| Code | Description | Claims | Beneficiaries | Total Paid |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
103,358 |
83,333 |
$16.00M |
| G9012 |
Other specified case management service not elsewhere classified |
115,189 |
70,569 |
$12.08M |
| T1015 |
Clinic visit/encounter, all-inclusive |
75,207 |
60,007 |
$11.19M |
| H0043 |
Supported housing, per diem |
9,848 |
9,142 |
$1.59M |
| 00003 |
Internal/system code - not a standard HCPCS code |
3,532 |
2,684 |
$623K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
6,843 |
5,079 |
$112K |
| 0012A |
|
1,310 |
699 |
$68K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,504 |
3,023 |
$57K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,761 |
24,221 |
$54K |
| 0011A |
|
1,462 |
812 |
$54K |
| 0002A |
|
1,008 |
531 |
$52K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31,783 |
19,829 |
$52K |
| 0001A |
|
1,072 |
619 |
$41K |
| T2041 |
Supports brokerage, self-directed, waiver; per 15 minutes |
195 |
161 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,106 |
2,816 |
$22K |
| 0031A |
|
471 |
253 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,991 |
2,661 |
$20K |
| 92551 |
|
10,272 |
7,348 |
$19K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,957 |
1,444 |
$19K |
| T2040 |
Financial management, self-directed, waiver; per 15 minutes |
455 |
437 |
$17K |
| 0072A |
|
321 |
166 |
$17K |
| 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 |
714 |
596 |
$16K |
| 90686 |
|
4,033 |
2,824 |
$15K |
| 0071A |
|
341 |
197 |
$14K |
| 96156 |
|
2,639 |
2,639 |
$14K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,229 |
1,684 |
$12K |
| 0003A |
|
279 |
165 |
$11K |
| 0013A |
|
201 |
105 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,911 |
1,251 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,312 |
1,467 |
$8K |
| 90674 |
|
1,639 |
1,058 |
$8K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,339 |
645 |
$7K |
| Q3014 |
Telehealth originating site facility fee |
6,756 |
3,824 |
$7K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
15,725 |
9,954 |
$6K |
| 90791 |
Psychiatric diagnostic evaluation |
384 |
245 |
$6K |
| 99441 |
|
5,609 |
3,296 |
$5K |
| 85018 |
|
13,557 |
9,787 |
$5K |
| 90651 |
|
1,411 |
968 |
$5K |
| 90756 |
|
361 |
324 |
$5K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
4,568 |
2,685 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,701 |
5,425 |
$4K |
| 90837 |
Psychotherapy, 53 minutes with patient |
583 |
240 |
$4K |
| 88141 |
|
71 |
50 |
$4K |
| 90620 |
|
1,225 |
836 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,060 |
710 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
464 |
373 |
$3K |
| 90658 |
|
1,032 |
1,021 |
$3K |
| 0064A |
|
51 |
27 |
$3K |
| 90715 |
|
461 |
368 |
$3K |
| 0034A |
|
46 |
26 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,773 |
2,261 |
$2K |
| 90734 |
|
870 |
579 |
$2K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
3,567 |
2,114 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
550 |
402 |
$2K |
| 96127 |
|
8,347 |
4,738 |
$2K |
| 86769 |
|
225 |
157 |
$2K |
| 99000 |
|
17,216 |
12,378 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,013 |
1,639 |
$2K |
| 97802 |
|
3,157 |
1,845 |
$2K |
| 90746 |
|
55 |
43 |
$2K |
| 92552 |
|
744 |
537 |
$1K |
| 86580 |
|
475 |
387 |
$1K |
| 90670 |
|
240 |
178 |
$1K |
| 90700 |
|
404 |
278 |
$1K |
| 99173 |
|
6,560 |
4,990 |
$989.14 |
| 99201 |
|
135 |
93 |
$965.27 |
| 82948 |
|
3,589 |
2,727 |
$854.41 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,773 |
1,379 |
$850.49 |
| 90621 |
|
196 |
144 |
$690.06 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,238 |
1,604 |
$687.98 |
| 90633 |
|
315 |
221 |
$674.51 |
| 90716 |
|
342 |
264 |
$674.09 |
| 3078F |
|
12,495 |
8,158 |
$607.62 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
284 |
192 |
$605.39 |
| 90661 |
|
219 |
153 |
$577.68 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
873 |
710 |
$572.85 |
| 90656 |
|
122 |
85 |
$489.58 |
| 90672 |
|
112 |
112 |
