| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
96,006 |
83,153 |
$16.25M |
| 00003 |
Internal/system code - not a standard HCPCS code |
22,864 |
20,114 |
$5.00M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
71,823 |
52,123 |
$333K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
3,705 |
2,582 |
$254K |
| 59425 |
|
1,720 |
1,246 |
$115K |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,996 |
2,427 |
$92K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,229 |
14,071 |
$89K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,782 |
6,569 |
$51K |
| 90837 |
Psychotherapy, 53 minutes with patient |
805 |
342 |
$30K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,151 |
720 |
$25K |
| 99215 |
Prolong outpt/office vis |
387 |
234 |
$19K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
225 |
173 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,730 |
1,932 |
$17K |
| 87428 |
|
527 |
283 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,424 |
2,297 |
$11K |
| 90670 |
|
2,114 |
1,544 |
$10K |
| 90723 |
|
1,732 |
1,249 |
$8K |
| 90688 |
|
721 |
564 |
$7K |
| 90647 |
|
1,440 |
1,049 |
$6K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
187 |
186 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
124 |
97 |
$5K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
168 |
164 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
558 |
419 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,146 |
887 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
143 |
84 |
$4K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,701 |
6,141 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
423 |
323 |
$4K |
| Q3014 |
Telehealth originating site facility fee |
528 |
513 |
$4K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
84 |
84 |
$3K |
| 81025 |
|
1,513 |
1,215 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
728 |
481 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
31 |
29 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
110 |
78 |
$2K |
| 99401 |
|
143 |
141 |
$2K |
| 90686 |
|
159 |
159 |
$2K |
| 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 |
1,707 |
1,623 |
$2K |
| 90715 |
|
68 |
66 |
$2K |
| 90671 |
|
291 |
204 |
$2K |
| 90633 |
|
312 |
201 |
$1K |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
37 |
37 |
$1K |
| 83655 |
|
241 |
158 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,708 |
1,431 |
$1K |
| 90710 |
|
252 |
172 |
$1K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
791 |
690 |
$1K |
| 99188 |
|
97 |
57 |
$936.00 |
| 81002 |
|
1,788 |
1,419 |
$899.50 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
24 |
$890.04 |
| 59430 |
|
13 |
13 |
$786.24 |
| 90681 |
|
207 |
155 |
$765.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
75 |
75 |
$746.46 |
| 99460 |
|
12 |
12 |
$623.04 |
| 90685 |
|
90 |
66 |
$576.00 |
| 92551 |
|
457 |
356 |
$470.48 |
| 90656 |
|
41 |
28 |
$412.92 |
| 76801 |
|
15 |
13 |
$352.95 |
| G9920 |
Screening performed and negative |
93 |
80 |
$348.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
60 |
35 |
$345.61 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$212.66 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
149 |
117 |
$172.37 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
13 |
$126.38 |
| 93000 |
|
25 |
15 |
$93.78 |
| 90696 |
|
26 |
14 |
$90.03 |
| 85018 |
|
535 |
366 |
$85.14 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
215 |
214 |
$83.54 |
| 96127 |
|
32 |
18 |
$80.44 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
45 |
45 |
$63.89 |
| 90734 |
|
16 |
12 |
$63.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
463 |
458 |
$62.60 |
| 81001 |
|
51 |
27 |
$60.72 |
| D1206 |
Topical application of fluoride varnish |
15 |
13 |
$36.00 |
| 90651 |
|
28 |
25 |
$27.12 |
| 99490 |
Ccm add 20min |
517 |
517 |
$13.35 |
| 99072 |
|
1,446 |
1,420 |
$0.00 |
| 99173 |
|
153 |
153 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
48 |
48 |
$0.00 |
| Z6400 |
|
12 |
12 |
$0.00 |
| 90461 |
|
13 |
13 |
$0.00 |
| Z1034 |
|
3,884 |
2,785 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
44 |
44 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
31 |
28 |
$0.00 |
| 99000 |
|
50 |
50 |
$0.00 |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
44 |
44 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$0.00 |