| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
475,673 |
405,893 |
$121.47M |
| 00003 |
Internal/system code - not a standard HCPCS code |
43,402 |
34,899 |
$13.08M |
| 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 |
13,635 |
11,300 |
$1.66M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
212,771 |
161,782 |
$479K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
105,197 |
80,774 |
$359K |
| 90834 |
Psychotherapy, 45 minutes with patient |
29,470 |
16,097 |
$293K |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
2,313 |
2,272 |
$279K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
1,753 |
1,421 |
$216K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
21,573 |
17,264 |
$163K |
| 90832 |
Psychotherapy, 30 minutes with patient |
14,840 |
8,731 |
$113K |
| 90791 |
Psychiatric diagnostic evaluation |
4,532 |
2,913 |
$89K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12,998 |
11,197 |
$86K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,818 |
2,165 |
$62K |
| 99215 |
Prolong outpt/office vis |
3,820 |
2,624 |
$60K |
| 98940 |
|
679 |
519 |
$51K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21,411 |
16,312 |
$28K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,906 |
3,450 |
$21K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
7,101 |
4,434 |
$19K |
| 97803 |
|
1,939 |
1,862 |
$17K |
| 20610 |
|
3,868 |
3,015 |
$13K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
279 |
178 |
$11K |
| 59425 |
|
4,731 |
3,048 |
$9K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
5,077 |
3,728 |
$9K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,187 |
1,106 |
$8K |
| 97802 |
|
768 |
719 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
6,153 |
4,237 |
$7K |
| 99242 |
|
2,891 |
2,073 |
$5K |
| 99460 |
|
3,367 |
2,713 |
$4K |
| J1950 |
Injection, leuprolide acetate (for depot suspension), per 3.75 mg |
413 |
319 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,698 |
6,583 |
$3K |
| 99243 |
|
1,280 |
915 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
3,403 |
2,685 |
$3K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
1,811 |
1,741 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,293 |
945 |
$2K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
2,931 |
2,437 |
$2K |
| 81025 |
|
15,163 |
11,437 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,050 |
392 |
$1K |
| H1000 |
Prenatal care, at-risk assessment |
371 |
370 |
$1K |
| 51798 |
|
524 |
419 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
174 |
169 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,876 |
4,587 |
$1K |
| 97804 |
|
156 |
156 |
$1K |
| 90686 |
|
6,411 |
5,135 |
$904.32 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
732 |
551 |
$813.78 |
| J3490 |
Unclassified drugs |
1,705 |
1,354 |
$763.22 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
993 |
669 |
$690.96 |
| 99381 |
|
1,039 |
995 |
$673.65 |
| 59025 |
Fetal non-stress test |
1,707 |
758 |
$640.58 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,316 |
6,536 |
$632.32 |
| 59430 |
|
288 |
287 |
$606.05 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
102 |
87 |
$544.28 |
| 58300 |
|
94 |
61 |
$502.79 |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
55 |
39 |
$399.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
574 |
450 |
$392.55 |
| 11721 |
|
1,808 |
1,580 |
$384.28 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
616 |
478 |
$379.35 |
| 90715 |
|
1,183 |
910 |
$378.99 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
326 |
230 |
$325.22 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,959 |
3,411 |
$284.29 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,062 |
810 |
$270.64 |
| 96156 |
|
466 |
457 |
$200.50 |
| 81003 |
|
6,178 |
4,853 |
