| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
122,024 |
98,805 |
$20.83M |
| 00003 |
Internal/system code - not a standard HCPCS code |
30,658 |
28,271 |
$7.68M |
| G9012 |
Other specified case management service not elsewhere classified |
4,209 |
1,547 |
$523K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
5,088 |
3,832 |
$341K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
60,465 |
39,948 |
$174K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,237 |
19,359 |
$152K |
| 90832 |
Psychotherapy, 30 minutes with patient |
15,013 |
7,475 |
$140K |
| 59425 |
|
1,500 |
1,074 |
$107K |
| 90834 |
Psychotherapy, 45 minutes with patient |
7,038 |
3,825 |
$105K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
6,315 |
4,493 |
$47K |
| 90791 |
Psychiatric diagnostic evaluation |
1,457 |
1,225 |
$43K |
| 90686 |
|
4,537 |
3,288 |
$36K |
| 90837 |
Psychotherapy, 53 minutes with patient |
755 |
506 |
$31K |
| 97803 |
|
1,700 |
1,430 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,457 |
1,705 |
$20K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
1,084 |
830 |
$19K |
| 90688 |
|
1,091 |
798 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,857 |
1,778 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,524 |
5,021 |
$17K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,914 |
1,927 |
$15K |
| 96156 |
|
1,281 |
1,132 |
$14K |
| G0397 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
343 |
136 |
$14K |
| 90715 |
|
805 |
566 |
$12K |
| 90670 |
|
1,547 |
1,054 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
227 |
134 |
$8K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
575 |
537 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,845 |
1,191 |
$7K |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
57 |
56 |
$7K |
| 99401 |
|
456 |
433 |
$5K |
| 90633 |
|
905 |
625 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
981 |
787 |
$5K |
| 0004A |
|
68 |
68 |
$5K |
| 90647 |
|
1,151 |
825 |
$5K |
| 0064A |
|
63 |
63 |
$4K |
| 92551 |
|
4,099 |
2,799 |
$4K |
| 90656 |
|
609 |
459 |
$3K |
| S9452 |
Nutrition classes, non-physician provider, per session |
207 |
169 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
266 |
226 |
$3K |
| 0002A |
|
44 |
44 |
$3K |
| J3490 |
Unclassified drugs |
80 |
48 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
905 |
687 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
759 |
511 |
$2K |
| 0001A |
|
26 |
26 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
68 |
67 |
$2K |
| 85018 |
|
4,094 |
3,566 |
$1K |
| 0012A |
|
25 |
25 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
763 |
684 |
$1K |
| 90700 |
|
241 |
150 |
$1K |
| 90723 |
|
381 |
271 |
$1K |
| 0071A |
|
18 |
18 |
$1K |
| 90716 |
|
85 |
67 |
$1K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
65 |
37 |
$1K |
| 99381 |
|
69 |
40 |
$1K |
| 0011A |
|
22 |
22 |
$1K |
| 90681 |
|
291 |
198 |
$963.00 |
| 90671 |
|
264 |
232 |
$952.00 |
| 59430 |
|
12 |
12 |
$943.44 |
| 90651 |
|
177 |
131 |
$936.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
38 |
14 |
$933.12 |
| 99460 |
|
13 |
13 |
$824.06 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,983 |
5,306 |
$760.57 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,282 |
1,223 |
$739.82 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
23 |
13 |
$627.55 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$601.64 |
| 90662 |
|
40 |
36 |
$566.00 |
| 90734 |
|
34 |
25 |
$430.52 |
| 90713 |
|
85 |
51 |
$423.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
36 |
27 |
$412.50 |
| 96151 |
|
32 |
29 |
$403.68 |
| 59025 |
Fetal non-stress test |
36 |
12 |
$401.28 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
63 |
39 |
$309.75 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
232 |
180 |
$302.31 |
| 81002 |
|
408 |
313 |
$234.35 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
356 |
326 |
$230.10 |
| 90619 |
|
18 |
15 |
$228.00 |
| 90710 |
|
35 |
26 |
$171.00 |
| 81025 |
|
119 |
84 |
$140.00 |
| 99406 |
|
22 |
12 |
$106.35 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
17 |
12 |
$105.37 |
| 99000 |
|
53 |
50 |
$93.00 |
| 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 |
4,384 |
3,995 |
$69.44 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
298 |
289 |
$49.06 |
| 88720 |
|
132 |
93 |
$42.46 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
50 |
47 |
$13.98 |
| 86580 |
|
30 |
28 |
$3.36 |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
194 |
111 |
$0.00 |
| Z6400 |
|
722 |
720 |
$0.00 |
| Z6208 |
|
192 |
163 |
$0.00 |
| Z6304 |
|
979 |
930 |
$0.00 |
| Z6500 |
|
382 |
382 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
140 |
140 |
$0.00 |
| 90863 |
|
82 |
53 |
$0.00 |
| Z6302 |
|
13 |
13 |
$0.00 |
| 99173 |
|
33 |
33 |
$0.00 |
| Z6406 |
|
549 |
542 |
$0.00 |
| Z1034 |
|
6,625 |
5,258 |
$0.00 |
| Z6410 |
|
1,217 |
985 |
$0.00 |
| Z6204 |
|
1,851 |
1,641 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
177 |
177 |
$0.00 |
| Z1032 |
|
52 |
52 |
$0.00 |
| Z1038 |
|
27 |
26 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
141 |
139 |
$0.00 |