| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
40,272 |
34,530 |
$6.03M |
| 00003 |
Internal/system code - not a standard HCPCS code |
1,333 |
1,201 |
$282K |
| 90834 |
Psychotherapy, 45 minutes with patient |
628 |
169 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,657 |
9,908 |
$8K |
| 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 |
65 |
62 |
$8K |
| 92552 |
|
1,482 |
1,455 |
$4K |
| G9920 |
Screening performed and negative |
502 |
485 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
286 |
254 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
242 |
241 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
293 |
292 |
$1K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
30 |
30 |
$960.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
37 |
36 |
$520.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
52 |
52 |
$444.24 |
| 92015 |
Determination of refractive state |
267 |
236 |
$382.13 |
| 90686 |
|
690 |
689 |
$318.01 |
| 85018 |
|
366 |
360 |
$200.90 |
| 90688 |
|
70 |
69 |
$171.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,439 |
5,925 |
$161.03 |
| 82947 |
|
36 |
36 |
$117.72 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,197 |
2,113 |
$92.82 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
25 |
$18.75 |
| 80061 |
Lipid panel |
535 |
530 |
$10.44 |
| 85027 |
|
665 |
661 |
$5.71 |
| 86580 |
|
44 |
37 |
$3.36 |
| 82962 |
|
1,598 |
1,531 |
$2.62 |
| 99173 |
|
1,400 |
1,377 |
$2.28 |
| 90649 |
|
46 |
46 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
26 |
26 |
$0.00 |
| 3078F |
|
72 |
69 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
30 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
305 |
301 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
154 |
153 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
35 |
30 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
43 |
42 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |
| 99408 |
|
50 |
48 |
$0.00 |
| 82570 |
|
26 |
26 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
17 |
17 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,894 |
1,869 |
$0.00 |
| 3008F |
|
2,566 |
2,453 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
815 |
809 |
$0.00 |
| 3044F |
|
29 |
29 |
$0.00 |
| 99000 |
|
173 |
172 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
302 |
278 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
361 |
360 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
143 |
142 |
$0.00 |
| 4000F |
|
64 |
54 |
$0.00 |
| 82043 |
|
26 |
26 |
$0.00 |
| 0012A |
|
61 |
61 |
$0.00 |
| 3074F |
|
59 |
56 |
$0.00 |
| 0011A |
|
85 |
85 |
$0.00 |
| 92551 |
|
18 |
15 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
46 |
43 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
26 |
26 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
13 |
13 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
13 |
13 |
$0.00 |
| 86592 |
|
25 |
25 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
21 |
12 |
$0.00 |
| 90656 |
|
35 |
34 |
$0.00 |