| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
133,962 |
120,620 |
$11.36M |
| 00003 |
Internal/system code - not a standard HCPCS code |
44,586 |
35,514 |
$8.80M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
83,242 |
69,487 |
$516K |
| 96156 |
|
13,907 |
12,469 |
$235K |
| 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 |
6,725 |
5,888 |
$153K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,574 |
9,629 |
$137K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13,335 |
12,297 |
$73K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,305 |
2,897 |
$72K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,075 |
2,078 |
$71K |
| 97803 |
|
11,359 |
10,075 |
$61K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,821 |
1,691 |
$59K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,078 |
2,675 |
$55K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,739 |
3,461 |
$54K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,970 |
2,621 |
$51K |
| 90651 |
|
2,183 |
2,035 |
$41K |
| 99215 |
Prolong outpt/office vis |
602 |
453 |
$37K |
| 92551 |
|
7,930 |
7,146 |
$35K |
| 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 |
7,113 |
6,564 |
$34K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,286 |
1,182 |
$23K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
7,064 |
6,573 |
$23K |
| 90756 |
|
2,061 |
2,008 |
$23K |
| 86480 |
|
542 |
535 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,116 |
1,003 |
$21K |
| 99383 |
|
540 |
540 |
$17K |
| 99384 |
|
495 |
487 |
$16K |
| 90746 |
|
285 |
285 |
$13K |
| 87428 |
|
568 |
559 |
$12K |
| 90688 |
|
1,308 |
1,264 |
$12K |
| 90686 |
|
3,462 |
3,241 |
$12K |
| 90715 |
|
1,206 |
1,107 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,186 |
2,082 |
$11K |
| 90834 |
Psychotherapy, 45 minutes with patient |
893 |
653 |
$11K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,179 |
2,179 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
741 |
710 |
$11K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,355 |
1,349 |
$10K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
441 |
400 |
$9K |
| 96151 |
|
2,396 |
2,382 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
434 |
383 |
$8K |
| 97802 |
|
856 |
855 |
$8K |
| 90658 |
|
561 |
560 |
$6K |
| 99382 |
|
216 |
216 |
$6K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,121 |
3,607 |
$6K |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
1,049 |
1,012 |
$5K |
| 93000 |
|
526 |
525 |
$5K |
| 90674 |
|
1,068 |
1,063 |
$5K |
| 3725F |
|
2,843 |
2,540 |
$5K |
| 90656 |
|
656 |
557 |
$5K |
| 80061 |
Lipid panel |
5,335 |
5,096 |
$5K |
| 3078F |
|
6,619 |
5,956 |
$4K |
| 3074F |
|
6,507 |
5,876 |
$4K |
| 96150 |
|
826 |
813 |
$4K |
| 90734 |
|
1,275 |
1,135 |
$4K |
| 3351F |
|
2,438 |
2,210 |
$4K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
304 |
301 |
$4K |
| 88141 |
|
725 |
716 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
965 |
963 |
$3K |
| 90662 |
|
131 |
131 |
$3K |
| 90620 |
|
997 |
861 |
$3K |
| 80053 |
Comprehensive metabolic panel |
3,982 |
3,921 |
$3K |
| 83655 |
|
245 |
242 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
143 |
143 |
$2K |
| 90670 |
|
86 |
86 |
$2K |
| 99173 |
|
5,671 |
5,457 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
91 |
90 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,083 |
