| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
112,168 |
92,788 |
$17.12M |
| 00003 |
Internal/system code - not a standard HCPCS code |
10,062 |
9,173 |
$2.47M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
118,600 |
68,353 |
$219K |
| 90834 |
Psychotherapy, 45 minutes with patient |
6,589 |
2,772 |
$157K |
| G9012 |
Other specified case management service not elsewhere classified |
3,290 |
1,843 |
$127K |
| 90832 |
Psychotherapy, 30 minutes with patient |
5,825 |
2,891 |
$104K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
2,771 |
1,746 |
$73K |
| 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 |
1,015 |
792 |
$59K |
| 90791 |
Psychiatric diagnostic evaluation |
1,317 |
861 |
$46K |
| 90837 |
Psychotherapy, 53 minutes with patient |
336 |
138 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,720 |
11,334 |
$16K |
| 0011A |
|
226 |
225 |
$15K |
| 0012A |
|
224 |
223 |
$15K |
| J3490 |
Unclassified drugs |
539 |
350 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
471 |
298 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13,908 |
7,500 |
$5K |
| 97802 |
|
9,111 |
5,860 |
$4K |
| 0064A |
|
46 |
42 |
$3K |
| 81025 |
|
4,319 |
2,938 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
165 |
91 |
$1K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
1,857 |
1,104 |
$865.93 |
| 90686 |
|
4,530 |
3,123 |
$657.00 |
| 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 |
68 |
68 |
$648.96 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
60 |
39 |
$619.50 |
| 90658 |
|
42 |
42 |
$415.32 |
| 88174 |
|
947 |
655 |
$380.35 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,985 |
2,240 |
$366.61 |
| 92551 |
|
4,387 |
2,862 |
$231.64 |
| 99215 |
Prolong outpt/office vis |
2,357 |
1,072 |
$214.50 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,140 |
695 |
$208.14 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
767 |
518 |
$205.32 |
| 96151 |
|
693 |
666 |
$155.43 |
| 99386 |
|
32 |
24 |
$130.88 |
| 99385 |
|
164 |
104 |
$112.96 |
| 3008F |
|
124,338 |
72,072 |
$99.12 |
| 81002 |
|
10,147 |
5,322 |
$72.06 |
| 87110 |
|
4,471 |
2,726 |
$70.00 |
| 82274 |
|
2,540 |
1,586 |
$64.56 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,596 |
1,574 |
$48.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
515 |
300 |
$37.31 |
| 82962 |
|
602 |
490 |
$27.06 |
| 90744 |
|
609 |
380 |
$26.91 |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
666 |
387 |
$25.62 |
| 85018 |
|
2,476 |
1,709 |
$18.45 |
| 96150 |
|
106 |
97 |
$17.85 |
| 90633 |
|
787 |
497 |
$9.00 |
| H0049 |
Alcohol and/or drug screening |
19,053 |
10,808 |
$9.00 |
| 99173 |
|
4,391 |
2,864 |
$4.03 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
25,369 |
11,928 |
$0.01 |
| 99080 |
|
7,280 |
4,645 |
$0.01 |
| 99201 |
|
16 |
16 |
$0.00 |
| 90670 |
|
889 |
532 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
86 |
51 |
$0.00 |
| 1160F |
|
8,920 |
4,886 |
$0.00 |
| 4004F |
|
5,189 |
2,732 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,549 |
899 |
$0.00 |
| 3078F |
|
23,701 |
14,270 |
$0.00 |
| 3077F |
|
646 |
372 |
$0.00 |
| 83655 |
|
719 |
428 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
907 |
569 |
$0.00 |
| 80061 |
Lipid panel |
27 |
13 |
$0.00 |
| 3725F |
|
6,288 |
3,264 |
$0.00 |
| 90681 |
|
147 |
91 |
$0.00 |
| 90736 |
|
252 |
167 |
$0.00 |
| 90671 |
|
454 |
285 |
$0.00 |
| 2028F |
|
2,345 |
1,386 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
612 |
379 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
2,117 |
1,084 |
$0.00 |
| 3015F |
|
651 |
389 |
$0.00 |
