| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
86,784 |
69,950 |
$16.06M |
| 90832 |
Psychotherapy, 30 minutes with patient |
13,873 |
5,911 |
$179K |
| 90791 |
Psychiatric diagnostic evaluation |
1,441 |
1,005 |
$58K |
| 00003 |
Internal/system code - not a standard HCPCS code |
211 |
190 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,736 |
16,532 |
$45K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
7,699 |
4,478 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,673 |
7,026 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,743 |
6,459 |
$11K |
| G9920 |
Screening performed and negative |
758 |
717 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
449 |
420 |
$4K |
| 91320 |
|
117 |
116 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,253 |
2,222 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
594 |
582 |
$1K |
| 90480 |
|
129 |
128 |
$880.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
429 |
416 |
$812.87 |
| 90750 |
|
179 |
175 |
$687.28 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
856 |
837 |
$673.02 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
899 |
889 |
$520.89 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
200 |
193 |
$514.50 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,020 |
1,010 |
$504.28 |
| 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 |
20 |
13 |
$416.38 |
| 81025 |
|
262 |
254 |
$382.90 |
| 92551 |
|
1,735 |
1,702 |
$372.86 |
| 98940 |
|
171 |
127 |
$315.86 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,528 |
3,482 |
$279.50 |
| 96156 |
|
1,455 |
1,453 |
$251.80 |
| G9919 |
Screening performed and positive and provision of recommendations |
98 |
81 |
$231.13 |
| 99401 |
|
1,851 |
1,851 |
$228.84 |
| 90686 |
|
1,195 |
1,189 |
$182.72 |
| 99177 |
|
871 |
864 |
$178.80 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
116 |
115 |
$153.86 |
| 90688 |
|
128 |
126 |
$132.58 |
| 92552 |
|
493 |
486 |
$116.83 |
| 85018 |
|
3,185 |
3,128 |
$98.76 |
| 90746 |
|
122 |
121 |
$74.84 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
231 |
229 |
$69.38 |
| 99173 |
|
1,969 |
1,947 |
$64.48 |
| 97811 |
|
627 |
474 |
$59.80 |
| 97810 |
|
638 |
480 |
$59.80 |
| 97803 |
|
1,780 |
1,778 |
$52.22 |
| 90656 |
|
207 |
207 |
$50.53 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,288 |
1,285 |
$17.66 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
287 |
285 |
$17.08 |
| 81002 |
|
165 |
160 |
$9.89 |
| 97026 |
|
611 |
467 |
$9.74 |
| 82962 |
|
32 |
29 |
$3.98 |
| 3078F |
|
9,032 |
8,621 |
$0.00 |
| 1160F |
|
4,319 |
3,938 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
13 |
$0.00 |
| 1159F |
|
4,319 |
3,938 |
$0.00 |
| 3077F |
|
756 |
729 |
$0.00 |
| 96160 |
|
503 |
501 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
211 |
202 |
$0.00 |
| 90621 |
|
54 |
54 |
$0.00 |
| 90670 |
|
184 |
184 |
$0.00 |
| 90734 |
|
79 |
79 |
$0.00 |
| 90715 |
|
29 |
29 |
$0.00 |
| 90633 |
|
71 |
71 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
31 |
$0.00 |
| 99188 |
|
13 |
13 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
13 |
$0.00 |
| 99000 |
|
3,299 |
3,281 |
$0.00 |
| 3079F |
|
2,121 |
2,080 |
$0.00 |
| 3080F |
|
197 |
189 |
$0.00 |
| 1126F |
|
4,408 |
4,213 |
$0.00 |
| 3074F |
|
9,484 |
9,044 |
$0.00 |
| 1125F |
|
1,579 |
1,537 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
380 |
380 |
$0.00 |
| 3075F |
|
1,049 |
1,039 |
$0.00 |
| 3044F |
|
64 |
63 |
$0.00 |
| 96151 |
|
429 |
429 |
$0.00 |
| 90677 |
|
64 |
64 |
$0.00 |
| 90651 |
|
162 |
162 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
40 |
40 |
$0.00 |
| 90697 |
|
65 |
65 |
$0.00 |
| 90739 |
|
25 |
25 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90619 |
|
65 |
65 |
$0.00 |
| 96150 |
|
26 |
26 |
$0.00 |
| 36416 |
|
16 |
16 |
$0.00 |
| 97802 |
|
26 |
26 |
$0.00 |
| 90680 |
|
15 |
15 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |