| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
126,671 |
109,597 |
$23.75M |
| 00003 |
Internal/system code - not a standard HCPCS code |
5,478 |
4,735 |
$1.51M |
| 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 |
5,923 |
5,173 |
$553K |
| G9012 |
Other specified case management service not elsewhere classified |
394 |
98 |
$228K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
68,193 |
47,401 |
$168K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,897 |
1,225 |
$125K |
| 90837 |
Psychotherapy, 53 minutes with patient |
672 |
403 |
$70K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,367 |
847 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,455 |
10,985 |
$49K |
| 90791 |
Psychiatric diagnostic evaluation |
199 |
132 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,777 |
4,842 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20,496 |
14,287 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,796 |
5,499 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,224 |
6,592 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27,143 |
21,211 |
$18K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
443 |
327 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,430 |
2,657 |
$9K |
| 0001A |
|
185 |
146 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,086 |
5,760 |
$6K |
| 0011A |
|
97 |
87 |
$6K |
| 0012A |
|
104 |
76 |
$6K |
| 92552 |
|
12,443 |
8,464 |
$6K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
302 |
205 |
$6K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
69 |
33 |
$5K |
| 90715 |
|
954 |
762 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
592 |
500 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,625 |
1,408 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
272 |
214 |
$2K |
| 0124A |
|
37 |
37 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
149 |
139 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,960 |
1,538 |
$2K |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
16 |
16 |
$2K |
| 90750 |
|
17 |
16 |
$2K |
| 90739 |
|
44 |
40 |
$1K |
| 90677 |
|
14 |
14 |
$1K |
| 99173 |
|
12,132 |
8,268 |
$1K |
| 0002A |
|
22 |
16 |
$1K |
| 91320 |
|
75 |
70 |
$1K |
| J3490 |
Unclassified drugs |
185 |
154 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
691 |
534 |
$1K |
| 90688 |
|
2,845 |
2,177 |
$978.58 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
237 |
230 |
$927.60 |
| 90686 |
|
2,791 |
2,140 |
$775.54 |
| 82274 |
|
178 |
178 |
$650.95 |
| 90656 |
|
139 |
139 |
$594.20 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
37 |
37 |
$594.00 |
| 99401 |
|
608 |
543 |
$573.63 |
| 81025 |
|
1,235 |
1,015 |
$481.45 |
| 86580 |
|
1,646 |
1,270 |
$445.05 |
| 82948 |
|
563 |
539 |
$371.03 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
56 |
51 |
$355.75 |
| 92020 |
|
200 |
169 |
$330.62 |
| 0003A |
|
21 |
19 |
$268.00 |
| 81003 |
|
595 |
561 |
$259.63 |
| 99384 |
|
84 |
76 |
$192.93 |
| 99188 |
|
55 |
54 |
$192.42 |
| 97803 |
|
41 |
28 |
$163.29 |
| 92083 |
|
36 |
33 |
$129.06 |
| 99383 |
|
48 |
37 |
$98.02 |
| 81002 |
|
431 |
305 |
$57.99 |
| 97802 |
|
14 |
13 |
$54.48 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
18 |
15 |
$54.32 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
22 |
17 |
$28.59 |
| 82962 |
|
561 |
410 |
$6.81 |
| 90756 |
|
20 |
20 |
$4.00 |
| 90633 |
|
947 |
712 |
$3.28 |
| 90647 |
|
656 |
505 |
$2.65 |
| 90670 |
|
1,411 |
1,033 |
$2.01 |
| 90734 |
|
469 |
362 |
$0.64 |
| 90713 |
|
188 |
149 |
$0.64 |
| 90680 |
|
563 |
410 |
$0.64 |
| 90620 |
|
380 |
230 |
$0.64 |
| 90651 |
|
861 |
672 |
$0.64 |
| 90700 |
|
166 |
141 |
$0.56 |
| 90685 |
|
12 |
12 |
$0.56 |
| 59426 |
|
1,044 |
700 |
$0.00 |
| Z6302 |
|
163 |
162 |
$0.00 |
| 3078F |
|
41 |
40 |
$0.00 |
| Z1036 |
|
292 |
209 |
$0.00 |
| Z6400 |
|
379 |
317 |
$0.00 |
| Z6304 |
|
150 |
125 |
$0.00 |
| 1159F |
|
73 |
71 |
$0.00 |
| 90710 |
|
385 |
299 |
$0.00 |
| Z6414 |
|
100 |
97 |
$0.00 |
| 1160F |
|
73 |
71 |
$0.00 |
| Z6200 |
|
55 |
54 |
$0.00 |
| 4274F |
|
41 |
40 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$0.00 |
| Z1034 |
|
3,080 |
2,135 |
$0.00 |
| Z6406 |
|
432 |
393 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
925 |
821 |
$0.00 |
| 2001F |
|
78 |
76 |
$0.00 |
| Z1032 |
|
195 |
194 |
$0.00 |
| Z6404 |
|
134 |
131 |
$0.00 |
| 96380 |
|
24 |
24 |
$0.00 |
| Z1038 |
|
12 |
12 |
$0.00 |
| 3008F |
|
74 |
73 |
$0.00 |
| Z6402 |
|
76 |
76 |
$0.00 |
| 90723 |
|
124 |
82 |
$0.00 |
| Z6410 |
|
58 |
58 |
$0.00 |
| 96161 |
|
28 |
28 |
$0.00 |
| Z6204 |
|
54 |
53 |
$0.00 |
| 3074F |
|
12 |
12 |
$0.00 |
| 90716 |
|
112 |
90 |
$0.00 |
| 90698 |
|
48 |
48 |
$0.00 |
| 90696 |
|
204 |
131 |
$0.00 |
| 90480 |
|
14 |
14 |
$0.00 |
| 2000F |
|
80 |
78 |
$0.00 |
| 90744 |
|
13 |
12 |
$0.00 |
| 1036F |
|
13 |
12 |
$0.00 |
| 96156 |
|
19 |
12 |
$0.00 |