| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
246,978 |
206,536 |
$45.69M |
| 00003 |
Internal/system code - not a standard HCPCS code |
43,479 |
35,353 |
$10.67M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
75,700 |
68,789 |
$328K |
| 90832 |
Psychotherapy, 30 minutes with patient |
25,905 |
13,034 |
$274K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
26,492 |
15,145 |
$118K |
| 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 |
2,599 |
1,910 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,383 |
22,222 |
$55K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
2,282 |
1,859 |
$46K |
| 90791 |
Psychiatric diagnostic evaluation |
1,366 |
991 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21,514 |
20,119 |
$32K |
| 0002A |
|
331 |
331 |
$22K |
| 0001A |
|
325 |
325 |
$22K |
| 0012A |
|
318 |
318 |
$21K |
| 0011A |
|
311 |
311 |
$21K |
| 0064A |
|
266 |
266 |
$17K |
| 0004A |
|
189 |
187 |
$12K |
| 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 |
809 |
717 |
$10K |
| 0124A |
|
112 |
112 |
$7K |
| 0054A |
|
93 |
93 |
$6K |
| 0134A |
|
86 |
86 |
$6K |
| 0031A |
|
83 |
83 |
$6K |
| G9920 |
Screening performed and negative |
1,281 |
1,238 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
671 |
654 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,338 |
1,290 |
$4K |
| 91320 |
|
328 |
324 |
$4K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
163 |
153 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,683 |
1,630 |
$2K |
| 90480 |
|
327 |
323 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
955 |
936 |
$1K |
| 90750 |
|
444 |
438 |
$998.82 |
| 81025 |
|
974 |
952 |
$982.71 |
| 90834 |
Psychotherapy, 45 minutes with patient |
342 |
233 |
$873.08 |
| 90677 |
|
89 |
87 |
$794.22 |
| G9919 |
Screening performed and positive and provision of recommendations |
257 |
230 |
$724.13 |
| 90686 |
|
659 |
644 |
$629.10 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
760 |
751 |
$578.91 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,469 |
5,365 |
$543.51 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,131 |
5,036 |
$536.86 |
| 99201 |
|
51 |
47 |
$362.20 |
| 90715 |
|
168 |
163 |
$281.82 |
| 90688 |
|
532 |
525 |
$255.41 |
| 81002 |
|
2,162 |
2,102 |
$239.86 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
281 |
278 |
$162.51 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
529 |
518 |
$158.45 |
| 99401 |
|
379 |
379 |
$133.49 |
| 90732 |
|
52 |
52 |
$130.38 |
| 96156 |
|
1,042 |
1,041 |
$104.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
2,749 |
2,737 |
$99.00 |
| 90662 |
|
79 |
79 |
$80.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,039 |
1,030 |
$76.82 |
| 90746 |
|
438 |
436 |
$74.84 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
139 |
137 |
$69.38 |
| 97811 |
|
1,452 |
1,212 |
$59.40 |
| 97810 |
|
1,808 |
1,445 |
$59.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
467 |
427 |
$57.43 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
96 |
95 |
$37.39 |
| 97026 |
|
452 |
381 |
$29.22 |
| 90656 |
|
363 |
362 |
$23.99 |
| 99000 |
|
6,793 |
6,705 |
$18.15 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
242 |
241 |
$17.00 |
| 98940 |
|
190 |
155 |
$16.72 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
50 |
50 |
$16.24 |
| 92551 |
|
46 |
45 |
$9.16 |
| 85018 |
|
158 |
156 |
$4.14 |
| 3077F |
|
6,139 |
5,959 |
$0.00 |
| 3078F |
|
28,992 |
27,942 |
$0.00 |
| 1160F |
|
25,837 |
24,233 |
$0.00 |
| 1159F |
|
25,840 |
24,235 |
$0.00 |
| 96160 |
|
634 |
631 |
$0.00 |
| 90670 |
|
119 |
119 |
$0.00 |
| 97803 |
|
260 |
260 |
$0.00 |
| 4004F |
|
55 |
55 |
$0.00 |
| 3051F |
|
183 |
183 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
66 |
66 |
$0.00 |
| 99173 |
|
44 |
44 |
$0.00 |
| 92552 |
|
12 |
12 |
$0.00 |
| 99177 |
|
12 |
12 |
$0.00 |
| 90633 |
|
22 |
22 |
$0.00 |
| 83655 |
|
63 |
63 |
$0.00 |
| 3044F |
|
1,216 |
1,213 |
$0.00 |
| 1126F |
|
5,710 |
5,583 |
$0.00 |
| 3079F |
|
14,881 |
14,535 |
$0.00 |
| 3075F |
|
7,784 |
7,661 |
$0.00 |
| 3080F |
|
2,448 |
2,377 |
$0.00 |
| 3074F |
|
32,689 |
31,479 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
71 |
71 |
$0.00 |
| 1125F |
|
2,709 |
2,663 |
$0.00 |
| 88142 |
|
14 |
13 |
$0.00 |
| 3008F |
|
74 |
66 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
192 |
189 |
$0.00 |
| 90698 |
|
118 |
118 |
$0.00 |
| Z6406 |
|
70 |
65 |
$0.00 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
47 |
45 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
27 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
97 |
97 |
$0.00 |
| 90744 |
|
34 |
34 |
$0.00 |
| 90680 |
|
39 |
39 |
$0.00 |
| 93000 |
|
24 |
24 |
$0.00 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
12 |
12 |
$0.00 |