| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
32,529 |
24,695 |
$6.70M |
| 00003 |
Internal/system code - not a standard HCPCS code |
15,087 |
11,938 |
$6.32M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29,760 |
25,764 |
$919K |
| 90834 |
Psychotherapy, 45 minutes with patient |
15,439 |
5,331 |
$755K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44,043 |
38,558 |
$491K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,737 |
441 |
$90K |
| 59425 |
|
1,353 |
924 |
$82K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
616 |
495 |
$66K |
| 99215 |
Prolong outpt/office vis |
1,578 |
1,494 |
$64K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,610 |
4,531 |
$54K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
3,542 |
2,510 |
$52K |
| 90750 |
|
284 |
277 |
$48K |
| 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 |
1,390 |
1,273 |
$39K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,046 |
1,841 |
$32K |
| 90739 |
|
177 |
177 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,317 |
7,109 |
$26K |
| 90734 |
|
230 |
228 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
878 |
793 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
421 |
344 |
$24K |
| 90791 |
Psychiatric diagnostic evaluation |
367 |
214 |
$20K |
| 90832 |
Psychotherapy, 30 minutes with patient |
641 |
294 |
$20K |
| 0012A |
|
296 |
295 |
$20K |
| 90677 |
|
460 |
460 |
$19K |
| 0011A |
|
291 |
287 |
$19K |
| 97802 |
|
217 |
154 |
$17K |
| 97803 |
|
334 |
204 |
$13K |
| 90686 |
|
869 |
866 |
$11K |
| 90674 |
|
455 |
454 |
$11K |
| 90651 |
|
446 |
446 |
$11K |
| 99233 |
Prolong inpt eval add15 m |
359 |
98 |
$10K |
| 90732 |
|
93 |
92 |
$9K |
| 90715 |
|
299 |
299 |
$9K |
| 98940 |
|
624 |
457 |
$9K |
| 90670 |
|
47 |
47 |
$9K |
| 90656 |
|
841 |
841 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
652 |
578 |
$6K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
116 |
111 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
82 |
78 |
$5K |
| 90619 |
|
303 |
302 |
$5K |
| 98942 |
|
271 |
199 |
$4K |
| 99201 |
|
181 |
168 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
120 |
96 |
$2K |
| 81002 |
|
1,316 |
1,069 |
$2K |
| 46607 |
|
43 |
43 |
$2K |
| 46606 |
|
91 |
87 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
284 |
280 |
$2K |
| 90716 |
|
78 |
78 |
$2K |
| 59430 |
|
119 |
118 |
$1K |
| 90707 |
|
53 |
53 |
$1K |
| 81025 |
|
491 |
477 |
$1K |
| 93000 |
|
41 |
41 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
843 |
843 |
$1K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
14 |
12 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
352 |
348 |
$989.10 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
239 |
239 |
$926.10 |
| 99442 |
|
311 |
283 |
$921.08 |
| 90632 |
|
12 |
12 |
$860.20 |
| 86803 |
|
70 |
70 |
$849.06 |
| 92552 |
|
48 |
48 |
$817.81 |
| 99381 |
|
18 |
18 |
$815.94 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
840 |
839 |
$789.30 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
347 |
346 |
$715.86 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
808 |
807 |
$603.13 |
| J3490 |
Unclassified drugs |
13 |
13 |
$594.19 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
239 |
238 |
$446.59 |
| 85018 |
|
1,085 |
1,081 |
$279.43 |
| 90620 |
|
36 |
36 |
$234.94 |
| 86328 |
|
101 |
95 |
$165.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
29 |
29 |
$105.36 |
| 83655 |
|
317 |
316 |
$95.67 |
| 96156 |
|
66 |
66 |
$84.30 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
27 |
27 |
$61.92 |
| 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 |
15 |
12 |
$45.15 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
16 |
14 |
$43.92 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
93 |
93 |
$42.82 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
51 |
51 |
$38.40 |
| 82962 |
|
62 |
62 |
$28.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
199 |
151 |
$16.82 |
| 99441 |
|
931 |
910 |
$14.55 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
12 |
12 |
$9.70 |
| 90633 |
|
285 |
285 |
$9.00 |
| 86580 |
|
69 |
67 |
$6.72 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
31 |
31 |
$5.49 |
| 90688 |
|
231 |
228 |
$2.02 |
| 4274F |
|
2,650 |
2,357 |
$0.00 |
| 1160F |
|
9,490 |
8,800 |
$0.00 |
| 3078F |
|
6,730 |
6,425 |
$0.00 |
| 3077F |
|
838 |
806 |
$0.00 |
| 1159F |
|
9,490 |
8,800 |
$0.00 |
| 99173 |
|
86 |
86 |
$0.00 |
| 4040F |
|
655 |
616 |
$0.00 |
| 4004F |
|
676 |
658 |
$0.00 |
| 90710 |
|
101 |
101 |
$0.00 |
| 96160 |
|
458 |
456 |
$0.00 |
| 2028F |
|
51 |
51 |
$0.00 |
| 90461 |
|
73 |
71 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
348 |
348 |
$0.00 |
| 90681 |
|
24 |
24 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 99188 |
|
15 |
15 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
15 |
$0.00 |
| 1034F |
|
540 |
504 |
$0.00 |
| 1036F |
|
9,203 |
8,442 |
$0.00 |
| 3074F |
|
7,644 |
7,270 |
$0.00 |
| 3351F |
|
5,165 |
4,830 |
$0.00 |
| 3080F |
|
217 |
204 |
$0.00 |
| 2000F |
|
9,905 |
9,371 |
$0.00 |
| 3008F |
|
10,593 |
10,035 |
$0.00 |
| 3075F |
|
1,116 |
1,093 |
$0.00 |
| 2001F |
|
10,713 |
10,157 |
$0.00 |
| 4010F |
|
1,153 |
951 |
$0.00 |
| 3079F |
|
2,533 |
2,447 |
$0.00 |
| 2010F |
|
11,327 |
10,684 |
$0.00 |
| 4037F |
|
903 |
903 |
$0.00 |
| 1126F |
|
1,913 |
1,833 |
$0.00 |
| 92551 |
|
90 |
90 |
$0.00 |
| 1125F |
|
449 |
430 |
$0.00 |
| 90697 |
|
200 |
200 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
57 |
53 |
$0.00 |
| 1170F |
|
16 |
16 |
$0.00 |
| 90696 |
|
59 |
59 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
14 |
$0.00 |
| 36416 |
|
12 |
12 |
$0.00 |