| G9655 |
A transfer of care protocol or handoff tool/checklist that includes the required key handoff elements is used |
31 |
26 |
$0.00 |
| 90734 |
|
308 |
181 |
$0.00 |
| 99442 |
|
131 |
81 |
$0.00 |
| 90715 |
|
373 |
238 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
236 |
149 |
$0.00 |
| 99408 |
|
142 |
76 |
$0.00 |
| 2022F |
|
44 |
30 |
$0.00 |
| 99499 |
|
742 |
720 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
296 |
167 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
238 |
132 |
$0.00 |
| 90685 |
|
45 |
45 |
$0.00 |
| 90621 |
|
27 |
27 |
$0.00 |
| G9016 |
Smoking cessation counseling, individual, in the absence of or in addition to any other evaluation and management service, per session (6-10 minutes) [demo project code only] |
39 |
25 |
$0.00 |
| 87660 |
|
217 |
125 |
$0.00 |
| 90700 |
|
45 |
25 |
$0.00 |
| J2315 |
Injection, naltrexone, depot form, 1 mg |
52 |
30 |
$0.00 |
| J0576 |
Injection, buprenorphine extended-release (brixadi), 1 mg |
24 |
15 |
$0.00 |
| 96158 |
|
12 |
12 |
$0.00 |
| 90644 |
|
12 |
12 |
$0.00 |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
60 |
41 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
23 |
12 |
$0.00 |
| 90710 |
|
27 |
27 |
$0.00 |
| 2023F |
|
102 |
59 |
$0.00 |
| 3074F |
|
22,404 |
13,395 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,039 |
580 |
$0.00 |
| 87510 |
|
217 |
125 |
$0.00 |
| 3079F |
|
2,599 |
1,537 |
$0.00 |
| 1036F |
|
9,555 |
5,373 |
$0.00 |
| G9658 |
A transfer of care protocol or handoff tool/checklist that includes the required key handoff elements is not used |
5,382 |
3,291 |
$0.00 |
| 96127 |
|
5,752 |
3,364 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
333 |
190 |
$0.00 |
| 3044F |
|
895 |
519 |
$0.00 |
| 1111F |
|
2,062 |
1,214 |
$0.00 |
| 90651 |
|
632 |
388 |
$0.00 |
| G0307 |
Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) |
4,481 |
2,671 |
$0.00 |
| 80051 |
|
240 |
134 |
$0.00 |
| 90656 |
|
830 |
524 |
$0.00 |
| 82270 |
|
122 |
69 |
$0.00 |
| 90698 |
|
777 |
465 |
$0.00 |
| 87430 |
|
28 |
26 |
$0.00 |
| 3075F |
|
2,457 |
1,531 |
$0.00 |
| 92250 |
|
128 |
84 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
889 |
517 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
2,709 |
1,425 |
$0.00 |
| 87070 |
|
222 |
207 |
$0.00 |
| 3014F |
|
177 |
126 |
$0.00 |
| 90688 |
|
116 |
65 |
$0.00 |
| 96156 |
|
741 |
562 |
$0.00 |
| 87480 |
|
217 |
125 |
$0.00 |
| 90716 |
|
126 |
87 |
$0.00 |
| 1000F |
|
61 |
37 |
$0.00 |
| 3351F |
|
59 |
37 |
$0.00 |
| 90677 |
|
70 |
42 |
$0.00 |
| J0578 |
Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy |
24 |
13 |
$0.00 |
| 90620 |
|
24 |
12 |
$0.00 |
| 99381 |
|
89 |
57 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
99 |
75 |
$0.00 |
| 82043 |
|
274 |
161 |
$0.00 |
| 3017F |
|
243 |
160 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
77 |
52 |
$0.00 |
| 90696 |
|
21 |
13 |
$0.00 |
| 1125F |
|
93 |
56 |
$0.00 |
| 3061F |
|
27 |
16 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
15 |
$0.00 |
| 1170F |
|
181 |
112 |
$0.00 |
| 3080F |
|
119 |
73 |
$0.00 |
| 4037F |
|
65 |
41 |
$0.00 |
| 36416 |
|
23 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
40 |
40 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
29 |
17 |
$0.00 |
| 1157F |
|
22 |
16 |
$0.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
23 |
15 |
$0.00 |
| D1330 |
|
31 |
24 |
$0.00 |
| D1320 |
|
13 |
12 |
$0.00 |
| 99384 |
|
20 |
13 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
21 |
14 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
18 |
13 |
$0.00 |