$487.70 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
226 |
159 |
$487.25 |
| 90657 |
|
270 |
218 |
$486.00 |
| 3074F |
|
10,884 |
7,214 |
$474.25 |
| 99490 |
Ccm add 20min |
641 |
602 |
$458.61 |
| 91322 |
|
106 |
64 |
$446.76 |
| 90647 |
|
164 |
113 |
$434.41 |
| 87806 |
|
25 |
25 |
$422.73 |
| 1000F |
|
7,473 |
5,052 |
$420.37 |
| 99442 |
|
5,357 |
3,245 |
$366.27 |
| 82947 |
|
2,084 |
1,641 |
$363.87 |
| 90723 |
|
54 |
41 |
$336.63 |
| 99383 |
|
96 |
72 |
$314.22 |
| 90707 |
|
192 |
155 |
$298.00 |
| 90461 |
|
786 |
638 |
$287.16 |
| 3077F |
|
3,815 |
2,370 |
$243.91 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
13 |
13 |
$232.03 |
| 1036F |
|
6,976 |
4,356 |
$217.12 |
| 3725F |
|
2,767 |
1,705 |
$212.10 |
| H0049 |
Alcohol and/or drug screening |
4,217 |
2,814 |
$208.69 |
| 3079F |
|
4,080 |
2,655 |
$195.74 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
23 |
16 |
$174.65 |
| 92250 |
|
245 |
189 |
$168.52 |
| 93000 |
|
39 |
38 |
$143.40 |
| 99382 |
|
19 |
14 |
$139.98 |
| 81002 |
|
495 |
388 |
$134.46 |
| 99406 |
|
303 |
188 |
$133.72 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
1,433 |
1,197 |
$133.49 |
| 3008F |
|
10,883 |
6,809 |
$116.29 |
| 4010F |
|
3,629 |
2,669 |
$105.46 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
46 |
32 |
$97.44 |
| 3075F |
|
3,216 |
2,104 |
$97.05 |
| 90688 |
|
29 |
29 |
$84.00 |
| 92015 |
Determination of refractive state |
120 |
120 |
$80.10 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
909 |
650 |
$78.90 |
| 92002 |
|
25 |
18 |
$74.30 |
| 90744 |
|
111 |
93 |
$73.91 |
| 90648 |
|
64 |
49 |
$72.00 |
| 99384 |
|
18 |
12 |
$65.12 |
| 90671 |
|
20 |
13 |
$62.91 |
| 2026F |
|
106 |
83 |
$60.23 |
| 90696 |
|
20 |
12 |
$54.00 |
| 90649 |
|
91 |
80 |
$54.00 |
| 1159F |
|
6,437 |
4,245 |
$52.76 |
| 1125F |
|
1,871 |
1,334 |
$33.11 |
| 99070 |
|
133 |
96 |
$33.00 |
| 99001 |
|
28 |
20 |
$22.67 |
| 81003 |
|
130 |
70 |
$12.71 |
| 36415 |
Collection of venous blood by venipuncture |
2,211 |
1,699 |
$8.83 |
| 94760 |
|
75 |
43 |
$5.59 |
| 99366 |
|
189 |
181 |
$4.50 |
| 1170F |
|
3,984 |
2,664 |
$3.63 |
| 81000 |
|
78 |
65 |
$2.58 |
| 3080F |
|
1,677 |
1,009 |
$0.02 |
| 3044F |
|
818 |
613 |
$0.01 |
| 1034F |
|
475 |
305 |
$0.00 |
| 3048F |
|
476 |
382 |
$0.00 |
| 2000F |
|
2,565 |
1,750 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
722 |
443 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
387 |
386 |
$0.00 |
| 1101F |
|
121 |
116 |
$0.00 |
| D0603 |
|
227 |
227 |
$0.00 |
| 3049F |
|
120 |
102 |
$0.00 |
| 1126F |
|
276 |
184 |
$0.00 |
| 3017F |
|
533 |
405 |
$0.00 |
| 2033F |
|
237 |
201 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
269 |
268 |
$0.00 |
| D4342 |
|
20 |
14 |
$0.00 |
| 0134A |
|
25 |
25 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
124 |
90 |
$0.00 |
| D1330 |
|
136 |
135 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
66 |
65 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
125 |
33 |
$0.00 |
| 3072F |
|
61 |
40 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
81 |
81 |
$0.00 |
| 3061F |
|
83 |
55 |
$0.00 |
| 99443 |
|
34 |
16 |
$0.00 |
| D1310 |
|
13 |
13 |
$0.00 |
| D5899 |
|
17 |
12 |
$0.00 |
| 1158F |
|
1,611 |
1,225 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
7,864 |
4,779 |
$0.00 |
| 3015F |
|
51 |
51 |
$0.00 |
| 1160F |
|
5,056 |
3,264 |
$0.00 |
| 3288F |
|
456 |
404 |
$0.00 |
| D0330 |
Panoramic radiographic image |
310 |
308 |
$0.00 |
| 0124A |
|
38 |
38 |
$0.00 |
| D1110 |
Prophylaxis - adult |
135 |
132 |
$0.00 |
| D9430 |
|
245 |
213 |
$0.00 |
| 4013F |
|
600 |
570 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
27 |
14 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
56 |
38 |
$0.00 |
| 3050F |
|
92 |
68 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
29 |
29 |
$0.00 |
| 3062F |
|
32 |
28 |
$0.00 |
| 98960 |
|
101 |
60 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
54 |
51 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
19 |
12 |
$0.00 |
| 3511F |
|
19 |
19 |
$0.00 |