| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
56,932 |
46,155 |
$11.38M |
| 00003 |
Internal/system code - not a standard HCPCS code |
12,703 |
10,586 |
$4.07M |
| 90832 |
Psychotherapy, 30 minutes with patient |
7,245 |
2,854 |
$157K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
6,478 |
3,164 |
$48K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,132 |
11,778 |
$24K |
| 90791 |
Psychiatric diagnostic evaluation |
337 |
209 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,942 |
10,688 |
$15K |
| 98940 |
|
1,481 |
742 |
$12K |
| 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 |
245 |
203 |
$6K |
| G9920 |
Screening performed and negative |
2,490 |
2,470 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
687 |
634 |
$3K |
| 0012A |
|
41 |
41 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
736 |
715 |
$2K |
| 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 |
123 |
123 |
$2K |
| 91320 |
|
84 |
84 |
$2K |
| 90677 |
|
191 |
187 |
$2K |
| 0011A |
|
26 |
26 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
467 |
457 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
130 |
121 |
$1K |
| 0002A |
|
18 |
18 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
564 |
544 |
$1K |
| 0001A |
|
16 |
16 |
$1K |
| 90715 |
|
336 |
317 |
$899.94 |
| 90480 |
|
94 |
94 |
$840.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
528 |
517 |
$789.54 |
| 96156 |
|
348 |
342 |
$598.53 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
287 |
266 |
$458.14 |
| 99384 |
|
30 |
27 |
$348.64 |
| 90651 |
|
172 |
168 |
$301.92 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
671 |
670 |
$298.90 |
| 90686 |
|
405 |
392 |
$276.64 |
| 85018 |
|
2,393 |
2,281 |
$271.94 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
122 |
118 |
$228.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,870 |
1,837 |
$218.99 |
| 90619 |
|
78 |
75 |
$168.98 |
| 99000 |
|
2,287 |
2,282 |
$151.82 |
| 92552 |
|
419 |
412 |
$101.81 |
| G9919 |
Screening performed and positive and provision of recommendations |
33 |
32 |
$58.00 |
| 92250 |
|
14 |
14 |
$51.40 |
| 90656 |
|
149 |
147 |
$44.70 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
462 |
459 |
$16.50 |
| 99406 |
|
32 |
25 |
$10.41 |
| 90710 |
|
13 |
12 |
$9.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
719 |
717 |
$8.83 |
| 97803 |
|
466 |
461 |
$0.06 |
| 3079F |
|
3,277 |
3,075 |
$0.00 |
| 1125F |
|
1,058 |
1,006 |
$0.00 |
| 3074F |
|
8,515 |
7,801 |
$0.00 |
| 3080F |
|
702 |
656 |
$0.00 |
| 3075F |
|
1,473 |
1,403 |
$0.00 |
| 1126F |
|
2,559 |
2,424 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
46 |
46 |
$0.00 |
| 3008F |
|
492 |
473 |
$0.00 |
| 92551 |
|
732 |
732 |
$0.00 |
| 96151 |
|
218 |
218 |
$0.00 |
| 90698 |
|
15 |
14 |
$0.00 |
| 99383 |
|
27 |
27 |
$0.00 |
| 97802 |
|
91 |
91 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
16 |
16 |
$0.00 |
| 96150 |
|
61 |
61 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
17 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |
| 96160 |
|
153 |
150 |
$0.00 |
| 3077F |
|
1,592 |
1,471 |
$0.00 |
| 1159F |
|
9,835 |
8,712 |
$0.00 |
| 3078F |
|
7,823 |
7,183 |
$0.00 |
| 1160F |
|
9,835 |
8,712 |
$0.00 |
| 99173 |
|
1,124 |
1,123 |
$0.00 |
| 99401 |
|
634 |
634 |
$0.00 |
| 90750 |
|
16 |
16 |
$0.00 |
| 90633 |
|
26 |
25 |
$0.00 |
| 81002 |
|
26 |
26 |
$0.00 |
| 81025 |
|
12 |
12 |
$0.00 |
| 99201 |
|
33 |
33 |
$0.00 |
| 90670 |
|
13 |
12 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
15 |
15 |
$0.00 |
| 90734 |
|
14 |
13 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$0.00 |