| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
62,104 |
54,568 |
$11.82M |
| 00003 |
Internal/system code - not a standard HCPCS code |
17,790 |
14,268 |
$4.23M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
57,347 |
47,476 |
$1.18M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35,033 |
30,632 |
$957K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,189 |
1,828 |
$128K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,886 |
1,836 |
$112K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,276 |
2,214 |
$107K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,103 |
2,061 |
$94K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,464 |
4,907 |
$85K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,699 |
1,676 |
$76K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,079 |
1,793 |
$71K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,898 |
2,594 |
$68K |
| 96156 |
|
863 |
859 |
$64K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,478 |
1,377 |
$54K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,297 |
798 |
$47K |
| 99215 |
Prolong outpt/office vis |
1,481 |
1,385 |
$35K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,019 |
745 |
$35K |
| 92552 |
|
2,587 |
2,440 |
$30K |
| 90686 |
|
3,100 |
3,048 |
$30K |
| 96151 |
|
1,334 |
1,287 |
$26K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,789 |
3,367 |
$25K |
| 92551 |
|
1,818 |
1,790 |
$22K |
| 90715 |
|
1,218 |
1,166 |
$21K |
| 90651 |
|
900 |
899 |
$15K |
| G9012 |
Other specified case management service not elsewhere classified |
24 |
24 |
$15K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
158 |
158 |
$14K |
| 96150 |
|
580 |
562 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
236 |
234 |
$13K |
| 90670 |
|
1,077 |
1,052 |
$13K |
| 85018 |
|
8,363 |
8,299 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
767 |
762 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
338 |
222 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,322 |
2,018 |
$9K |
| 99205 |
Prolong outpt/office vis |
140 |
117 |
$8K |
| 90734 |
|
809 |
808 |
$7K |
| 90647 |
|
774 |
753 |
$7K |
| 90682 |
|
110 |
110 |
$7K |
| 90633 |
|
787 |
780 |
$7K |
| 90723 |
|
751 |
731 |
$7K |
| 90619 |
|
96 |
96 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
136 |
135 |
$5K |
| 80061 |
Lipid panel |
930 |
915 |
$5K |
| 90688 |
|
246 |
242 |
$5K |
| 99386 |
|
153 |
110 |
$5K |
| 69210 |
|
146 |
140 |
$4K |
| 99383 |
|
79 |
70 |
$4K |
| 99173 |
|
1,247 |
1,214 |
$4K |
| 0011A |
|
59 |
59 |
$4K |
| 93000 |
|
276 |
237 |
$4K |
| 90746 |
|
97 |
83 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,439 |
1,284 |
$3K |
| 90620 |
|
206 |
205 |
$3K |
| 85999 |
|
989 |
987 |
$3K |
| 0002A |
|
43 |
43 |
$3K |
| 99384 |
|
31 |
31 |
$3K |
| 96127 |
|
786 |
744 |
$3K |
| 90710 |
|
290 |
287 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
205 |
174 |
$3K |
| 99385 |
|
130 |
95 |
$3K |
| 90658 |
|
278 |
278 |
$3K |
| 0012A |
|
36 |
36 |
$2K |
| 90649 |
|
251 |
251 |
$2K |
| 0001A |
|
43 |
43 |
$2K |
| 90696 |
|
259 |
256 |
$2K |
| 0031A |
|
31 |
31 |
$2K |
| G9920 |
Screening performed and negative |
442 |
426 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
682 |
680 |
$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 |
262 |
224 |
$2K |
| 90700 |
|
175 |
169 |
$2K |
| 81003 |
|
1,234 |
1,058 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
523 |
514 |
$1K |
| 80053 |
Comprehensive metabolic panel |
605 |
596 |
$1K |
| 99382 |
|
22 |
15 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
373 |
368 |
$1K |
| 90681 |
|
132 |
132 |
$1K |
| 90707 |
|
87 |
85 |
$986.25 |
| 99397 |
|
27 |
24 |
$970.96 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
136 |
94 |
$960.32 |
| 90716 |
|
96 |
94 |
$855.00 |
| 90656 |
|
93 |
65 |
$730.10 |
| 81002 |
|
609 |
526 |
$647.71 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
312 |
308 |
$635.93 |
| 83655 |
|
113 |
111 |
$540.50 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
26 |
24 |
$517.14 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
12 |
12 |
$385.84 |
| 90655 |
|
40 |
40 |
$351.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
79 |
74 |
$242.40 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
55 |
54 |
$208.60 |
| 87490 |
|
55 |
55 |
$192.13 |
| 90461 |
|
13 |
13 |
$187.95 |
| 82947 |
|
136 |
136 |
$162.02 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
40 |
39 |
$155.52 |
| 87590 |
|
56 |
56 |
$151.26 |
| 1000F |
|
386 |
361 |
$109.30 |
| 84460 |
|
109 |
109 |
$104.89 |
| 81025 |
|
45 |
38 |
$104.80 |
| 84450 |
|
108 |
107 |
$99.54 |
| 87070 |
|
13 |
13 |
$97.63 |
| 99406 |
|
13 |
13 |
$88.51 |
| 84439 |
|
47 |
47 |
$63.32 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
17 |
12 |
$33.21 |
| 98960 |
|
1,661 |
1,513 |
$28.87 |
| 82962 |
|
16 |
12 |
$12.90 |
| 82043 |
|
14 |
14 |
$10.24 |
| 86592 |
|
12 |
12 |
$2.68 |
| 82274 |
|
13 |
13 |
$0.13 |
| 1160F |
|
456 |
391 |
$0.00 |
| 3078F |
|
1,568 |
1,419 |
$0.00 |
| 2014F |
|
24 |
24 |
$0.00 |
| 1159F |
|
248 |
228 |
$0.00 |
| 3077F |
|
222 |
207 |
$0.00 |
| 3080F |
|
105 |
99 |
$0.00 |
| 3079F |
|
733 |
702 |
$0.00 |
| 1126F |
|
54 |
46 |
$0.00 |
| 3074F |
|
1,561 |
1,424 |
$0.00 |
| 1111F |
|
1,303 |
1,218 |
$0.00 |
| 3075F |
|
522 |
502 |
$0.00 |
| 3351F |
|
1,120 |
1,064 |
$0.00 |
| 1170F |
|
196 |
176 |
$0.00 |
| 3072F |
|
48 |
47 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
12 |
12 |
$0.00 |
| 99443 |
|
34 |
26 |
$0.00 |
| 3353F |
|
14 |
14 |
$0.00 |
| 90732 |
|
12 |
12 |
$0.00 |
| 3044F |
|
48 |
48 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |
| 90677 |
|
15 |
15 |
$0.00 |
| 3352F |
|
31 |
31 |
$0.00 |