| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
132,947 |
114,796 |
$23.67M |
| 00003 |
Internal/system code - not a standard HCPCS code |
1,359 |
984 |
$185K |
| 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 |
2,090 |
1,995 |
$31K |
| 0012A |
|
264 |
263 |
$17K |
| 0011A |
|
273 |
268 |
$14K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
1,826 |
1,297 |
$11K |
| 0064A |
|
271 |
253 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
981 |
876 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
80,986 |
54,160 |
$1K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,949 |
2,130 |
$545.72 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,406 |
2,399 |
$519.59 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18,912 |
13,792 |
$331.42 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,428 |
1,500 |
$299.79 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,134 |
7,990 |
$274.12 |
| 0134A |
|
62 |
43 |
$268.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,554 |
1,785 |
$246.90 |
| 90750 |
|
872 |
651 |
$166.47 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,795 |
3,013 |
$147.04 |
| 92552 |
|
4,459 |
2,747 |
$142.09 |
| 59425 |
|
1,615 |
1,218 |
$120.96 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,978 |
1,721 |
$105.74 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
446 |
422 |
$99.26 |
| 90837 |
Psychotherapy, 53 minutes with patient |
120 |
119 |
$98.02 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
568 |
478 |
$67.75 |
| 96156 |
|
783 |
770 |
$41.34 |
| 90715 |
|
861 |
606 |
$37.87 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,113 |
1,049 |
$36.48 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
502 |
482 |
$33.08 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,459 |
4,696 |
$29.54 |
| 71046 |
Radiologic examination, chest; 2 views |
30 |
30 |
$27.02 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
11,623 |
10,072 |
$26.48 |
| 85018 |
|
9,891 |
6,209 |
$25.29 |
| 99401 |
|
402 |
400 |
$24.82 |
| 81025 |
|
3,481 |
2,416 |
$22.92 |
| 99173 |
|
4,540 |
2,785 |
$21.67 |
| 81002 |
|
13,922 |
7,664 |
$19.83 |
| 99188 |
|
537 |
307 |
$17.70 |
| 97803 |
|
110 |
108 |
$16.54 |
| 83655 |
|
896 |
539 |
$10.63 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,555 |
4,823 |
$9.77 |
| H2000 |
Comprehensive multidisciplinary evaluation |
26 |
26 |
$8.27 |
| 90648 |
|
1,257 |
821 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,524 |
2,148 |
$0.00 |
| 3077F |
|
2,501 |
2,385 |
$0.00 |
| 90670 |
|
2,806 |
2,077 |
$0.00 |
| 3046F |
|
649 |
425 |
$0.00 |
| 3078F |
|
16,461 |
15,062 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
833 |
576 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
182 |
122 |
$0.00 |
| 90633 |
|
1,856 |
1,275 |
$0.00 |
| 90700 |
|
208 |
149 |
$0.00 |
| 90710 |
|
169 |
113 |
$0.00 |
| 90707 |
|
325 |
228 |
$0.00 |
| 90734 |
|
681 |
478 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
681 |
449 |
$0.00 |
| Z6302 |
|
226 |
225 |
$0.00 |
| Z6414 |
|
150 |
149 |
$0.00 |
| Z6200 |
|
215 |
215 |
$0.00 |
| Z6400 |
|
851 |
850 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
62 |
62 |
$0.00 |
| Z6208 |
|
67 |
67 |
$0.00 |
| Z6304 |
|
640 |
639 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
191 |
130 |
$0.00 |
| Z6300 |
|
326 |
326 |
$0.00 |
| Z6308 |
|
149 |
149 |
$0.00 |
| H1000 |
Prenatal care, at-risk assessment |
12 |
12 |
$0.00 |
| 90736 |
|
81 |
57 |
$0.00 |
| 3051F |
|
25 |
25 |
$0.00 |
| 90473 |
|
47 |
36 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
174 |
122 |
$0.00 |
| 90658 |
|
241 |
198 |
$0.00 |
| 90662 |
|
12 |
12 |
$0.00 |
| 81003 |
|
23 |
16 |
$0.00 |
| 90681 |
|
56 |
31 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
70 |
46 |
$0.00 |
| 90655 |
|
23 |
16 |
$0.00 |
| Z6410 |
|
1,518 |
1,431 |
$0.00 |
| 3080F |
|
895 |
865 |
$0.00 |
| 90651 |
|
886 |
571 |
$0.00 |
| 82962 |
|
4,274 |
3,173 |
$0.00 |
| Z6406 |
|
643 |
642 |
$0.00 |
| Z1034 |
|
6,794 |
4,920 |
$0.00 |
| 3074F |
|
17,522 |
15,885 |
$0.00 |
| 3079F |
|
5,932 |
5,650 |
$0.00 |
| 3044F |
|
1,345 |
963 |
$0.00 |
| 90739 |
|
998 |
725 |
$0.00 |
| 90732 |
|
184 |
128 |
$0.00 |
| 90677 |
|
963 |
637 |
$0.00 |
| 3075F |
|
3,029 |
2,972 |
$0.00 |
| 90686 |
|
4,354 |
3,174 |
$0.00 |
| 90744 |
|
1,113 |
862 |
$0.00 |
| Z6402 |
|
325 |
325 |
$0.00 |
| 90680 |
|
1,597 |
1,223 |
$0.00 |
| 90723 |
|
690 |
457 |
$0.00 |
| 92551 |
|
63 |
45 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
700 |
508 |
$0.00 |
| 90698 |
|
1,790 |
1,375 |
$0.00 |
| Z1032 |
|
461 |
457 |
$0.00 |
| 90716 |
|
398 |
273 |
$0.00 |
| 90688 |
|
1,180 |
940 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
75 |
58 |
$0.00 |
| Z6204 |
|
353 |
351 |
$0.00 |
| 99403 |
|
28 |
28 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
258 |
253 |
$0.00 |
| 92250 |
|
550 |
543 |
$0.00 |
| 90474 |
|
47 |
29 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
275 |
191 |
$0.00 |
| 90656 |
|
457 |
353 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
41 |
40 |
$0.00 |
| 90696 |
|
192 |
133 |
$0.00 |
| 99383 |
|
20 |
13 |
$0.00 |
| Z6404 |
|
221 |
221 |
$0.00 |
| 99000 |
|
85 |
76 |
$0.00 |
| 86580 |
|
31 |
28 |
$0.00 |
| J3490 |
Unclassified drugs |
127 |
109 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 91301 |
|
69 |
69 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
13 |
$0.00 |
| 93000 |
|
18 |
12 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
24 |
24 |
$0.00 |
| Z1038 |
|
42 |
38 |
$0.00 |
| 91306 |
|
98 |
98 |
$0.00 |
| 11730 |
|
12 |
12 |
$0.00 |
| 97802 |
|
63 |
63 |
$0.00 |
| 59430 |
|
12 |
12 |
$0.00 |
| 3052F |
|
13 |
13 |
$0.00 |