2,027 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,761 |
3,600 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
521 |
458 |
$2K |
| 99385 |
|
81 |
81 |
$1K |
| 86706 |
|
1,189 |
1,178 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,866 |
2,799 |
$1K |
| 85018 |
|
1,251 |
1,136 |
$1K |
| 90750 |
|
425 |
420 |
$1K |
| 3079F |
|
1,560 |
1,481 |
$1K |
| 90633 |
|
399 |
378 |
$1K |
| 3075F |
|
1,538 |
1,454 |
$1K |
| 86704 |
|
1,080 |
1,072 |
$898.46 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
44 |
43 |
$850.00 |
| 81025 |
|
511 |
477 |
$847.38 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,730 |
3,728 |
$827.75 |
| 82043 |
|
790 |
770 |
$725.92 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
78 |
57 |
$680.96 |
| 86803 |
|
1,078 |
1,068 |
$640.18 |
| 99397 |
|
40 |
40 |
$543.51 |
| 3077F |
|
489 |
449 |
$539.40 |
| 80076 |
|
1,362 |
1,316 |
$506.30 |
| 87340 |
|
1,161 |
1,151 |
$488.55 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
270 |
265 |
$486.76 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
82 |
82 |
$480.82 |
| 90791 |
Psychiatric diagnostic evaluation |
206 |
205 |
$468.36 |
| 82274 |
|
916 |
896 |
$421.13 |
| 99386 |
|
99 |
96 |
$378.20 |
| 90710 |
|
118 |
114 |
$369.00 |
| 85027 |
|
1,013 |
1,006 |
$359.15 |
| 81003 |
|
333 |
327 |
$257.41 |
| 3511F |
|
25 |
24 |
$251.42 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
87 |
86 |
$213.09 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
255 |
251 |
$173.64 |
| 81002 |
|
127 |
125 |
$154.50 |
| 90661 |
|
640 |
510 |
$153.00 |
| 0001A |
|
92 |
92 |
$152.46 |
| 1111F |
|
39 |
38 |
$118.67 |
| 90707 |
|
28 |
28 |
$117.00 |
| 90696 |
|
25 |
25 |
$117.00 |
| 90744 |
|
84 |
65 |
$117.00 |
| 99441 |
|
398 |
376 |
$110.26 |
| 84460 |
|
145 |
140 |
$99.33 |
| 3008F |
|
551 |
551 |
$96.82 |
| 90713 |
|
94 |
80 |
$90.00 |
| 84450 |
|
90 |
87 |
$89.56 |
| 84439 |
|
282 |
268 |
$81.25 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
493 |
458 |
$69.97 |
| 86592 |
|
100 |
98 |
$52.15 |
| 86580 |
|
15 |
14 |
$50.16 |
| 84153 |
|
566 |
558 |
$37.07 |
| 3080F |
|
320 |
302 |
$36.80 |
| 84436 |
|
226 |
225 |
$35.47 |
| 87350 |
|
27 |
27 |
$35.38 |
| 87338 |
|
75 |
73 |
$27.09 |
| 81001 |
|
96 |
96 |
$27.00 |
| 87517 |
|
223 |
217 |
$25.26 |
| 99495 |
|
22 |
22 |
$25.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
28 |
18 |
$23.40 |
| 90677 |
|
35 |
24 |
$9.00 |
| 82105 |
|
84 |
82 |
$0.12 |
| 82947 |
|
41 |
38 |
$0.04 |
| 86707 |
|
27 |
27 |
$0.02 |
| 2022F |
|
1,340 |
1,340 |
$0.00 |
| 1003F |
|
3,996 |
3,806 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
731 |
677 |
$0.00 |
| 99442 |
|
143 |
138 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
79 |
68 |
$0.00 |
| 91300 |
|
94 |
94 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 99201 |
|
16 |
16 |
$0.00 |
| 86708 |
|
29 |
29 |
$0.00 |
| 0521 |
|
92 |
80 |
$0.00 |
| 90648 |
|
16 |
16 |
$0.00 |
| 87365 |
|
13 |
12 |
$0.00 |
| 0002A |
|
20 |
20 |
$0.00 |
| 94664 |
|
24 |
18 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
881 |
685 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
20 |
16 |
$0.00 |
| 91301 |
|
85 |
85 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
74 |
74 |
$0.00 |
| 92002 |
|
55 |
55 |
$0.00 |
| 0011A |
|
85 |
85 |
$0.00 |
| 90694 |
|
23 |
23 |
$0.00 |