| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
32,330 |
28,027 |
$4.80M |
| 00003 |
Internal/system code - not a standard HCPCS code |
6,995 |
5,198 |
$1.20M |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,857 |
1,889 |
$73K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,846 |
14,916 |
$52K |
| 59425 |
|
587 |
417 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,497 |
8,299 |
$47K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,049 |
800 |
$42K |
| 0012A |
|
603 |
602 |
$24K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
29 |
24 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
503 |
419 |
$14K |
| 90686 |
|
1,370 |
1,176 |
$13K |
| 92551 |
|
1,876 |
1,579 |
$12K |
| 0011A |
|
285 |
284 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
420 |
354 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
392 |
335 |
$8K |
| 90791 |
Psychiatric diagnostic evaluation |
152 |
135 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
367 |
287 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,482 |
2,455 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,961 |
2,534 |
$7K |
| 0001A |
|
149 |
149 |
$6K |
| 99215 |
Prolong outpt/office vis |
124 |
104 |
$5K |
| 99173 |
|
2,608 |
2,093 |
$5K |
| 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 |
885 |
699 |
$4K |
| 0002A |
|
95 |
95 |
$4K |
| 90715 |
|
255 |
207 |
$3K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
120 |
120 |
$3K |
| 90670 |
|
410 |
368 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
56 |
51 |
$2K |
| 11981 |
|
12 |
12 |
$2K |
| 85018 |
|
3,001 |
2,455 |
$2K |
| 90723 |
|
260 |
219 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
72 |
53 |
$2K |
| 90633 |
|
118 |
82 |
$1K |
| 90734 |
|
154 |
135 |
$1K |
| 81025 |
|
728 |
545 |
$1K |
| 81003 |
|
1,528 |
1,190 |
$941.76 |
| 90651 |
|
164 |
145 |
$873.45 |
| 99403 |
|
23 |
23 |
$689.98 |
| 99401 |
|
44 |
43 |
$520.00 |
| 90710 |
|
41 |
27 |
$468.00 |
| 90648 |
|
109 |
91 |
$440.20 |
| 90681 |
|
46 |
39 |
$387.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$303.17 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
22 |
15 |
$292.69 |
| 90700 |
|
25 |
17 |
$250.96 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
78 |
53 |
$233.11 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
313 |
235 |
$230.01 |
| Z7500 |
|
13 |
12 |
$216.60 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
210 |
209 |
$201.28 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
16 |
15 |
$138.96 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
13 |
12 |
$127.60 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
67 |
44 |
$90.97 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
32 |
31 |
$59.90 |
| 3074F |
|
166 |
120 |
$0.00 |
| 1036F |
|
155 |
116 |
$0.00 |
| 3351F |
|
129 |
125 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
92 |
57 |
$0.00 |
| Z1034 |
|
412 |
296 |
$0.00 |
| 1111F |
|
43 |
42 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$0.00 |
| Z6204 |
|
14 |
14 |
$0.00 |
| 3008F |
|
302 |
301 |
$0.00 |
| 2001F |
|
96 |
95 |
$0.00 |
| Z1032 |
|
13 |
13 |
$0.00 |
| 99441 |
|
21 |
21 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
95 |
94 |
$0.00 |
| Z6406 |
|
16 |
16 |
$0.00 |
| 90647 |
|
18 |
17 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
16 |
16 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
856 |
854 |
$0.00 |
| 3078F |
|
163 |
124 |
$0.00 |
| 80305 |
|
71 |
41 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
15 |
15 |
$0.00 |
| Z6400 |
|
90 |
90 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
90 |
89 |
$0.00 |
| 87400 |
|
168 |
162 |
$0.00 |
| Z6200 |
|
19 |
19 |
$0.00 |
| Z6304 |
|
15 |
15 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |