| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00003 |
Internal/system code - not a standard HCPCS code |
52,609 |
45,855 |
$14.75M |
| T1015 |
Clinic visit/encounter, all-inclusive |
38,113 |
35,334 |
$8.55M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,597 |
15,516 |
$58K |
| 90686 |
|
8,596 |
5,314 |
$48K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,037 |
3,790 |
$47K |
| 90670 |
|
4,809 |
3,048 |
$26K |
| 99381 |
|
940 |
636 |
$18K |
| 90633 |
|
3,221 |
1,961 |
$18K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,096 |
507 |
$17K |
| 90698 |
|
3,001 |
1,986 |
$16K |
| 90710 |
|
2,510 |
1,529 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,843 |
1,973 |
$12K |
| 90651 |
|
1,865 |
1,291 |
$11K |
| 90744 |
|
2,247 |
1,493 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,249 |
3,714 |
$11K |
| 90697 |
|
1,686 |
982 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,055 |
2,493 |
$8K |
| 90681 |
|
1,569 |
990 |
$7K |
| 90671 |
|
1,445 |
823 |
$6K |
| 83655 |
|
2,283 |
1,348 |
$6K |
| 92551 |
|
9,750 |
5,917 |
$5K |
| 90734 |
|
684 |
493 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,003 |
1,184 |
$4K |
| 90696 |
|
481 |
286 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
96 |
53 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
82 |
41 |
$2K |
| 90619 |
|
400 |
233 |
$2K |
| 90715 |
|
311 |
227 |
$2K |
| 90656 |
|
380 |
256 |
$2K |
| 90685 |
|
171 |
171 |
$2K |
| 90700 |
|
218 |
134 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
32 |
15 |
$1K |
| 90680 |
|
94 |
94 |
$846.00 |
| 90674 |
|
139 |
80 |
$693.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
352 |
212 |
$603.19 |
| 90834 |
Psychotherapy, 45 minutes with patient |
39 |
24 |
$568.15 |
| 99383 |
|
52 |
36 |
$484.72 |
| 90688 |
|
73 |
73 |
$378.31 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
193 |
140 |
$276.52 |
| 90647 |
|
46 |
26 |
$252.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
52 |
29 |
$209.22 |
| 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 |
237 |
218 |
$168.64 |
| 90713 |
|
13 |
13 |
$117.00 |
| 90716 |
|
15 |
13 |
$108.00 |
| 90381 |
|
19 |
13 |
$72.00 |
| 85018 |
|
1,937 |
1,889 |
$51.30 |
| 86580 |
|
34 |
27 |
$33.60 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
237 |
223 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
46 |
46 |
$0.00 |
| 90480 |
|
17 |
17 |
$0.00 |
| 90756 |
|
46 |
46 |
$0.00 |