| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
386,921 |
315,697 |
$80.82M |
| 00003 |
Internal/system code - not a standard HCPCS code |
63,070 |
57,856 |
$16.26M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
227,360 |
144,186 |
$1.35M |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
20,359 |
8,215 |
$530K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
68,850 |
41,512 |
$454K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
5,548 |
4,254 |
$381K |
| 97810 |
|
27,956 |
10,880 |
$309K |
| 90834 |
Psychotherapy, 45 minutes with patient |
18,355 |
9,347 |
$291K |
| 90832 |
Psychotherapy, 30 minutes with patient |
20,504 |
10,189 |
$233K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
57,115 |
34,687 |
$232K |
| 90686 |
|
11,469 |
9,343 |
$137K |
| 98940 |
|
9,058 |
3,770 |
$136K |
| 0002A |
|
1,874 |
1,865 |
$97K |
| 59425 |
|
1,189 |
889 |
$73K |
| 90791 |
Psychiatric diagnostic evaluation |
1,624 |
1,128 |
$72K |
| 0001A |
|
1,304 |
1,295 |
$68K |
| 0004A |
|
1,202 |
1,199 |
$59K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,762 |
3,312 |
$48K |
| 97802 |
|
1,195 |
1,036 |
$47K |
| J3490 |
Unclassified drugs |
540 |
449 |
$45K |
| 0064A |
|
911 |
907 |
$44K |
| 97803 |
|
1,460 |
1,297 |
$38K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
2,814 |
2,017 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,905 |
2,415 |
$31K |
| 99401 |
|
1,860 |
1,650 |
$26K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
41 |
41 |
$22K |
| 90656 |
|
1,703 |
1,292 |
$18K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
625 |
418 |
$12K |
| 90670 |
|
1,807 |
1,217 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
231 |
197 |
$11K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
12 |
12 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,816 |
1,851 |
$9K |
| 0003A |
|
168 |
162 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,908 |
1,747 |
$8K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
17,999 |
15,024 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
248 |
202 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,025 |
1,305 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
235 |
136 |
$7K |
| H2000 |
Comprehensive multidisciplinary evaluation |
430 |
367 |
$7K |
| 99381 |
|
366 |
346 |
$7K |
| 59430 |
|
99 |
90 |
$7K |
| 57455 |
|
114 |
68 |
$6K |
| G9920 |
Screening performed and negative |
198 |
187 |
$6K |
| 99215 |
Prolong outpt/office vis |
513 |
346 |
$5K |
| 58300 |
|
58 |
29 |
$5K |
| 96156 |
|
375 |
314 |
$5K |
| 90697 |
|
685 |
447 |
$5K |
| 11981 |
|
24 |
24 |
$5K |
| 90723 |
|
892 |
558 |
$5K |
| 87428 |
|
136 |
77 |
$5K |
| 90715 |
|
232 |
186 |
$4K |
| 90647 |
|
796 |
495 |
$4K |
| 81025 |
|
1,704 |
1,529 |
$4K |
| 90680 |
|
732 |
448 |
$4K |
| 0012A |
|
81 |
81 |
$4K |
| 90677 |
|
551 |
325 |
$4K |
| 90633 |
|
587 |
406 |
$3K |
| 99402 |
|
195 |
182 |
$3K |
| 90710 |
|
448 |
285 |
$3K |
| 90746 |
|
58 |
58 |
$3K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
297 |
237 |
$3K |
| 90681 |
|
343 |
221 |
$2K |
| 94010 |
|
228 |
209 |
$2K |
| 0011A |
|
42 |
42 |
$2K |
| H1000 |
Prenatal care, at-risk assessment |
12 |
12 |
$2K |
| 59025 |
Fetal non-stress test |
372 |
168 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
150 |
122 |
$2K |
| 90651 |
|
255 |
177 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
60 |
30 |
$2K |
| 0013A |
|
25 |
25 |
$1K |
| 92015 |
Determination of refractive state |
821 |
789 |
$1K |
| 99460 |
|
21 |
19 |
$1K |
| 92133 |
|
46 |
29 |
$1K |
| 0124A |
|
14 |
14 |
$938.00 |
| 90632 |
|
15 |
15 |
$822.99 |
| 81002 |
|
2,909 |
2,323 |
$689.91 |
| 83655 |
|
75 |
53 |
$648.43 |
| 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 |
5,510 |
4,181 |
$619.50 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
49 |
44 |
$587.34 |
| 90700 |
|
87 |
51 |
$436.62 |
| 11721 |
|
125 |
116 |
$430.70 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
18 |
12 |
$423.96 |
| 99462 |
|
29 |
25 |
$388.08 |
| 90734 |
|
67 |
43 |
$387.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
32 |
29 |
$269.12 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
76 |
50 |
$205.80 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
37 |
34 |
$185.21 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
22 |
15 |
$148.50 |
| 94150 |
|
64 |
53 |
$147.18 |
| 99406 |
|
26 |
13 |
$145.74 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
21 |
13 |
$137.80 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
12 |
12 |
$133.50 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
599 |
580 |
$120.97 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
159 |
133 |
$120.42 |
| 90674 |
|
13 |
13 |
$117.00 |
| 90619 |
|
21 |
13 |
$117.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
34 |
28 |
$109.90 |
| 99383 |
|
22 |
15 |
$109.66 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
86 |
86 |
$109.33 |
| 90837 |
Psychotherapy, 53 minutes with patient |
162 |
139 |
$98.02 |
| 90620 |
|
18 |
12 |
$90.00 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
182 |
175 |
$42.48 |
| 85018 |
|
221 |
207 |
$23.96 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
40 |
40 |
$16.40 |
| 81001 |
|
54 |
54 |
$11.08 |
| 86580 |
|
54 |
54 |
$10.08 |
| 81003 |
|
13 |
12 |
$5.49 |
| Z6300 |
|
562 |
561 |
$0.00 |
| Z6400 |
|
152 |
150 |
$0.00 |
| Z6200 |
|
564 |
562 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
96 |
85 |
$0.00 |
| Z6414 |
|
237 |
216 |
$0.00 |
| Z6202 |
|
56 |
54 |
$0.00 |
| 90653 |
|
96 |
95 |
$0.00 |
| 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 |
330 |
232 |
$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 |
58 |
58 |
$0.00 |
| 9212 |
|
126 |
107 |
$0.00 |
| Z6302 |
|
86 |
62 |
$0.00 |
| 91322 |
|
15 |
14 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
26 |
26 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
21 |
14 |
$0.00 |
| A4550 |
Surgical trays |
19 |
12 |
$0.00 |
| Z6406 |
|
1,586 |
1,429 |
$0.00 |
| Z1034 |
|
6,389 |
5,263 |
$0.00 |
| Z6402 |
|
547 |
547 |
$0.00 |
| Z6204 |
|
991 |
930 |
$0.00 |
| Z6410 |
|
3,399 |
2,541 |
$0.00 |
| Z1032 |
|
134 |
134 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
2,865 |
2,351 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
110 |
110 |
$0.00 |
| 9213 |
|
661 |
613 |
$0.00 |
| 2000F |
|
15 |
15 |
$0.00 |
| Z1038 |
|
12 |
12 |
$0.00 |
| 9214 |
|
59 |
56 |
$0.00 |