| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
66,399 |
56,130 |
$11.34M |
| 00003 |
Internal/system code - not a standard HCPCS code |
15,550 |
11,820 |
$2.84M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,725 |
22,209 |
$89K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,795 |
3,994 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,320 |
3,519 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,534 |
5,235 |
$30K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
550 |
397 |
$26K |
| 59425 |
|
840 |
605 |
$14K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
396 |
314 |
$12K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,704 |
2,533 |
$7K |
| 92551 |
|
4,430 |
3,031 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
910 |
865 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,935 |
1,512 |
$4K |
| 94760 |
|
48,387 |
28,895 |
$3K |
| 96156 |
|
2,951 |
2,061 |
$3K |
| 93000 |
|
85 |
55 |
$1K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
402 |
313 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
65 |
49 |
$799.89 |
| 90837 |
Psychotherapy, 53 minutes with patient |
22 |
13 |
$584.20 |
| 90686 |
|
3,358 |
2,370 |
$577.98 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
82 |
78 |
$571.29 |
| 99000 |
|
5,804 |
4,241 |
$558.94 |
| 99385 |
|
231 |
171 |
$342.30 |
| 90651 |
|
480 |
342 |
$311.25 |
| 81025 |
|
666 |
487 |
$308.00 |
| 92015 |
Determination of refractive state |
6,474 |
5,268 |
$296.37 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
362 |
248 |
$224.34 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
156 |
131 |
$185.02 |
| 69210 |
|
17 |
13 |
$170.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
706 |
501 |
$164.49 |
| 97802 |
|
763 |
521 |
$151.45 |
| 86580 |
|
163 |
130 |
$111.33 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
287 |
196 |
$109.90 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
153 |
98 |
$102.90 |
| 99401 |
|
96 |
79 |
$100.95 |
| 90715 |
|
113 |
87 |
$100.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
636 |
428 |
$87.70 |
| 3008F |
|
50,590 |
30,259 |
$24.00 |
| 81002 |
|
2,708 |
1,745 |
$21.50 |
| 85018 |
|
4,481 |
3,117 |
$12.36 |
| 82962 |
|
1,407 |
817 |
$2.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,470 |
403 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
844 |
843 |
$0.00 |
| 3075F |
|
481 |
319 |
$0.00 |
| 96161 |
|
388 |
270 |
$0.00 |
| Z6410 |
|
1,057 |
813 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
955 |
717 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
187 |
178 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
1,072 |
666 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
6,130 |
4,147 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
548 |
421 |
$0.00 |
| 3074F |
|
3,501 |
2,066 |
$0.00 |
| 3079F |
|
653 |
403 |
$0.00 |
| 1000F |
|
1,161 |
705 |
$0.00 |
| 1036F |
|
2,361 |
1,652 |
$0.00 |
| 90698 |
|
196 |
149 |
$0.00 |
| 99384 |
|
282 |
203 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
3,493 |
2,411 |
$0.00 |
| D0603 |
|
1,548 |
1,547 |
$0.00 |
| Z6406 |
|
174 |
174 |
$0.00 |
| 1031F |
|
719 |
486 |
$0.00 |
| 99383 |
|
320 |
225 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
104 |
70 |
$0.00 |
| Z6204 |
|
151 |
150 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
698 |
434 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
1,025 |
1,024 |
$0.00 |
| 90744 |
|
153 |
124 |
$0.00 |
| Z1034 |
|
1,954 |
1,405 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
181 |
158 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
1,215 |
706 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
1,048 |
1,046 |
$0.00 |
| 96127 |
|
305 |
216 |
$0.00 |
| D1351 |
Sealant - per tooth |
521 |
174 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
671 |
375 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
310 |
259 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
73 |
47 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
923 |
920 |
$0.00 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
40 |
40 |
$0.00 |
| 90688 |
|
92 |
70 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
118 |
79 |
$0.00 |
| 2023F |
|
160 |
114 |
$0.00 |
| 99441 |
|
1,029 |
567 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
19 |
12 |
$0.00 |
| 90620 |
|
41 |
27 |
$0.00 |
| 99406 |
|
20 |
14 |
$0.00 |
| Z1032 |
|
119 |
119 |
$0.00 |
| 99386 |
|
115 |
77 |
$0.00 |
| 99402 |
|
72 |
64 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
14 |
14 |
$0.00 |
| 90697 |
|
53 |
43 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
63 |
39 |
$0.00 |
| 1034F |
|
55 |
32 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
84 |
53 |
$0.00 |
| D0602 |
|
12 |
12 |
$0.00 |
| 96150 |
|
38 |
38 |
$0.00 |
| Z1038 |
|
33 |
29 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
19 |
12 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
29 |
29 |
$0.00 |
| D0601 |
|
15 |
15 |
$0.00 |
| 1126F |
|
20 |
13 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
4,385 |
2,625 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
553 |
333 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
255 |
187 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
3,973 |
2,417 |
$0.00 |
| 99173 |
|
5,504 |
3,772 |
$0.00 |
| 82947 |
|
467 |
286 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
4,792 |
2,963 |
$0.00 |
| 96160 |
|
327 |
225 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
577 |
409 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,767 |
1,854 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
943 |
558 |
$0.00 |
| D4341 |
|
55 |
40 |
$0.00 |
| Z6304 |
|
175 |
174 |
$0.00 |
| 98960 |
|
1,241 |
827 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
4,898 |
3,072 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
100 |
63 |
$0.00 |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
323 |
261 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
1,901 |
905 |
$0.00 |
| Z6400 |
|
346 |
322 |
$0.00 |
| 90461 |
|
1,381 |
946 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
761 |
480 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
192 |
133 |
$0.00 |
| 3078F |
|
3,405 |
2,044 |
$0.00 |
| D1120 |
Prophylaxis - child |
708 |
707 |
$0.00 |
| 90670 |
|
405 |
297 |
$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 |
438 |
371 |
$0.00 |
| 99382 |
|
73 |
50 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
645 |
643 |
$0.00 |
| G9920 |
Screening performed and negative |
309 |
213 |
$0.00 |
| D1110 |
Prophylaxis - adult |
168 |
168 |
$0.00 |
| D9430 |
|
628 |
591 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
165 |
121 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
13 |
13 |
$0.00 |
| 2022F |
|
177 |
150 |
$0.00 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
303 |
197 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
124 |
124 |
$0.00 |
| 90734 |
|
216 |
147 |
$0.00 |
| Z6500 |
|
135 |
135 |
$0.00 |
| D2140 |
|
70 |
56 |
$0.00 |
| D0270 |
|
13 |
13 |
$0.00 |
| 90633 |
|
99 |
68 |
$0.00 |
| 3077F |
|
100 |
64 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
40 |
40 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
83 |
60 |
$0.00 |
| G0425 |
Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth |
79 |
42 |
$0.00 |
| 90756 |
|
35 |
27 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
334 |
226 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
90 |
58 |
$0.00 |
| 90681 |
|
21 |
19 |
$0.00 |
| 3725F |
|
32 |
27 |
$0.00 |
| 97803 |
|
36 |
30 |
$0.00 |
| 88164 |
|
18 |
15 |
$0.00 |
| 1159F |
|
107 |
66 |
$0.00 |
| 3046F |
|
20 |
15 |
$0.00 |
| 1160F |
|
81 |
51 |
$0.00 |