| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
243,878 |
207,411 |
$31.92M |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
78,586 |
57,192 |
$879K |
| 59425 |
|
9,576 |
7,323 |
$693K |
| 90791 |
Psychiatric diagnostic evaluation |
6,975 |
4,485 |
$629K |
| 00003 |
Internal/system code - not a standard HCPCS code |
3,364 |
3,243 |
$627K |
| 90832 |
Psychotherapy, 30 minutes with patient |
7,575 |
4,042 |
$290K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
153,840 |
99,421 |
$287K |
| 96127 |
|
79,669 |
51,117 |
$249K |
| 90746 |
|
3,307 |
2,860 |
$198K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,403 |
2,412 |
$197K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
66,198 |
45,773 |
$156K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,529 |
3,113 |
$148K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
7,088 |
3,338 |
$140K |
| 98940 |
|
6,785 |
3,144 |
$119K |
| 90686 |
|
35,973 |
25,654 |
$105K |
| D1206 |
Topical application of fluoride varnish |
7,766 |
5,863 |
$93K |
| 99173 |
|
37,379 |
25,690 |
$91K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
2,405 |
2,332 |
$81K |
| G9012 |
Other specified case management service not elsewhere classified |
1,745 |
1,172 |
$79K |
| 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 |
2,498 |
2,173 |
$65K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
11,321 |
8,307 |
$60K |
| 97802 |
|
766 |
764 |
$56K |
| 99401 |
|
2,536 |
2,322 |
$52K |
| 90715 |
|
5,518 |
4,065 |
$52K |
| 0500F |
|
832 |
642 |
$50K |
| 59430 |
|
714 |
691 |
$46K |
| J3490 |
Unclassified drugs |
953 |
733 |
$43K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,386 |
1,804 |
$39K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,675 |
8,415 |
$31K |
| 99381 |
|
2,235 |
2,017 |
$30K |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
1,229 |
1,071 |
$29K |
| 97803 |
|
1,283 |
1,254 |
$28K |
| 81003 |
|
25,476 |
14,322 |
$26K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
816 |
733 |
$25K |
| 0011A |
|
377 |
376 |
$24K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,283 |
1,827 |
$24K |
| 96156 |
|
1,977 |
1,963 |
$22K |
| 17110 |
|
217 |
132 |
$17K |
| 83655 |
|
1,097 |
1,096 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15,940 |
10,833 |
$10K |
| 81025 |
|
5,096 |
3,901 |
$10K |
| 0072A |
|
148 |
148 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,947 |
2,166 |
$9K |
| 90837 |
Psychotherapy, 53 minutes with patient |
212 |
83 |
$9K |
| 0012A |
|
129 |
128 |
$9K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,622 |
2,332 |
$8K |
| 92227 |
|
434 |
431 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14,611 |
10,224 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
386 |
384 |
$8K |
| 0001A |
|
128 |
126 |
$7K |
| 69209 |
|
796 |
266 |
$7K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
366 |
353 |
$6K |
| 99188 |
|
373 |
352 |
$6K |
| 0071A |
|
120 |
120 |
$6K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
454 |
280 |
$6K |
| 90839 |
|
55 |
48 |
$5K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
348 |
340 |
$5K |
| 0002A |
|
81 |
81 |
$5K |
| S9452 |
Nutrition classes, non-physician provider, per session |
309 |
306 |
$5K |
| 90677 |
|
239 |
211 |
$4K |
| 97750 |
|
121 |
112 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
9,629 |
6,706 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,231 |
2,754 |
$4K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
250 |
247 |
$4K |
| 92552 |
|
39,852 |
27,284 |
$4K |
| 90670 |
|
11,884 |
8,580 |
$3K |
| 0082A |
|
46 |
46 |
$3K |
| 90651 |
|
7,014 |
5,129 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,216 |
1,998 |
$3K |
| 90480 |
|
110 |
96 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
31 |
31 |
$2K |
| G9920 |
Screening performed and negative |
75 |
71 |
$2K |
| 73560 |
|
146 |
142 |
$2K |
| 86580 |
|
711 |
565 |
$2K |
| 72100 |
|
75 |
