| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
162,820 |
116,592 |
$39.59M |
| 00003 |
Internal/system code - not a standard HCPCS code |
40,129 |
27,741 |
$11.37M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
76,802 |
51,310 |
$147K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20,487 |
15,054 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,751 |
20,420 |
$33K |
| 90832 |
Psychotherapy, 30 minutes with patient |
11,207 |
6,968 |
$21K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
185 |
185 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,049 |
850 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,332 |
5,200 |
$8K |
| 0012A |
|
147 |
129 |
$5K |
| 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 |
136 |
106 |
$5K |
| 0011A |
|
155 |
129 |
$4K |
| 91320 |
|
68 |
45 |
$3K |
| 0001A |
|
52 |
52 |
$2K |
| 0002A |
|
46 |
46 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
101 |
76 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,747 |
1,083 |
$2K |
| 0013A |
|
40 |
40 |
$2K |
| 93000 |
|
125 |
94 |
$1K |
| 99000 |
|
13,305 |
10,188 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,291 |
2,132 |
$1K |
| 81025 |
|
2,092 |
1,772 |
$852.94 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
52 |
40 |
$675.90 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
89 |
87 |
$597.90 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
91 |
89 |
$595.98 |
| 0134A |
|
13 |
13 |
$520.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,593 |
1,134 |
$385.39 |
| 92551 |
|
3,475 |
2,562 |
$311.86 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
8,489 |
3,571 |
$281.86 |
| 96156 |
|
8,347 |
6,331 |
$150.10 |
| 90791 |
Psychiatric diagnostic evaluation |
873 |
860 |
$126.80 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
707 |
701 |
$102.22 |
| 90715 |
|
225 |
183 |
$84.68 |
| 85018 |
|
997 |
963 |
$53.93 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
132 |
131 |
$49.08 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,631 |
1,168 |
$47.76 |
| 88142 |
|
27 |
26 |
$47.59 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
710 |
578 |
$40.72 |
| 99173 |
|
3,935 |
2,992 |
$29.82 |
| 84443 |
Thyroid stimulating hormone (TSH) |
154 |
149 |
$29.22 |
| 80061 |
Lipid panel |
163 |
160 |
$22.84 |
| 81002 |
|
1,885 |
1,407 |
$22.34 |
| 80053 |
Comprehensive metabolic panel |
162 |
159 |
$18.38 |
| 90686 |
|
2,215 |
1,927 |
$17.66 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,014 |
1,653 |
$16.90 |
| 84439 |
|
42 |
42 |
$7.83 |
| 81001 |
|
70 |
68 |
$2.76 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,233 |
3,233 |
$0.00 |
| 3078F |
|
30,477 |
23,451 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,284 |
1,735 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
2,789 |
2,222 |
$0.00 |
| 96160 |
|
923 |
854 |
$0.00 |
| Z6400 |
|
137 |
132 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,921 |
3,902 |
$0.00 |
| 90461 |
|
502 |
385 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,496 |
1,099 |
$0.00 |
| V2020 |
Frames, purchases |
3,251 |
3,251 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
287 |
287 |
$0.00 |
| 3077F |
|
5,660 |
4,465 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,594 |
1,204 |
$0.00 |
| Z6304 |
|
90 |
88 |
$0.00 |
| 1159F |
|
343 |
271 |
$0.00 |
| 98940 |
|
6,221 |
2,844 |
$0.00 |
| 98942 |
|
6,054 |
2,037 |
$0.00 |
| 90648 |
|
132 |
100 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
151 |
151 |
$0.00 |
| G9920 |
Screening performed and negative |
615 |
550 |
$0.00 |
| 90734 |
|
347 |
244 |
$0.00 |
| 90633 |
|
258 |
208 |
$0.00 |
| 90671 |
|
25 |
25 |
$0.00 |
| 99382 |
|
21 |
13 |
$0.00 |
| 90681 |
|
13 |
13 |
$0.00 |
| 99397 |
|
12 |
12 |
$0.00 |
| 90710 |
|
45 |
45 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| 82274 |
|
15 |
15 |
$0.00 |
| 4004F |
|
28 |
16 |
$0.00 |
| 90653 |
|
33 |
30 |
$0.00 |
| Z6300 |
|
12 |
12 |
$0.00 |
| 85014 |
|
15 |
15 |
$0.00 |
| 90670 |
|
78 |
51 |
$0.00 |
| 90707 |
|
14 |
12 |
$0.00 |
| Z6202 |
|
14 |
14 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
8,029 |
7,106 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
41 |
41 |
$0.00 |
| 3080F |
|
2,007 |
1,509 |
$0.00 |
| 3079F |
|
12,670 |
9,764 |
$0.00 |
| Z1034 |
|
2,160 |
1,334 |
$0.00 |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
2,103 |
1,664 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
3,742 |
2,960 |
$0.00 |
| 3044F |
|
1,699 |
1,565 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
12,330 |
9,721 |
$0.00 |
| 3074F |
|
32,263 |
24,488 |
$0.00 |
| 3075F |
|
7,447 |
5,843 |
$0.00 |
| 3008F |
|
347 |
346 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,603 |
2,603 |
$0.00 |
| 99383 |
|
82 |
65 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,958 |
1,484 |
$0.00 |
| 92002 |
|
607 |
605 |
$0.00 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
315 |
315 |
$0.00 |
| Z6406 |
|
47 |
46 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
728 |
728 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
5,761 |
4,351 |
$0.00 |
| 3351F |
|
225 |
202 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
612 |
536 |
$0.00 |
| Z6204 |
|
232 |
224 |
$0.00 |
| 90656 |
|
869 |
770 |
$0.00 |
| 90651 |
|
828 |
614 |
$0.00 |
| V2744 |
Tint, photochromatic, per lens |
582 |
582 |
$0.00 |
| 90716 |
|
43 |
40 |
$0.00 |
| 1220F |
|
641 |
573 |
$0.00 |
| 85027 |
|
93 |
92 |
$0.00 |
| V2781 |
Progressive lens, per lens |
32 |
32 |
$0.00 |
| 99385 |
|
241 |
196 |
$0.00 |
| 90723 |
|
24 |
24 |
$0.00 |
| 82962 |
|
240 |
190 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
1,448 |
547 |
$0.00 |
| 36416 |
|
111 |
107 |
$0.00 |
| 90620 |
|
170 |
121 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
35 |
29 |
$0.00 |
| 2001F |
|
12 |
12 |
$0.00 |
| 91301 |
|
34 |
33 |
$0.00 |
| 99386 |
|
31 |
24 |
$0.00 |
| 90677 |
|
48 |
43 |
$0.00 |
| 90694 |
|
12 |
12 |
$0.00 |
| 99384 |
|
45 |
41 |
$0.00 |
| 3061F |
|
68 |
55 |
$0.00 |
| 87428 |
|
32 |
32 |
$0.00 |
| Z6402 |
|
12 |
12 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
14 |
$0.00 |
| 96161 |
|
13 |
12 |
$0.00 |