| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
246,505 |
205,290 |
$60.05M |
| 00003 |
Internal/system code - not a standard HCPCS code |
48,485 |
39,619 |
$14.75M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
179,504 |
111,885 |
$3.19M |
| 90832 |
Psychotherapy, 30 minutes with patient |
31,674 |
23,548 |
$772K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30,313 |
19,814 |
$765K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,464 |
6,078 |
$741K |
| 59425 |
|
5,731 |
4,412 |
$520K |
| 90837 |
Psychotherapy, 53 minutes with patient |
8,083 |
4,569 |
$503K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12,225 |
7,637 |
$503K |
| 90791 |
Psychiatric diagnostic evaluation |
6,857 |
6,393 |
$466K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
10,716 |
6,786 |
$393K |
| 90834 |
Psychotherapy, 45 minutes with patient |
10,627 |
8,230 |
$393K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29,200 |
17,632 |
$336K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,244 |
4,650 |
$335K |
| 90686 |
|
23,286 |
16,777 |
$282K |
| 87428 |
|
7,757 |
4,628 |
$263K |
| 92551 |
|
19,789 |
12,460 |
$246K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,347 |
2,162 |
$173K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
8,537 |
7,068 |
$157K |
| G9920 |
Screening performed and negative |
5,905 |
4,253 |
$156K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
9,392 |
6,801 |
$147K |
| 0001A |
|
2,131 |
2,126 |
$132K |
| 0002A |
|
2,025 |
1,804 |
$124K |
| 99215 |
Prolong outpt/office vis |
1,372 |
1,091 |
$122K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,368 |
1,009 |
$95K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,694 |
3,909 |
$86K |
| 90648 |
|
7,832 |
4,781 |
$79K |
| 90670 |
|
6,584 |
4,038 |
$76K |
| 99173 |
|
19,587 |
12,329 |
$74K |
| 90723 |
|
5,655 |
3,375 |
$55K |
| 0011A |
|
1,070 |
953 |
$55K |
| 0012A |
|
908 |
765 |
$54K |
| 99401 |
|
2,488 |
2,361 |
$46K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
560 |
558 |
$44K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
55 |
55 |
$44K |
| 96156 |
|
2,231 |
2,078 |
$44K |
| 85018 |
|
35,057 |
22,016 |
$44K |
| 99188 |
|
2,182 |
1,804 |
$42K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,863 |
2,497 |
$35K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
1,770 |
1,668 |
$32K |
| 90656 |
|
3,264 |
2,316 |
$32K |
| 98940 |
|
1,357 |
765 |
$29K |
| J3490 |
Unclassified drugs |
854 |
716 |
$29K |
| 90633 |
|
2,509 |
1,519 |
$27K |
| 98960 |
|
671 |
591 |
$27K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,716 |
3,538 |
$26K |
| 90681 |
|
2,696 |
1,568 |
$25K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,251 |
3,176 |
$24K |
| 59025 |
Fetal non-stress test |
1,988 |
973 |
$24K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
766 |
517 |
$22K |
| 0072A |
|
324 |
324 |
$22K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
477 |
368 |
$22K |
| 96127 |
|
3,542 |
3,102 |
$21K |
| 90750 |
|
180 |
125 |
$21K |
| 90715 |
|
1,047 |
750 |
$21K |
| 0071A |
|
303 |
300 |
$20K |
| 96158 |
|
1,351 |
1,297 |
$20K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
36 |
26 |
$20K |
| 90651 |
|
1,326 |
902 |
$20K |
| 0064A |
|
278 |
278 |
$19K |
| 0054A |
|
271 |
271 |
$18K |
| 97803 |
|
1,088 |
975 |
$17K |
| 99221 |
|
753 |
533 |
$17K |
| 0031A |
|
277 |
245 |
$17K |
| 59430 |
|
185 |
181 |
$17K |
| 97802 |
|
576 |
556 |
$15K |
| 90677 |
|
1,404 |
866 |
$15K |
| 0004A |
|
220 |
219 |
$15K |
| H0049 |
Alcohol and/or drug screening |
404 |
404 |
$15K |
| 83655 |
|
2,096 |
1,272 |
$13K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
468 |
255 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
308 |
212 |
$13K |
| 81025 |
|
6,414 |
4,750 |
$13K |
| 87807 |
|
2,483 |
1,475 |
$11K |
| 99381 |
|
355 |