75 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
365 |
321 |
$2K |
| 80305 |
|
144 |
123 |
$1K |
| 73030 |
|
83 |
81 |
$1K |
| 0064A |
|
20 |
20 |
$1K |
| 99385 |
|
201 |
155 |
$1K |
| 88720 |
|
821 |
579 |
$1K |
| 90662 |
|
124 |
116 |
$1K |
| 96150 |
|
65 |
63 |
$1K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
156 |
110 |
$988.05 |
| 90732 |
|
29 |
15 |
$980.00 |
| 0154A |
|
15 |
15 |
$938.00 |
| 90620 |
|
2,492 |
1,892 |
$936.00 |
| 90698 |
|
8,440 |
6,137 |
$935.29 |
| 90632 |
|
24 |
13 |
$769.08 |
| 99383 |
|
2,748 |
1,668 |
$762.03 |
| 73562 |
|
38 |
38 |
$757.80 |
| 90656 |
|
295 |
257 |
$696.78 |
| 87210 |
|
148 |
110 |
$649.04 |
| 90633 |
|
7,259 |
5,196 |
$614.30 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
151 |
119 |
$581.59 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
124 |
92 |
$580.17 |
| 71045 |
Radiologic examination, chest; single view |
53 |
53 |
$553.80 |
| 99384 |
|
1,944 |
1,181 |
$552.58 |
| 99382 |
|
2,125 |
1,308 |
$452.48 |
| 96151 |
|
46 |
45 |
$443.96 |
| 90681 |
|
3,229 |
2,339 |
$377.00 |
| 73502 |
|
13 |
13 |
$364.21 |
| 90744 |
|
5,825 |
4,409 |
$324.54 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
44 |
44 |
$324.30 |
| 82947 |
|
2,603 |
2,357 |
$292.72 |
| 98960 |
|
32 |
28 |
$290.00 |
| 90734 |
|
4,649 |
3,049 |
$272.54 |
| 74018 |
|
13 |
13 |
$261.30 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
15 |
13 |
$247.80 |
| 90716 |
|
2,215 |
1,601 |
$128.35 |
| 90710 |
|
3,094 |
2,179 |
$126.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
13 |
13 |
$106.86 |
| 90688 |
|
500 |
499 |
$68.65 |
| 97032 |
|
6,191 |
3,569 |
$63.97 |
| 85018 |
|
16,857 |
16,069 |
$57.56 |
| 88142 |
|
563 |
414 |
$47.38 |
| 90700 |
|
1,651 |
1,158 |
$37.08 |
| 90723 |
|
429 |
312 |
$37.08 |
| 90648 |
|
1,553 |
1,154 |
$36.81 |
| 97010 |
|
8,344 |
4,926 |
$34.53 |
| 99201 |
|
114 |
61 |
$29.98 |
| 92015 |
Determination of refractive state |
2,982 |
2,812 |
$24.83 |
| 90685 |
|
190 |
190 |
$9.27 |
| 90707 |
|
1,826 |
1,293 |
$0.00 |
| Z6400 |
|
2,439 |
2,418 |
$0.00 |
| 3078F |
|
24,345 |
22,077 |
$0.00 |
| Z6200 |
|
995 |
993 |
$0.00 |
| 0502F |
|
3,927 |
3,123 |
$0.00 |
| Z6414 |
|
565 |
558 |
$0.00 |
| 96160 |
|
1,818 |
1,744 |
$0.00 |
| 3077F |
|
2,013 |
1,783 |
$0.00 |
| Z6208 |
|
555 |
552 |
$0.00 |
| 99177 |
|
184 |
179 |
$0.00 |
| Z6304 |
|
1,298 |
1,297 |
$0.00 |
| Z6308 |
|
559 |
556 |
$0.00 |
| Z6300 |
|
999 |
998 |
$0.00 |
| 99408 |
|
56 |
53 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
141 |
130 |
$0.00 |
| 97012 |
|
825 |
563 |
$0.00 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
35 |
34 |
$0.00 |
| 90713 |
|
63 |
54 |
$0.00 |
| G0124 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician |
48 |
26 |
$0.00 |
| Z6412 |
|
12 |
12 |
$0.00 |
| Z1034 |
|
11,160 |
8,720 |
$0.00 |
| Z6402 |
|
958 |
957 |
$0.00 |
| 3074F |
|
26,858 |
24,093 |
$0.00 |
| 96161 |
|
1,771 |
1,697 |
$0.00 |
| 90696 |
|
2,252 |
1,574 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
10,879 |
9,918 |
$0.00 |
| 3079F |
|
6,598 |
5,917 |
$0.00 |
| Z6204 |
|
1,591 |
1,577 |
$0.00 |
| 3075F |
|
3,048 |
2,789 |
$0.00 |
| 90619 |
|
796 |
737 |
$0.00 |
| Z6406 |
|
2,230 |
2,041 |
$0.00 |
| 3080F |
|
544 |
496 |
$0.00 |
| Z1038 |
|
637 |
613 |
$0.00 |
| 90680 |
|
89 |
77 |
$0.00 |
| 0503F |
|
455 |
413 |
$0.00 |
| 97014 |
|
1,057 |
667 |
$0.00 |
| Z1032 |
|
822 |
820 |
$0.00 |
| Z6410 |
|
304 |
285 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
34 |
34 |
$0.00 |
| 90647 |
|
310 |
192 |
$0.00 |
| 92551 |
|
138 |
138 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
351 |
256 |
$0.00 |
| 82962 |
|
45 |
42 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
44 |
44 |
$0.00 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
30 |
30 |
$0.00 |
| 91301 |
|
28 |
28 |
$0.00 |
| 91307 |
|
12 |
12 |
$0.00 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
41 |
26 |
$0.00 |