| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
175,041 |
153,112 |
$34.47M |
| 00003 |
Internal/system code - not a standard HCPCS code |
49,078 |
45,101 |
$11.14M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
94,948 |
58,620 |
$2.04M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42,346 |
27,579 |
$1.34M |
| 90834 |
Psychotherapy, 45 minutes with patient |
9,999 |
4,673 |
$446K |
| 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 |
3,543 |
3,015 |
$395K |
| 90832 |
Psychotherapy, 30 minutes with patient |
9,945 |
5,077 |
$283K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17,520 |
11,428 |
$181K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,613 |
2,133 |
$102K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,374 |
2,555 |
$96K |
| 90791 |
Psychiatric diagnostic evaluation |
1,078 |
674 |
$77K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22,773 |
14,851 |
$58K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,707 |
1,602 |
$47K |
| 99215 |
Prolong outpt/office vis |
1,714 |
1,095 |
$47K |
| 92081 |
|
3,007 |
1,917 |
$45K |
| 92551 |
|
8,156 |
5,268 |
$37K |
| 99078 |
|
3,286 |
1,857 |
$33K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,393 |
959 |
$30K |
| 97811 |
|
1,794 |
994 |
$28K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
2,008 |
978 |
$22K |
| 85018 |
|
24,148 |
14,929 |
$21K |
| 0012A |
|
269 |
268 |
$18K |
| 97810 |
|
1,832 |
1,009 |
$18K |
| 0002A |
|
256 |
255 |
$17K |
| 0001A |
|
255 |
255 |
$17K |
| 0011A |
|
253 |
252 |
$17K |
| 90837 |
Psychotherapy, 53 minutes with patient |
202 |
140 |
$15K |
| 0071A |
|
154 |
154 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
316 |
207 |
$10K |
| 0072A |
|
143 |
143 |
$10K |
| 90739 |
|
90 |
78 |
$9K |
| 90677 |
|
452 |
329 |
$9K |
| 0064A |
|
109 |
109 |
$7K |
| 90651 |
|
793 |
524 |
$7K |
| 92552 |
|
854 |
495 |
$6K |
| 0004A |
|
78 |
78 |
$5K |
| 99205 |
Prolong outpt/office vis |
28 |
27 |
$5K |
| 90686 |
|
3,820 |
3,018 |
$5K |
| 90480 |
|
212 |
118 |
$4K |
| 98940 |
|
463 |
268 |
$4K |
| 90670 |
|
641 |
392 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
101 |
72 |
$4K |
| 99201 |
|
444 |
310 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
417 |
240 |
$3K |
| 81025 |
|
3,329 |
2,691 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
67 |
49 |
$3K |
| 81002 |
|
6,280 |
4,106 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
120 |
73 |
$2K |
| 90734 |
|
568 |
325 |
$2K |
| J3490 |
Unclassified drugs |
147 |
126 |
$2K |
| 99173 |
|
4,988 |
3,209 |
$2K |
| 90698 |
|
232 |
193 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
323 |
236 |
$1K |
| 90656 |
|
374 |
334 |
$1K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
300 |
269 |
$1K |
| 0054A |
|
13 |
13 |
$871.00 |
| 99460 |
|
23 |
13 |
$675.52 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
945 |
754 |
$664.54 |
| 90715 |
|
217 |
121 |
$593.84 |
| 99381 |
|
76 |
64 |
$577.54 |
| 90674 |
|
45 |
24 |
$565.92 |
| 90680 |
|
82 |
54 |
$555.90 |
| 90633 |
|
496 |
321 |
$516.15 |
| 82948 |
|
2,093 |
1,733 |
$514.52 |
| 83655 |
|
91 |
65 |
$368.28 |
| 99384 |
|
22 |
12 |
$345.35 |
| 90744 |
|
97 |
55 |
$329.30 |
| 87400 |
|
1,206 |
1,013 |
$325.71 |
| 90619 |
|
330 |
212 |
$315.39 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
196 |
166 |
$75.00 |
| 90661 |
|
43 |
27 |
$43.38 |
| 81000 |
|
1,066 |
820 |
$34.03 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
683 |
446 |
$22.53 |
| 99000 |
|
599 |
597 |
$3.63 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,311 |
2,300 |
$0.00 |
| 11719 |
|
96 |
68 |
$0.00 |
| 96160 |
|
111 |
107 |
$0.00 |
| 90473 |
|
38 |
28 |
$0.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
138 |
107 |
$0.00 |
| Z6414 |
|
67 |
55 |
$0.00 |
| 90710 |
|
88 |
61 |
$0.00 |
| 99401 |
|
44 |
25 |
$0.00 |
| 86318 |
|
17 |
17 |
$0.00 |
| Z6200 |
|
40 |
40 |
$0.00 |
| Z6400 |
|
30 |
30 |
$0.00 |
| Z6304 |
|
116 |
101 |
$0.00 |
| 90658 |
|
81 |
81 |
$0.00 |
| 59425 |
|
13 |
13 |
$0.00 |
| Z6300 |
|
67 |
67 |
$0.00 |
| 90655 |
|
23 |
22 |
$0.00 |
| 87420 |
|
25 |
25 |
$0.00 |
| 94760 |
|
402 |
386 |
$0.00 |
| 97802 |
|
1,096 |
1,008 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
388 |
387 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
143 |
128 |
$0.00 |
| Z6406 |
|
865 |
597 |
$0.00 |
| Z1034 |
|
1,148 |
871 |
$0.00 |
| Z6410 |
|
1,164 |
938 |
$0.00 |
| Z6402 |
|
78 |
78 |
$0.00 |
| A9150 |
Non-prescription drugs |
154 |
143 |
$0.00 |
| 96380 |
|
22 |
15 |
$0.00 |
| 90474 |
|
36 |
25 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
30 |
26 |
$0.00 |
| 87084 |
|
44 |
44 |
$0.00 |
| 90696 |
|
58 |
31 |
$0.00 |
| Z6204 |
|
13 |
12 |
$0.00 |
| 99383 |
|
15 |
13 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
25 |
25 |
$0.00 |
| 90697 |
|
16 |
16 |
$0.00 |