$194.57 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,995 |
3,038 |
$170.90 |
| 99462 |
|
342 |
260 |
$164.13 |
| 99201 |
|
89 |
89 |
$156.63 |
| 99222 |
Initial hospital care, per day, moderate complexity |
57 |
40 |
$146.40 |
| 91322 |
|
20 |
13 |
$145.92 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,410 |
2,693 |
$130.67 |
| 99401 |
|
294 |
294 |
$125.28 |
| 11982 |
|
18 |
12 |
$123.67 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,620 |
1,304 |
$108.56 |
| 0011A |
|
66 |
58 |
$107.00 |
| 81002 |
|
603 |
486 |
$100.34 |
| 17110 |
|
58 |
36 |
$98.78 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
386 |
312 |
$91.08 |
| 82948 |
|
4,514 |
3,564 |
$87.32 |
| 92552 |
|
4,381 |
3,516 |
$82.77 |
| 90670 |
|
5,416 |
4,530 |
$73.74 |
| 99497 |
|
103 |
93 |
$68.89 |
| 82962 |
|
2,518 |
1,999 |
$50.56 |
| 85018 |
|
4,617 |
3,617 |
$48.83 |
| 90723 |
|
4,590 |
3,901 |
$46.41 |
| 76830 |
Ultrasound, transvaginal |
15 |
15 |
$40.18 |
| 90647 |
|
4,540 |
3,805 |
$36.96 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
487 |
400 |
$34.60 |
| 90656 |
|
692 |
567 |
$33.23 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
349 |
260 |
$28.53 |
| 92250 |
|
33 |
28 |
$27.72 |
| 90480 |
|
19 |
13 |
$20.00 |
| 99442 |
|
995 |
943 |
$19.65 |
| 90785 |
|
29 |
14 |
$19.40 |
| 90680 |
|
3,467 |
2,933 |
$18.45 |
| Z1034 |
|
21,024 |
13,347 |
$0.00 |
| 3008F |
|
48,587 |
46,509 |
$0.00 |
| 3075F |
|
1,003 |
987 |
$0.00 |
| 3079F |
|
1,615 |
1,580 |
$0.00 |
| 3044F |
|
121 |
114 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
28 |
28 |
$0.00 |
| 3074F |
|
2,981 |
2,911 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
40 |
36 |
$0.00 |
| 90651 |
|
484 |
387 |
$0.00 |
| 3080F |
|
381 |
377 |
$0.00 |
| Z1032 |
|
2,361 |
2,355 |
$0.00 |
| 99443 |
|
1,013 |
960 |
$0.00 |
| 90716 |
|
2,009 |
1,586 |
$0.00 |
| Z1038 |
|
1,208 |
1,205 |
$0.00 |
| Z6204 |
|
466 |
446 |
$0.00 |
| 99441 |
|
205 |
203 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
18 |
14 |
$0.00 |
| 90677 |
|
869 |
793 |
$0.00 |
| Z6402 |
|
504 |
504 |
$0.00 |
| Z6410 |
|
1,627 |
1,326 |
$0.00 |
| 90696 |
|
303 |
231 |
$0.00 |
| 91301 |
|
146 |
144 |
$0.00 |
| 90674 |
|
56 |
56 |
$0.00 |
| 90620 |
|
30 |
26 |
$0.00 |
| 92551 |
|
110 |
93 |
$0.00 |
| G9964 |
Patient received at least one well-child visit with a pcp during the performance period |
111 |
98 |
$0.00 |
| 0012A |
|
58 |
50 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
271 |
210 |
$0.00 |
| Z6406 |
|
79 |
79 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
13 |
13 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$0.00 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
15 |
12 |
$0.00 |
| 3077F |
|
1,171 |
1,135 |
$0.00 |
| 1159F |
|
78,824 |
73,889 |
$0.00 |
| 90662 |
|
16 |
16 |
$0.00 |
| 1160F |
|
46,995 |
43,985 |
$0.00 |
| 90633 |
|
2,451 |
1,936 |
$0.00 |
| 3078F |
|
3,477 |
3,375 |
$0.00 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
975 |
746 |
$0.00 |
| 90700 |
|
578 |
457 |
$0.00 |
| Z6400 |
|
3,155 |
3,151 |
$0.00 |
| 90707 |
|
1,993 |
1,573 |
$0.00 |
| 11056 |
|
339 |
309 |
$0.00 |
| Z6200 |
|
380 |
380 |
$0.00 |
| Z6300 |
|
699 |
696 |
$0.00 |
| 90685 |
|
426 |
353 |
$0.00 |
| 90734 |
|
297 |
234 |
$0.00 |
| 87634 |
|
22 |
17 |
$0.00 |
| Z6304 |
|
97 |
97 |
$0.00 |
| Z7500 |
|
130 |
130 |
$0.00 |
| 90644 |
|
50 |
41 |
$0.00 |
| 0900 |
|
18 |
12 |
$0.00 |
| 90681 |
|
44 |
44 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
18 |
17 |
$0.00 |
| 11981 |
|
17 |
13 |
$0.00 |
| 3046F |
|
31 |
26 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
100 |
83 |
$0.00 |
| G9774 |
Patients who have had a hysterectomy |
28 |
28 |
$0.00 |
| 90653 |
|
19 |
19 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
14 |
14 |
$0.00 |