| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
186,229 |
176,937 |
$23.59M |
| 00003 |
Internal/system code - not a standard HCPCS code |
34,507 |
30,193 |
$5.73M |
| 98940 |
|
12,871 |
8,406 |
$1.29M |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
5,211 |
3,347 |
$311K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
201,552 |
130,527 |
$207K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
56,430 |
37,439 |
$64K |
| G9012 |
Other specified case management service not elsewhere classified |
219 |
199 |
$43K |
| 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 |
1,115 |
1,028 |
$27K |
| 0001A |
|
358 |
297 |
$22K |
| 0002A |
|
232 |
182 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
552 |
402 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
715 |
578 |
$6K |
| 98942 |
|
40 |
30 |
$6K |
| 99243 |
|
236 |
235 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,401 |
3,071 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54,699 |
33,174 |
$3K |
| 0011A |
|
50 |
50 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
252 |
71 |
$3K |
| 99242 |
|
397 |
396 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
19,922 |
12,786 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
67 |
38 |
$1K |
| 0012A |
|
24 |
14 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
105 |
60 |
$955.04 |
| 81025 |
|
9,574 |
6,393 |
$894.87 |
| G9920 |
Screening performed and negative |
377 |
239 |
$667.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$469.82 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
27,942 |
16,932 |
$312.36 |
| 81002 |
|
12,893 |
8,524 |
$255.31 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,584 |
1,633 |
$235.79 |
| J3490 |
Unclassified drugs |
14 |
14 |
$220.05 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
18 |
18 |
$212.52 |
| 99201 |
|
27 |
27 |
$208.11 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
323 |
249 |
$192.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
167 |
110 |
$168.52 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
71,050 |
42,461 |
$167.54 |
| H1000 |
Prenatal care, at-risk assessment |
12 |
12 |
$126.31 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
34 |
33 |
$126.15 |
| 99173 |
|
1,205 |
790 |
$112.72 |
| 11721 |
|
906 |
787 |
$92.34 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
368 |
207 |
$51.00 |
| 85018 |
|
288 |
223 |
$47.41 |
| 90686 |
|
890 |
859 |
$9.00 |
| 90688 |
|
37 |
37 |
$9.00 |
| 94760 |
|
432 |
235 |
$5.53 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
277 |
184 |
$2.00 |
| 99406 |
|
871 |
500 |
$0.14 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
129 |
106 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
35 |
29 |
$0.00 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
145 |
82 |
$0.00 |
| 90715 |
|
86 |
72 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
13 |
$0.00 |
| 86703 |
|
59 |
30 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
289 |
269 |
$0.00 |
| 90732 |
|
14 |
12 |
$0.00 |
| 92551 |
|
29 |
29 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
55 |
54 |
$0.00 |
| 3079F |
|
24 |
12 |
$0.00 |
| 20550 |
|
44 |
40 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
45 |
41 |
$0.00 |
| 97032 |
|
46 |
30 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
29 |
18 |
$0.00 |
| 90651 |
|
42 |
24 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
50 |
45 |
$0.00 |
| 82962 |
|
43 |
26 |
$0.00 |