| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
138,761 |
116,595 |
$20.24M |
| 00003 |
Internal/system code - not a standard HCPCS code |
6,305 |
4,601 |
$1.27M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
60,819 |
51,986 |
$104K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,788 |
2,305 |
$84K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
1,090 |
949 |
$69K |
| 90791 |
Psychiatric diagnostic evaluation |
637 |
533 |
$23K |
| G9920 |
Screening performed and negative |
2,352 |
2,138 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,485 |
4,926 |
$21K |
| 97802 |
|
1,741 |
1,661 |
$14K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
657 |
564 |
$13K |
| 97803 |
|
2,059 |
1,921 |
$12K |
| 0011A |
|
226 |
162 |
$11K |
| 0001A |
|
218 |
180 |
$10K |
| 0012A |
|
197 |
143 |
$9K |
| 92551 |
|
3,571 |
3,128 |
$8K |
| 0002A |
|
164 |
136 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
578 |
560 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,547 |
1,446 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,540 |
4,103 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,046 |
862 |
$4K |
| 0003A |
|
74 |
70 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
221 |
210 |
$3K |
| 92250 |
|
965 |
933 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,136 |
949 |
$3K |
| V2020 |
Frames, purchases |
203 |
203 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
618 |
565 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
375 |
340 |
$2K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,219 |
1,083 |
$2K |
| 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 |
178 |
178 |
$2K |
| G9012 |
Other specified case management service not elsewhere classified |
485 |
341 |
$2K |
| 92015 |
Determination of refractive state |
2,248 |
2,092 |
$1K |
| 90686 |
|
1,749 |
1,584 |
$1K |
| 0031A |
|
20 |
14 |
$849.00 |
| 81025 |
|
1,767 |
1,608 |
$802.75 |
| 92341 |
|
34 |
34 |
$801.36 |
| 83655 |
|
841 |
716 |
$694.32 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
713 |
613 |
$651.36 |
| 0013A |
|
13 |
12 |
$639.25 |
| 85018 |
|
2,639 |
2,346 |
$215.07 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,409 |
1,135 |
$179.44 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
14 |
14 |
$155.12 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
535 |
524 |
$141.55 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,696 |
1,582 |
$136.65 |
| 90656 |
|
197 |
193 |
$113.90 |
| 92020 |
|
12 |
12 |
$57.06 |
| 99188 |
|
124 |
120 |
$53.46 |
| 82962 |
|
5,133 |
4,652 |
$49.45 |
| 90750 |
|
20 |
18 |
$45.00 |
| 92134 |
|
170 |
165 |
$38.97 |
| 90715 |
|
15 |
12 |
$27.00 |
| 88142 |
|
545 |
505 |
$13.32 |
| 99173 |
|
3,134 |
2,826 |
$9.12 |
| 81002 |
|
6,335 |
4,367 |
$8.11 |
| 3077F |
|
561 |
491 |
$0.00 |
| 3078F |
|
13,937 |
11,906 |
$0.00 |
| 1158F |
|
1,830 |
1,690 |
$0.00 |
| 1159F |
|
8,920 |
8,026 |
$0.00 |
| 1160F |
|
5,732 |
5,190 |
$0.00 |
| 90734 |
|
140 |
135 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
85 |
83 |
$0.00 |
| 0502F |
|
1,031 |
736 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
334 |
307 |
$0.00 |
| 3725F |
|
493 |
470 |
$0.00 |
| Z6400 |
|
694 |
689 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
13 |
13 |
$0.00 |
| 90670 |
|
554 |
462 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
87 |
78 |
$0.00 |
| 90633 |
|
174 |
152 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
142 |
131 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$0.00 |
| 90461 |
|
39 |
39 |
$0.00 |
| 80305 |
|
25 |
24 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
88 |
87 |
$0.00 |
| 99201 |
|
13 |
12 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
12 |
$0.00 |
| 3075F |
|
656 |
605 |
$0.00 |
| 3008F |
|
7,548 |
6,795 |
$0.00 |
| 3074F |
|
12,800 |
10,874 |
$0.00 |
| 1170F |
|
7,929 |
7,183 |
$0.00 |
| 1126F |
|
5,576 |
5,014 |
$0.00 |
| Z1034 |
|
4,631 |
3,249 |
$0.00 |
| 3044F |
|
5,308 |
4,918 |
$0.00 |
| 1123F |
|
1,796 |
1,656 |
$0.00 |
| 3079F |
|
1,095 |
989 |
$0.00 |
| 90651 |
|
86 |
72 |
$0.00 |
| 0501F |
|
646 |
455 |
$0.00 |
| 3351F |
|
144 |
141 |
$0.00 |
| 3048F |
|
26 |
26 |
$0.00 |
| 90698 |
|
410 |
349 |
$0.00 |
| 90680 |
|
140 |
114 |
$0.00 |
| 90744 |
|
181 |
157 |
$0.00 |
| 1125F |
|
90 |
84 |
$0.00 |
| 99000 |
|
365 |
176 |
$0.00 |
| 94760 |
|
145 |
133 |
$0.00 |
| Z1032 |
|
147 |
145 |
$0.00 |
| 99384 |
|
18 |
15 |
$0.00 |
| 90677 |
|
107 |
107 |
$0.00 |
| 94010 |
|
13 |
13 |
$0.00 |
| 1000F |
|
12 |
12 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
142 |
131 |
$0.00 |
| 99381 |
|
35 |
26 |
$0.00 |
| 99385 |
|
38 |
37 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
51 |
47 |
$0.00 |
| Z1038 |
|
73 |
66 |
$0.00 |
| 90688 |
|
41 |
36 |
$0.00 |
| 36416 |
|
14 |
14 |
$0.00 |
| 99383 |
|
78 |
59 |
$0.00 |
| 3080F |
|
18 |
16 |
$0.00 |
| 90716 |
|
13 |
12 |
$0.00 |
| 90620 |
|
13 |
13 |
$0.00 |