| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
118,046 |
100,567 |
$22.05M |
| 00003 |
Internal/system code - not a standard HCPCS code |
32,234 |
26,284 |
$7.37M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,015 |
31,336 |
$65K |
| 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 |
1,090 |
1,014 |
$30K |
| 0001A |
|
339 |
339 |
$22K |
| 0002A |
|
325 |
325 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,117 |
8,079 |
$20K |
| 0012A |
|
149 |
149 |
$10K |
| 0011A |
|
123 |
123 |
$7K |
| 81002 |
|
4,974 |
3,607 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,183 |
2,988 |
$5K |
| 0064A |
|
78 |
77 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,938 |
2,719 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,963 |
1,817 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,762 |
4,275 |
$4K |
| 90686 |
|
3,806 |
3,560 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
272 |
268 |
$4K |
| 0054A |
|
59 |
59 |
$4K |
| 0071A |
|
58 |
58 |
$4K |
| 0072A |
|
46 |
46 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,771 |
2,559 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
477 |
448 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,054 |
1,975 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
942 |
750 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
129 |
126 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
277 |
276 |
$1K |
| 0004A |
|
22 |
22 |
$1K |
| 98940 |
|
83 |
59 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
11,108 |
10,789 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
205 |
188 |
$843.18 |
| 90715 |
|
236 |
214 |
$732.04 |
| 90746 |
|
54 |
48 |
$684.74 |
| 90688 |
|
68 |
64 |
$638.45 |
| 81025 |
|
1,119 |
1,001 |
$621.61 |
| 90791 |
Psychiatric diagnostic evaluation |
628 |
593 |
$618.03 |
| 99188 |
|
1,600 |
1,497 |
$603.37 |
| J3490 |
Unclassified drugs |
12 |
12 |
$540.00 |
| 90651 |
|
911 |
848 |
$511.82 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
38 |
$506.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
19 |
13 |
$393.63 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,993 |
4,934 |
$389.80 |
| 92250 |
|
25 |
25 |
$387.11 |
| 85018 |
|
2,805 |
2,603 |
$334.69 |
| 99401 |
|
12 |
12 |
$326.48 |
| 90480 |
|
26 |
12 |
$252.00 |
| 3078F |
|
1,583 |
1,383 |
$218.89 |
| 90698 |
|
735 |
703 |
$213.86 |
| 83655 |
|
988 |
958 |
$206.08 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
168 |
157 |
$205.80 |
| 90734 |
|
507 |
471 |
$189.00 |
| 90633 |
|
914 |
870 |
$171.00 |
| 90750 |
|
27 |
25 |
$155.87 |
| 3044F |
|
253 |
233 |
$155.87 |
| 90716 |
|
682 |
639 |
$155.07 |
| 90648 |
|
914 |
890 |
$113.38 |
| 90670 |
|
1,216 |
1,155 |
$101.18 |
| 90700 |
|
410 |
383 |
$75.70 |
| 3079F |
|
80 |
80 |
$60.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
83 |
77 |
$57.20 |
| 90707 |
|
672 |
625 |
$45.00 |
| 96156 |
|
39 |
38 |
$42.08 |
| 90723 |
|
641 |
630 |
$36.00 |
| 90677 |
|
723 |
711 |
$36.00 |
| 90680 |
|
828 |
793 |
$27.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
25 |
$18.75 |
| 90744 |
|
427 |
409 |
$18.00 |
| 82962 |
|
879 |
803 |
$15.76 |
| 86580 |
|
54 |
48 |
$3.36 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
156 |
154 |
$0.00 |
| Z6400 |
|
467 |
460 |
$0.00 |
| Z6304 |
|
1,053 |
1,053 |
$0.00 |
| 99173 |
|
563 |
561 |
$0.00 |
| Z6208 |
|
159 |
159 |
$0.00 |
| Z6300 |
|
633 |
631 |
$0.00 |
| Z6200 |
|
549 |
549 |
$0.00 |
| Z6414 |
|
155 |
155 |
$0.00 |
| 90713 |
|
46 |
41 |
$0.00 |
| 90658 |
|
137 |
135 |
$0.00 |
| 90473 |
|
70 |
68 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
27 |
$0.00 |
| 90681 |
|
176 |
174 |
$0.00 |
| Z6308 |
|
152 |
152 |
$0.00 |
| 99382 |
|
43 |
43 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
31 |
27 |
$0.00 |
| 3051F |
|
12 |
12 |
$0.00 |
| Z1034 |
|
4,519 |
3,109 |
$0.00 |
| 3074F |
|
1,577 |
1,364 |
$0.00 |
| Z6406 |
|
1,084 |
1,073 |
$0.00 |
| Z6204 |
|
1,100 |
1,093 |
$0.00 |
| 92551 |
|
486 |
484 |
$0.00 |
| Z1032 |
|
185 |
185 |
$0.00 |
| Z6410 |
|
1,752 |
1,578 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
372 |
372 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
512 |
491 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
24 |
24 |
$0.00 |
| 90474 |
|
151 |
150 |
$0.00 |
| 99381 |
|
78 |
78 |
$0.00 |
| G9012 |
Other specified case management service not elsewhere classified |
72 |
72 |
$0.00 |
| Z1038 |
|
28 |
25 |
$0.00 |
| 90656 |
|
426 |
424 |
$0.00 |
| 90739 |
|
76 |
75 |
$0.00 |
| Z6402 |
|
634 |
632 |
$0.00 |
| 99384 |
|
12 |
12 |
$0.00 |
| 88720 |
|
13 |
13 |
$0.00 |
| 90381 |
|
47 |
44 |
$0.00 |
| 99383 |
|
38 |
38 |
$0.00 |
| 96380 |
|
44 |
44 |
$0.00 |
| 87807 |
|
29 |
29 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |