| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
27,118 |
22,074 |
$2.05M |
| 00003 |
Internal/system code - not a standard HCPCS code |
8,120 |
5,058 |
$1.25M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,127 |
11,642 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,683 |
5,970 |
$27K |
| 92081 |
|
2,108 |
2,040 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,196 |
4,086 |
$2K |
| 90686 |
|
2,112 |
2,013 |
$2K |
| 99000 |
|
7,682 |
7,072 |
$2K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
102 |
102 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
190 |
177 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
5,349 |
5,074 |
$1K |
| 90670 |
|
174 |
150 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
129 |
119 |
$987.94 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
67 |
65 |
$907.02 |
| 92551 |
|
1,826 |
1,783 |
$886.83 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
47 |
42 |
$637.29 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
29 |
25 |
$484.04 |
| 81001 |
|
549 |
512 |
$471.21 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,564 |
2,347 |
$450.42 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
211 |
196 |
$448.56 |
| 90714 |
|
429 |
406 |
$421.45 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,915 |
3,721 |
$416.96 |
| 90707 |
|
233 |
219 |
$414.81 |
| 99401 |
|
48 |
39 |
$398.60 |
| 90716 |
|
196 |
184 |
$371.44 |
| 90688 |
|
96 |
96 |
$331.08 |
| S9452 |
Nutrition classes, non-physician provider, per session |
11,054 |
10,067 |
$302.98 |
| S9451 |
Exercise classes, non-physician provider, per session |
8,024 |
7,443 |
$234.80 |
| 90739 |
|
156 |
148 |
$219.79 |
| 99442 |
|
3,740 |
3,429 |
$199.50 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,124 |
1,069 |
$181.90 |
| 81025 |
|
232 |
197 |
$162.63 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
16 |
14 |
$133.28 |
| 90662 |
|
89 |
84 |
$132.60 |
| 90633 |
|
46 |
39 |
$117.32 |
| 82962 |
|
797 |
735 |
$76.00 |
| 96160 |
|
171 |
168 |
$72.90 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,220 |
1,165 |
$72.90 |
| 87340 |
|
62 |
49 |
$63.84 |
| H0049 |
Alcohol and/or drug screening |
1,812 |
1,792 |
$55.80 |
| 99443 |
|
769 |
748 |
$50.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
164 |
161 |
$49.90 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
42 |
36 |
$35.40 |
| 3044F |
|
1,635 |
1,621 |
$28.80 |
| 90647 |
|
17 |
12 |
$27.00 |
| 3074F |
|
2,301 |
2,188 |
$19.20 |
| 90655 |
|
15 |
15 |
$18.71 |
| 90734 |
|
56 |
54 |
$18.00 |
| 3078F |
|
1,882 |
1,796 |
$10.80 |
| 90651 |
|
71 |
70 |
$9.00 |
| 90620 |
|
14 |
13 |
$9.00 |
| 90732 |
|
16 |
12 |
$9.00 |
| 3079F |
|
1,063 |
1,031 |
$9.00 |
| 3075F |
|
515 |
507 |
$5.10 |
| 3725F |
|
824 |
820 |
$2.10 |
| 1036F |
|
1,301 |
1,301 |
$2.10 |
| 96151 |
|
430 |
426 |
$2.00 |
| 81003 |
|
71 |
68 |
$1.96 |
| 3008F |
|
1,090 |
1,090 |
$1.80 |
| 1000F |
|
515 |
515 |
$1.80 |
| 90461 |
|
218 |
195 |
$0.00 |
| 80061 |
Lipid panel |
3,898 |
3,842 |
$0.00 |
| 82570 |
|
99 |
97 |
$0.00 |
| 84439 |
|
72 |
72 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
336 |
295 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
395 |
395 |
$0.00 |
| 99408 |
|
372 |
372 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
46 |
42 |
$0.00 |
| 80074 |
|
13 |
13 |
$0.00 |
| 87660 |
|
31 |
24 |
$0.00 |
| 1033F |
|
572 |
572 |
$0.00 |
| 83655 |
|
41 |
40 |
$0.00 |
| 91312 |
|
30 |
30 |
$0.00 |
| 3045F |
|
28 |
25 |
$0.00 |
| 90715 |
|
77 |
76 |
$0.00 |
| 86480 |
|
148 |
141 |
$0.00 |
| 90658 |
|
46 |
46 |
$0.00 |
| 90750 |
|
51 |
51 |
$0.00 |
| 3077F |
|
92 |
89 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
46 |
46 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
20 |
20 |
$0.00 |
| 3051F |
|
12 |
12 |
$0.00 |
| 91320 |
|
35 |
35 |
$0.00 |
| 1032F |
|
13 |
13 |
$0.00 |
| 3046F |
|
13 |
13 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$0.00 |
| 82274 |
|
20 |
20 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
3,922 |
3,836 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,730 |
2,679 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
350 |
308 |
$0.00 |
| 86592 |
|
155 |
135 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,592 |
2,547 |
$0.00 |
| 96156 |
|
671 |
671 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,053 |
2,979 |
$0.00 |
| 84436 |
|
44 |
41 |
$0.00 |
| 86701 |
|
31 |
30 |
$0.00 |
| 99441 |
|
1,049 |
998 |
$0.00 |
| 87510 |
|
31 |
24 |
$0.00 |
| 82043 |
|
270 |
262 |
$0.00 |
| 1031F |
|
1,278 |
1,278 |
$0.00 |
| 90656 |
|
155 |
155 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
322 |
285 |
$0.00 |
| 85018 |
|
380 |
369 |
$0.00 |
| 87480 |
|
31 |
24 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
280 |
280 |
$0.00 |
| 81000 |
|
69 |
68 |
$0.00 |
| Z5220 |
|
27 |
27 |
$0.00 |
| 82728 |
|
14 |
12 |
$0.00 |
| 86580 |
|
12 |
12 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
99 |
97 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
29 |
26 |
$0.00 |
| 87088 |
|
16 |
13 |
$0.00 |
| 87490 |
|
27 |
27 |
$0.00 |
| 86803 |
|
101 |
88 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
18 |
18 |
$0.00 |
| 85027 |
|
47 |
47 |
$0.00 |
| 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 |
88 |
81 |
$0.00 |
| Z1034 |
|
36 |
25 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
43 |
39 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
46 |
46 |
$0.00 |
| 86593 |
|
60 |
44 |
$0.00 |
| 90480 |
|
52 |
52 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
19 |
19 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
20 |
20 |
$0.00 |
| 88142 |
|
45 |
37 |
$0.00 |