| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
107,648 |
97,551 |
$12.75M |
| 00003 |
Internal/system code - not a standard HCPCS code |
6,887 |
5,332 |
$1.11M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
55,116 |
47,971 |
$101K |
| 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 |
732 |
660 |
$22K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
6,917 |
6,357 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,895 |
4,334 |
$11K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,931 |
2,762 |
$10K |
| 0012A |
|
143 |
142 |
$9K |
| 0011A |
|
178 |
177 |
$7K |
| 0064A |
|
117 |
117 |
$4K |
| 0004A |
|
94 |
93 |
$4K |
| 90715 |
|
596 |
548 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,695 |
2,507 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,309 |
1,241 |
$3K |
| 90750 |
|
243 |
213 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,955 |
7,231 |
$3K |
| 0001A |
|
56 |
56 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,829 |
1,690 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,195 |
1,094 |
$2K |
| 0072A |
|
27 |
27 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
784 |
696 |
$2K |
| 90677 |
|
423 |
411 |
$2K |
| 0071A |
|
26 |
26 |
$1K |
| 90686 |
|
1,949 |
1,839 |
$1K |
| 0054A |
|
28 |
28 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
747 |
720 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,643 |
1,573 |
$979.79 |
| 90739 |
|
121 |
113 |
$896.39 |
| 90633 |
|
892 |
824 |
$595.83 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,725 |
5,371 |
$565.51 |
| 90791 |
Psychiatric diagnostic evaluation |
443 |
382 |
$420.16 |
| 81002 |
|
6,700 |
5,497 |
$401.51 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
15 |
13 |
$395.29 |
| 3078F |
|
1,704 |
1,575 |
$332.94 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,907 |
7,686 |
$321.15 |
| 90732 |
|
18 |
15 |
$296.85 |
| 90688 |
|
260 |
247 |
$296.78 |
| 90832 |
Psychotherapy, 30 minutes with patient |
447 |
355 |
$271.32 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
282 |
270 |
$268.50 |
| 81025 |
|
1,330 |
1,210 |
$264.69 |
| 90746 |
|
44 |
40 |
$260.23 |
| 3079F |
|
298 |
293 |
$207.09 |
| 99188 |
|
648 |
594 |
$199.06 |
| 99173 |
|
1,410 |
1,310 |
$198.56 |
| 85018 |
|
1,841 |
1,705 |
$194.20 |
| 90651 |
|
470 |
443 |
$135.00 |
| 90670 |
|
1,268 |
1,190 |
$132.22 |
| 99385 |
|
15 |
12 |
$114.10 |
| 36416 |
|
346 |
321 |
$112.95 |
| 90698 |
|
771 |
725 |
$112.42 |
| 90648 |
|
598 |
585 |
$109.80 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,860 |
1,814 |
$97.35 |
| 90680 |
|
898 |
860 |
$81.00 |
| 90700 |
|
155 |
143 |
$81.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
294 |
288 |
$77.00 |
| 90723 |
|
465 |
456 |
$72.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
345 |
274 |
$67.16 |
| 92551 |
|
1,066 |
988 |
$65.96 |
| 90716 |
|
593 |
541 |
$57.60 |
| 90707 |
|
586 |
530 |
$57.60 |
| 90734 |
|
350 |
319 |
$55.89 |
| 99381 |
|
71 |
70 |
$45.33 |
| 90744 |
|
464 |
439 |
$39.36 |
| 83655 |
|
340 |
326 |
$31.89 |
| 82962 |
|
209 |
181 |
$26.46 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,948 |
3,911 |
$23.30 |
| 86580 |
|
27 |
24 |
$10.08 |
| 87807 |
|
17 |
13 |
$8.57 |
| J3490 |
Unclassified drugs |
82 |
79 |
$0.00 |
| Z1034 |
|
4,164 |
2,991 |
$0.00 |
| 3074F |
|
2,049 |
1,896 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
204 |
199 |
$0.00 |
| 3075F |
|
108 |
104 |
$0.00 |
| 90656 |
|
211 |
209 |
$0.00 |
| 99000 |
|
371 |
332 |
$0.00 |
| A9150 |
Non-prescription drugs |
79 |
76 |
$0.00 |
| Z6410 |
|
368 |
340 |
$0.00 |
| 93000 |
|
65 |
60 |
$0.00 |
| Z6204 |
|
160 |
160 |
$0.00 |
| Z6406 |
|
184 |
182 |
$0.00 |
| 3044F |
|
42 |
42 |
$0.00 |
| 91301 |
|
58 |
58 |
$0.00 |
| 90474 |
|
67 |
65 |
$0.00 |
| 90620 |
|
30 |
26 |
$0.00 |
| Z6402 |
|
28 |
28 |
$0.00 |
| Z1032 |
|
27 |
26 |
$0.00 |
| 91306 |
|
32 |
32 |
$0.00 |
| 3080F |
|
16 |
15 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
32 |
32 |
$0.00 |
| 90696 |
|
15 |
13 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
95 |
92 |
$0.00 |
| Z6304 |
|
171 |
170 |
$0.00 |
| 90681 |
|
88 |
85 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
190 |
129 |
$0.00 |
| Z6300 |
|
28 |
28 |
$0.00 |
| Z6400 |
|
75 |
75 |
$0.00 |
| 3077F |
|
82 |
80 |
$0.00 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
12 |
12 |
$0.00 |
| 90658 |
|
48 |
48 |
$0.00 |
| Z6200 |
|
29 |
28 |
$0.00 |
| 91300 |
|
12 |
12 |
$0.00 |
| 99201 |
|
38 |
33 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
15 |
$0.00 |
| 3046F |
|
19 |
16 |
$0.00 |
| Z6308 |
|
13 |
13 |
$0.00 |
| Z6414 |
|
13 |
13 |
$0.00 |