| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
100,243 |
84,967 |
$14.61M |
| 00003 |
Internal/system code - not a standard HCPCS code |
53,535 |
40,592 |
$10.26M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52,906 |
39,078 |
$183K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,441 |
20,140 |
$180K |
| 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 |
3,876 |
3,195 |
$175K |
| 90832 |
Psychotherapy, 30 minutes with patient |
5,918 |
4,658 |
$71K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30,541 |
23,899 |
$46K |
| 90791 |
Psychiatric diagnostic evaluation |
1,683 |
1,539 |
$44K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,236 |
1,765 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,004 |
900 |
$9K |
| 92551 |
|
5,163 |
4,561 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
777 |
664 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,979 |
4,993 |
$5K |
| 0012A |
|
328 |
326 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
355 |
336 |
$5K |
| 98940 |
|
544 |
290 |
$4K |
| 90686 |
|
2,709 |
2,526 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
600 |
590 |
$4K |
| 82948 |
|
4,135 |
3,358 |
$4K |
| 85018 |
|
5,182 |
4,914 |
$3K |
| 59425 |
|
121 |
99 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,010 |
1,386 |
$3K |
| 0001A |
|
153 |
152 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
774 |
594 |
$2K |
| 0011A |
|
157 |
157 |
$2K |
| 99173 |
|
5,987 |
5,197 |
$2K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
205 |
159 |
$2K |
| 0002A |
|
130 |
130 |
$2K |
| 81000 |
|
2,882 |
2,467 |
$2K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
306 |
238 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
95 |
87 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
457 |
352 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,232 |
929 |
$1K |
| 81025 |
|
3,558 |
3,010 |
$1K |
| 99000 |
|
18,369 |
12,004 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
153 |
107 |
$1K |
| 96127 |
|
10,983 |
8,413 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,520 |
4,459 |
$1K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
93 |
81 |
$1K |
| 99205 |
Prolong outpt/office vis |
299 |
292 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
230 |
170 |
$987.48 |
| S9449 |
Weight management classes, non-physician provider, per session |
17 |
16 |
$510.00 |
| 81002 |
|
3,624 |
3,350 |
$457.69 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
69 |
43 |
$422.40 |
| 93000 |
|
173 |
146 |
$413.28 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
53 |
45 |
$371.07 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
381 |
346 |
$361.13 |
| 90649 |
|
53 |
53 |
$351.00 |
| 90715 |
|
344 |
302 |
$346.77 |
| 82962 |
|
9,022 |
7,319 |
$310.76 |
| 0064A |
|
20 |
20 |
$310.00 |
| 90734 |
|
104 |
88 |
$261.00 |
| 90670 |
|
173 |
172 |
$252.00 |
| 90647 |
|
167 |
158 |
$243.01 |
| 90656 |
|
240 |
182 |
$187.01 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,582 |
2,235 |
$162.32 |
| 90633 |
|
61 |
50 |
$126.00 |
| G9920 |
Screening performed and negative |
43 |
40 |
$87.00 |
| 92015 |
Determination of refractive state |
4,842 |
4,765 |
$66.18 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
336 |
234 |
$62.63 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
383 |
266 |
$60.00 |
| 99383 |
|
31 |
20 |
$54.83 |
| H0049 |
Alcohol and/or drug screening |
1,716 |
1,521 |
$50.55 |
| 86580 |
|
49 |
49 |
$49.64 |
| 81003 |
|
480 |
327 |
$32.78 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
428 |
320 |
$14.45 |
| 90461 |
|
123 |
66 |
$14.10 |
| 90651 |
|
138 |
108 |
$9.00 |
| 3078F |
|
45,414 |
34,083 |
$3.35 |
| 85013 |
|
3,802 |
3,775 |
$1.86 |
| 1036F |
|
32,006 |
18,211 |
$0.06 |
| 1160F |
|
25,083 |
14,914 |
$0.04 |
| 3074F |
|
47,820 |
35,692 |
$0.03 |
| 3046F |
|
814 |
588 |
$0.01 |
| 3075F |
|
5,129 |
3,817 |
$0.01 |
| 3044F |
|
1,259 |
929 |
$0.01 |
| 3080F |
|
970 |
718 |
$0.01 |
| 3077F |
|
4,610 |
3,500 |
$0.00 |
| 83026 |
|
3,083 |
3,028 |
$0.00 |
| 1159F |
|
25,079 |
14,910 |
$0.00 |
| V2020 |
Frames, purchases |
1,870 |
1,853 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
699 |
670 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
948 |
947 |
$0.00 |
| 83655 |
|
15 |
13 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
124 |
123 |
$0.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,597 |
1,590 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
103 |
102 |
$0.00 |
| 92341 |
|
147 |
147 |
$0.00 |
| 3725F |
|
888 |
563 |
$0.00 |
| Z6300 |
|
16 |
16 |
$0.00 |
| 1017 |
|
41 |
36 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
13 |
13 |
$0.00 |
| 1126F |
|
1,339 |
867 |
$0.00 |
| 96156 |
|
6,245 |
6,196 |
$0.00 |
| 3079F |
|
11,132 |
8,375 |
$0.00 |
| 90723 |
|
106 |
106 |
$0.00 |
| Z6410 |
|
1,100 |
810 |
$0.00 |
| 1034F |
|
2,596 |
1,470 |
$0.00 |
| 90674 |
|
73 |
71 |
$0.00 |
| 90657 |
|
38 |
38 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
50 |
49 |
$0.00 |
| 1035F |
|
23 |
12 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
67 |
47 |
$0.00 |
| 1125F |
|
534 |
348 |
$0.00 |
| Z1034 |
|
1,048 |
834 |
$0.00 |
| 3052F |
|
208 |
208 |
$0.00 |
| 90732 |
|
59 |
57 |
$0.00 |
| 80047 |
|
355 |
114 |
$0.00 |
| Z1032 |
|
24 |
24 |
$0.00 |
| 99384 |
|
49 |
32 |
$0.00 |
| 90480 |
|
20 |
14 |
$0.00 |
| 90619 |
|
51 |
38 |
$0.00 |
| 92250 |
|
15 |
15 |
$0.00 |
| Z6402 |
|
16 |
16 |
$0.00 |
| 90677 |
|
16 |
12 |
$0.00 |
| 99385 |
|
38 |
28 |
$0.00 |