| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
110,870 |
100,618 |
$37.64M |
| 0510 |
|
82,313 |
77,264 |
$6.73M |
| 00003 |
Internal/system code - not a standard HCPCS code |
783 |
655 |
$342K |
| 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 |
1,033 |
943 |
$199K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,031 |
698 |
$67K |
| 0001A |
|
672 |
671 |
$27K |
| 0002A |
|
598 |
598 |
$24K |
| 90791 |
Psychiatric diagnostic evaluation |
1,048 |
284 |
$23K |
| 0124A |
|
263 |
244 |
$12K |
| 0004A |
|
275 |
275 |
$11K |
| 0054A |
|
203 |
203 |
$8K |
| 0064A |
|
125 |
125 |
$5K |
| 0071A |
|
82 |
82 |
$3K |
| 0011A |
|
67 |
67 |
$3K |
| 0012A |
|
57 |
57 |
$2K |
| 0052A |
|
56 |
56 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
101,318 |
61,465 |
$1K |
| 90480 |
|
125 |
98 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,870 |
1,943 |
$1K |
| 80053 |
Comprehensive metabolic panel |
5,404 |
5,209 |
$1K |
| 0051A |
|
25 |
25 |
$1K |
| 0134A |
|
14 |
14 |
$670.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
4,052 |
3,908 |
$576.36 |
| Z7500 |
|
53,547 |
50,907 |
$410.20 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
8,658 |
7,653 |
$296.18 |
| 36415 |
Collection of venous blood by venipuncture |
20,524 |
18,454 |
$210.02 |
| 80061 |
Lipid panel |
3,653 |
3,574 |
$172.25 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,426 |
2,295 |
$113.93 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,141 |
1,991 |
$110.40 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,947 |
3,513 |
$82.04 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,200 |
4,134 |
$82.04 |
| 82607 |
|
1,549 |
1,518 |
$78.79 |
| 85027 |
|
5,262 |
5,051 |
$62.21 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12,753 |
8,857 |
$32.13 |
| Q3014 |
Telehealth originating site facility fee |
48,151 |
25,392 |
$5.73 |
| 82728 |
|
1,188 |
1,087 |
$4.63 |
| 84466 |
|
344 |
335 |
$4.34 |
| 83540 |
|
344 |
335 |
$2.20 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,168 |
2,337 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,083 |
3,572 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
39,233 |
20,118 |
$0.00 |
| 90649 |
|
1,323 |
771 |
$0.00 |
| 83718 |
|
120 |
111 |
$0.00 |
| 90670 |
|
2,645 |
1,181 |
$0.00 |
| 90715 |
|
772 |
429 |
$0.00 |
| 83721 |
|
1,120 |
1,088 |
$0.00 |
| 83655 |
|
463 |
463 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
651 |
394 |
$0.00 |
| 80076 |
|
640 |
618 |
$0.00 |
| 86708 |
|
58 |
57 |
$0.00 |
| 82570 |
|
39 |
39 |
$0.00 |
| 85045 |
|
112 |
112 |
$0.00 |
| 90750 |
|
194 |
126 |
$0.00 |
| 90734 |
|
44 |
44 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
551 |
389 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
777 |
518 |
$0.00 |
| 99188 |
|
989 |
567 |
$0.00 |
| 90633 |
|
2,384 |
834 |
$0.00 |
| 85014 |
|
181 |
152 |
$0.00 |
| 90710 |
|
845 |
245 |
$0.00 |
| 81002 |
|
669 |
410 |
$0.00 |
| 98940 |
|
3,202 |
660 |
$0.00 |
| 59425 |
|
250 |
165 |
$0.00 |
| 82465 |
|
122 |
112 |
$0.00 |
| 90648 |
|
113 |
110 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
54 |
25 |
$0.00 |
| 84460 |
|
150 |
148 |
$0.00 |
| 90685 |
|
13 |
13 |
$0.00 |
| 90700 |
|
80 |
56 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
62 |
54 |
$0.00 |
| 82947 |
|
159 |
156 |
$0.00 |
| 84439 |
|
94 |
91 |
$0.00 |
| 90662 |
|
23 |
14 |
$0.00 |
| 0272 |
|
42 |
42 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
13 |
12 |
$0.00 |
| 90707 |
|
18 |
12 |
$0.00 |
| 84450 |
|
45 |
44 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
46 |
28 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
14 |
14 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
43 |
25 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
22 |
12 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
16 |
$0.00 |
| 81003 |
|
13 |
13 |
$0.00 |
| J3490 |
Unclassified drugs |
1,465 |
1,426 |
$0.00 |
| 90686 |
|
16,034 |
6,537 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
433 |
236 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,013 |
941 |
$0.00 |
| Z7610 |
|
1,317 |
1,260 |
$0.00 |
| 90647 |
|
3,086 |
1,232 |
$0.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
246 |
232 |
$0.00 |
| Z1034 |
|
1,226 |
869 |
$0.00 |
| 87340 |
|
57 |
56 |
$0.00 |
| 90696 |
|
67 |
27 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
667 |
516 |
$0.00 |
| 86704 |
|
54 |
53 |
$0.00 |
| D1310 |
|
449 |
244 |
$0.00 |
| 0271 |
|
397 |
397 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
643 |
390 |
$0.00 |
| 90723 |
|
1,390 |
562 |
$0.00 |
| 90739 |
|
516 |
363 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
186 |
142 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
16 |
13 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
169 |
167 |
$0.00 |
| 90680 |
|
788 |
374 |
$0.00 |
| 88142 |
|
482 |
375 |
$0.00 |
| 87625 |
|
243 |
185 |
$0.00 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
2,122 |
365 |
$0.00 |
| 90677 |
|
727 |
442 |
$0.00 |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
23 |
12 |
$0.00 |
| 85018 |
|
220 |
181 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
150 |
79 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
243 |
185 |
$0.00 |
| 90656 |
|
2,714 |
1,037 |
$0.00 |
| 90651 |
|
431 |
238 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,064 |
329 |
$0.00 |
| 86803 |
|
148 |
146 |
$0.00 |
| 90619 |
|
318 |
185 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
190 |
114 |
$0.00 |
| 88720 |
|
16 |
14 |
$0.00 |
| 82043 |
|
39 |
39 |
$0.00 |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
21 |
12 |
$0.00 |
| 83735 |
|
68 |
67 |
$0.00 |
| 82784 |
|
13 |
13 |
$0.00 |
| 90688 |
|
42 |
26 |
$0.00 |
| 90716 |
|
35 |
26 |
$0.00 |