| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
104,497 |
90,016 |
$23.43M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
76,972 |
46,290 |
$1.64M |
| 00003 |
Internal/system code - not a standard HCPCS code |
3,712 |
3,477 |
$1.04M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35,098 |
21,963 |
$918K |
| 90832 |
Psychotherapy, 30 minutes with patient |
12,031 |
5,505 |
$360K |
| 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 |
1,393 |
1,172 |
$178K |
| 90791 |
Psychiatric diagnostic evaluation |
1,528 |
1,062 |
$142K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15,298 |
9,387 |
$121K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,297 |
1,875 |
$89K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,465 |
806 |
$73K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,218 |
1,252 |
$70K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,903 |
661 |
$63K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19,772 |
13,164 |
$56K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,028 |
1,153 |
$51K |
| 92551 |
|
9,648 |
5,671 |
$48K |
| 99078 |
|
2,108 |
901 |
$32K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
685 |
459 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
972 |
676 |
$22K |
| 0011A |
|
264 |
264 |
$18K |
| 91321 |
|
303 |
172 |
$18K |
| 0012A |
|
259 |
258 |
$17K |
| 0002A |
|
253 |
253 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
353 |
237 |
$16K |
| 90677 |
|
325 |
229 |
$16K |
| 0001A |
|
207 |
207 |
$14K |
| 85018 |
|
13,451 |
8,092 |
$13K |
| 90480 |
|
767 |
453 |
$13K |
| 90739 |
|
85 |
67 |
$8K |
| 0072A |
|
119 |
119 |
$8K |
| 0071A |
|
112 |
112 |
$7K |
| 0064A |
|
106 |
106 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
440 |
242 |
$6K |
| 90651 |
|
304 |
222 |
$6K |
| 99215 |
Prolong outpt/office vis |
113 |
78 |
$6K |
| 90715 |
|
249 |
178 |
$5K |
| 0004A |
|
66 |
65 |
$4K |
| 99173 |
|
9,854 |
5,807 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
143 |
99 |
$4K |
| 0134A |
|
64 |
61 |
$4K |
| 91322 |
|
62 |
33 |
$3K |
| 81025 |
|
1,645 |
1,304 |
$3K |
| 90686 |
|
2,929 |
2,782 |
$2K |
| 81002 |
|
3,373 |
2,101 |
$2K |
| 90656 |
|
668 |
542 |
$2K |
| 90674 |
|
93 |
54 |
$1K |
| 87400 |
|
896 |
732 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
124 |
100 |
$1K |
| 0054A |
|
19 |
19 |
$1K |
| 0124A |
|
25 |
22 |
$1K |
| 99460 |
|
82 |
58 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
213 |
163 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
652 |
508 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
18 |
13 |
$954.80 |
| 90658 |
|
122 |
73 |
$858.24 |
| 90670 |
|
217 |
156 |
$738.99 |
| 92552 |
|
102 |
58 |
$683.28 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
51 |
48 |
$445.50 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
39 |
26 |
$408.82 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$360.00 |
| 90633 |
|
61 |
39 |
$336.20 |
| 90744 |
|
49 |
39 |
$258.93 |
| 90698 |
|
28 |
26 |
$237.24 |
| 82948 |
|
145 |
127 |
$54.15 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
319 |
259 |
$31.23 |
| 99000 |
|
218 |
217 |
$3.63 |
| 90619 |
|
46 |
25 |
$0.03 |
| 36415 |
Collection of venous blood by venipuncture |
209 |
209 |
$0.00 |
| Z6204 |
|
381 |
317 |
$0.00 |
| Z1034 |
|
2,015 |
1,442 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
580 |
576 |
$0.00 |
| 96380 |
|
39 |
26 |
$0.00 |
| Z6406 |
|
330 |
300 |
$0.00 |
| 90381 |
|
17 |
12 |
$0.00 |
| 90680 |
|
22 |
14 |
$0.00 |
| 90474 |
|
34 |
27 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,068 |
2,059 |
$0.00 |
| Z6304 |
|
277 |
250 |
$0.00 |
| 90734 |
|
111 |
76 |
$0.00 |
| Z6400 |
|
38 |
38 |
$0.00 |
| 90661 |
|
32 |
20 |
$0.00 |