,911 |
1,498 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,826 |
5,500 |
$2K |
| 92551 |
|
4,203 |
3,321 |
$2K |
| 92015 |
Determination of refractive state |
271 |
263 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
493 |
270 |
$1K |
| D1206 |
Topical application of fluoride varnish |
132 |
80 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
117 |
71 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,504 |
1,403 |
$1K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
162 |
40 |
$1K |
| 90677 |
|
183 |
105 |
$936.00 |
| 99215 |
Prolong outpt/office vis |
349 |
211 |
$920.79 |
| 90700 |
|
254 |
190 |
$819.00 |
| J3490 |
Unclassified drugs |
24 |
13 |
$781.40 |
| 96151 |
|
83 |
77 |
$706.44 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
17 |
14 |
$688.08 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
41 |
32 |
$686.81 |
| 90707 |
|
145 |
94 |
$610.00 |
| 90716 |
|
191 |
129 |
$603.00 |
| 99381 |
|
19 |
14 |
$498.63 |
| 90710 |
|
138 |
109 |
$414.00 |
| 92081 |
|
2,240 |
2,207 |
$402.04 |
| 69210 |
|
35 |
26 |
$400.41 |
| 81005 |
|
1,069 |
838 |
$374.32 |
| 90651 |
|
17 |
17 |
$304.00 |
| 90696 |
|
99 |
79 |
$297.00 |
| 81003 |
|
655 |
487 |
$290.62 |
| A4267 |
Contraceptive supply, condom, male, each |
65 |
39 |
$264.04 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
71 |
53 |
$260.03 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
30 |
16 |
$249.43 |
| 94150 |
|
97 |
55 |
$243.04 |
| 83986 |
|
3,695 |
2,640 |
$214.01 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
70 |
42 |
$207.85 |
| 90681 |
|
41 |
25 |
$207.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
62 |
60 |
$166.12 |
| 90461 |
|
44 |
31 |
$152.92 |
| 97804 |
|
35 |
28 |
$109.27 |
| 93000 |
|
181 |
109 |
$91.88 |
| 11721 |
|
40 |
40 |
$33.13 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
21 |
15 |
$32.76 |
| 82948 |
|
69 |
61 |
$19.74 |
| 87430 |
|
219 |
211 |
$12.78 |
| S5199 |
Personal care item, nos, each |
45 |
27 |
$6.78 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
21 |
12 |
$0.55 |
| 1159F |
|
9,193 |
8,571 |
$0.00 |
| 1160F |
|
9,191 |
8,570 |
$0.00 |
| 3078F |
|
7,372 |
6,841 |
$0.00 |
| Z6304 |
|
3,204 |
2,895 |
$0.00 |
| Z6208 |
|
690 |
645 |
$0.00 |
| 4274F |
|
5,501 |
4,829 |
$0.00 |
| Z6200 |
|
1,071 |
1,067 |
$0.00 |
| Z6300 |
|
1,039 |
1,036 |
$0.00 |
| Z6414 |
|
1,301 |
1,133 |
$0.00 |
| Z6400 |
|
3,647 |
3,409 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
366 |
348 |
$0.00 |
| Z6206 |
|
44 |
44 |
$0.00 |
| 4040F |
|
273 |
270 |
$0.00 |
| Z6308 |
|
1,077 |
945 |
$0.00 |
| 99173 |
|
464 |
464 |
$0.00 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
28 |
28 |
$0.00 |
| 3077F |
|
160 |
159 |
$0.00 |
| A4614 |
Peak expiratory flow rate meter, hand held |
29 |
28 |
$0.00 |
| Z1036 |
|
88 |
55 |
$0.00 |
| 4037F |
|
487 |
487 |
$0.00 |
| 3008F |
|
10,216 |
9,423 |
$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 |
4,689 |
3,884 |
$0.00 |
| 3074F |
|
6,609 |
6,116 |
$0.00 |
| 2001F |
|
10,790 |
9,933 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
3,563 |
3,073 |
$0.00 |
| Z1034 |
|
8,041 |
6,056 |
$0.00 |
| Z6410 |
|
2,489 |
2,125 |
$0.00 |
| 3351F |
|
777 |
772 |
$0.00 |
| Z6406 |
|
3,794 |
3,518 |
$0.00 |
| 2010F |
|
11,083 |
10,176 |
$0.00 |
| Z6204 |
|
1,912 |
1,850 |
$0.00 |
| 2000F |
|
9,160 |
8,460 |
$0.00 |
| Z6402 |
|
1,056 |
1,053 |
$0.00 |
| 3075F |
|
476 |
457 |
$0.00 |
| 3079F |
|
375 |
364 |
$0.00 |
| 1036F |
|
2,375 |
2,254 |
$0.00 |
| 4010F |
|
278 |
264 |
$0.00 |
| Z1038 |
|
13 |
13 |
$0.00 |
| 3080F |
|
14 |
14 |
$0.00 |
| 99383 |
|
26 |
13 |
$0.00 |