253 |
$11K |
| G9012 |
Other specified case management service not elsewhere classified |
1,256 |
545 |
$11K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
262 |
255 |
$11K |
| 82947 |
|
4,452 |
3,354 |
$10K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
248 |
210 |
$10K |
| 90480 |
|
255 |
254 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,359 |
1,462 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
415 |
258 |
$8K |
| 98926 |
|
212 |
168 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,262 |
819 |
$7K |
| 90746 |
|
235 |
165 |
$7K |
| Q3014 |
Telehealth originating site facility fee |
295 |
285 |
$7K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
396 |
319 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
215 |
178 |
$6K |
| 91320 |
|
65 |
65 |
$6K |
| 90619 |
|
392 |
269 |
$5K |
| 59514 |
|
12 |
12 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
390 |
225 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
133 |
107 |
$4K |
| 90716 |
|
347 |
196 |
$4K |
| 82247 |
|
1,482 |
900 |
$3K |
| 90734 |
|
276 |
168 |
$3K |
| 0124A |
|
46 |
46 |
$3K |
| 90680 |
|
196 |
174 |
$3K |
| S9452 |
Nutrition classes, non-physician provider, per session |
230 |
229 |
$3K |
| 90678 |
|
22 |
12 |
$3K |
| 11981 |
|
37 |
26 |
$3K |
| 90707 |
|
222 |
127 |
$3K |
| 99490 |
Ccm add 20min |
46 |
13 |
$3K |
| 81003 |
|
6,832 |
5,019 |
$2K |
| 90710 |
|
170 |
117 |
$2K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
259 |
257 |
$2K |
| 0052A |
|
28 |
28 |
$2K |
| E0604 |
Breast pump, hospital grade, electric (ac and / or dc), any type |
25 |
24 |
$2K |
| 90696 |
|
133 |
98 |
$2K |
| 0154A |
|
25 |
25 |
$2K |
| 99205 |
Prolong outpt/office vis |
16 |
12 |
$1K |
| G9919 |
Screening performed and positive and provision of recommendations |
38 |
38 |
$1K |
| 90700 |
|
104 |
65 |
$1K |
| A6242 |
Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
98 |
70 |
$1K |
| 0051A |
|
13 |
13 |
$871.00 |
| 0074A |
|
13 |
13 |
$871.00 |
| 0081A |
|
12 |
12 |
$804.00 |
| 91319 |
|
14 |
14 |
$560.00 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
18 |
12 |
$520.30 |
| T1027 |
Family training and counseling for child development, per 15 minutes |
65 |
65 |
$465.63 |
| 90662 |
|
59 |
56 |
$465.17 |
| 86580 |
|
101 |
97 |
$443.10 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
2,713 |
2,524 |
$437.62 |
| 96152 |
|
18 |
13 |
$403.70 |
| 96151 |
|
25 |
25 |
$326.88 |
| E0602 |
Breast pump, manual, any type |
13 |
12 |
$311.04 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
112 |
38 |
$264.00 |
| 90685 |
|
14 |
14 |
$252.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
16 |
12 |
$238.24 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
18 |
12 |
$62.28 |
| 99070 |
|
141 |
98 |
$20.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
48 |
47 |
$18.72 |
| 92015 |
Determination of refractive state |
2,946 |
2,946 |
$8.01 |
| Z6308 |
|
702 |
621 |
$0.00 |
| Z6400 |
|
4,834 |
4,098 |
$0.00 |
| Z6200 |
|
860 |
826 |
$0.00 |
| 03 |
Instill, bupivac and meloxic |
100,620 |
22,950 |
$0.00 |
| Z6300 |
|
1,241 |
1,173 |
$0.00 |
| Z6414 |
|
902 |
792 |
$0.00 |
| Z6304 |
|
1,863 |
1,781 |
$0.00 |
| H2015 |
Comprehensive community support services, per 15 minutes |
12 |
12 |
$0.00 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
39 |
39 |
$0.00 |
| Z6206 |
|
19 |
12 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
31 |
31 |
$0.00 |
| Z6208 |
|
29 |
29 |
$0.00 |
| Z6412 |
|
21 |
21 |
$0.00 |
| Z6402 |
|
995 |
962 |
$0.00 |
| Z1034 |
|
8,321 |
6,451 |
$0.00 |
| Z6204 |
|
1,427 |
1,247 |
$0.00 |
| Z1032 |
|
446 |
446 |
$0.00 |
| Z6410 |
|
3,146 |
2,151 |
$0.00 |
| Z6406 |
|
1,905 |
1,731 |
$0.00 |
| Z1038 |
|
115 |
115 |
$0.00 |
| Z5023 |
|
91 |
87 |
$0.00 |
| 92250 |
|
54 |
54 |
$0.00 |
| 99383 |
|
13 |
13 |
$0.00 |