| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
231,408 |
198,654 |
$51.58M |
| 00003 |
Internal/system code - not a standard HCPCS code |
1,704 |
1,440 |
$586K |
| 90832 |
Psychotherapy, 30 minutes with patient |
20,139 |
14,308 |
$428K |
| 90834 |
Psychotherapy, 45 minutes with patient |
14,920 |
5,567 |
$399K |
| G9012 |
Other specified case management service not elsewhere classified |
12,739 |
3,518 |
$234K |
| 90837 |
Psychotherapy, 53 minutes with patient |
4,708 |
2,198 |
$229K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
174,966 |
127,302 |
$214K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
11,573 |
4,246 |
$185K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
248,347 |
184,306 |
$141K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,556 |
7,679 |
$75K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,633 |
4,215 |
$69K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,137 |
3,011 |
$68K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,307 |
5,795 |
$68K |
| 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 |
3,711 |
3,320 |
$52K |
| 0011A |
|
732 |
732 |
$49K |
| 0012A |
|
678 |
678 |
$45K |
| 92551 |
|
22,145 |
17,180 |
$35K |
| G9920 |
Screening performed and negative |
7,622 |
7,543 |
$35K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,813 |
2,269 |
$33K |
| 0064A |
|
295 |
295 |
$20K |
| 90686 |
|
21,104 |
18,780 |
$20K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
627 |
471 |
$19K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,703 |
2,206 |
$13K |
| 85018 |
|
35,760 |
29,996 |
$10K |
| 90756 |
|
855 |
845 |
$10K |
| 0001A |
|
125 |
125 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
35,601 |
29,704 |
$8K |
| 0002A |
|
119 |
119 |
$8K |
| 0031A |
|
123 |
88 |
$7K |
| 90670 |
|
1,967 |
1,665 |
$7K |
| 99384 |
|
121 |
110 |
$6K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,071 |
916 |
$6K |
| 99383 |
|
148 |
133 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,349 |
2,014 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
44,490 |
31,931 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
20,748 |
18,042 |
$5K |
| 90633 |
|
2,397 |
1,950 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,033 |
809 |
$4K |
| 99215 |
Prolong outpt/office vis |
6,987 |
5,025 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
117 |
73 |
$4K |
| 90651 |
|
2,999 |
2,344 |
$4K |
| 90750 |
|
2,495 |
2,360 |
$4K |
| 90715 |
|
3,115 |
3,022 |
$3K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
248 |
166 |
$3K |
| 90710 |
|
649 |
597 |
$3K |
| 99000 |
|
28,889 |
26,692 |
$2K |
| 99173 |
|
18,423 |
14,340 |
$2K |
| 90681 |
|
384 |
312 |
$2K |
| 90688 |
|
4,350 |
3,592 |
$2K |
| 90716 |
|
551 |
499 |
$2K |
| 90696 |
|
476 |
452 |
$2K |
| 92587 |
|
2,071 |
1,878 |
$2K |
| 0134A |
|
26 |
26 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
28,895 |
24,702 |
$2K |
| 90723 |
|
404 |
379 |
$2K |
| 90647 |
|
633 |
592 |
$2K |
| 90707 |
|
311 |
295 |
$1K |
| 90700 |
|
363 |
348 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,574 |
4,245 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,461 |
870 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,710 |
1,352 |
$804.59 |
| 90620 |
|
359 |
267 |
$801.50 |
| 92015 |
Determination of refractive state |
4,528 |
3,309 |
$733.75 |
| 92082 |
|
994 |
991 |
$727.70 |
| 90734 |
|
934 |
610 |
$711.00 |
| 36415 |
Collection of venous blood by venipuncture |
59,493 |
48,322 |
$700.91 |
| 82962 |
|
9,292 |
7,927 |
$642.12 |
| 99382 |
|
13 |
13 |
$606.58 |
| 99381 |
|
86 |
81 |
$583.44 |
| 92552 |
|
565 |
564 |
$565.48 |
| 90656 |
|
2,520 |
2,016 |
$538.29 |
| 83655 |
|
1,049 |
767 |
$532.41 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,757 |
4,232 |
$478.23 |
| 90682 |
|
1,431 |
1,167 |
$426.24 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,461 |
1,135 |
$413.85 |
| 92250 |
|
1,067 |
1,065 |
$388.02 |
| 93000 |
|
1,572 |
1,508 |
$364.99 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
2,458 |
2,137 |
$350.64 |
| 81002 |
|
6,458 |
5,335 |
$252.34 |
| 90680 |
|
234 |
169 |
$234.00 |
| 90677 |
|
749 |
612 |
$230.45 |
| 81025 |
|
4,913 |
4,270 |
$220.45 |
| 90739 |
|
444 |
443 |
$148.67 |
| G9919 |
Screening performed and positive and provision of recommendations |
69 |
68 |
$145.00 |
| 96156 |
|
1,298 |
1,271 |
$108.54 |
| 99188 |
|
820 |
469 |
$107.64 |
| 90461 |
|
13,310 |
11,201 |
$96.21 |
| 86580 |
|
1,028 |
787 |
$76.79 |
| 90662 |
|
120 |
116 |
$73.66 |
| 99243 |
|
106 |
61 |
$58.91 |
| 99401 |
|
718 |
710 |
$50.23 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
618 |
528 |
$41.97 |
| 88142 |
|
577 |
530 |
$36.26 |
| 92081 |
|
64 |
64 |
$32.62 |
| 90674 |
|
190 |
183 |
$27.00 |
| 97802 |
|
371 |
314 |
$25.24 |
| 88164 |
|
29 |
29 |
$19.30 |
| 97803 |
|
241 |
237 |
$16.74 |
| 90619 |
|
659 |
574 |
$3.17 |
| 90697 |
|
727 |
531 |
$2.21 |
| 90381 |
|
12 |
12 |
$0.12 |
| 91320 |
|
53 |
53 |
$0.01 |
| G9007 |
Coordinated care fee, scheduled team conference |
16 |
14 |
$0.01 |
| 90669 |
|
275 |
275 |
$0.00 |
| 1158F |
|
5,132 |
3,991 |
$0.00 |
| 99442 |
|
14,677 |
13,795 |
$0.00 |
| Z6202 |
|
89 |
87 |
$0.00 |
| 3078F |
|
1,417 |
1,015 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
203 |
127 |
$0.00 |
| Z6400 |
|
837 |
784 |
$0.00 |
| Z6304 |
|
152 |
150 |
$0.00 |
| 90658 |
|
162 |
119 |
$0.00 |
| 0502F |
|
469 |
326 |
$0.00 |
| 3077F |
|
141 |
98 |
$0.00 |
| Z6300 |
|
170 |
170 |
$0.00 |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
28 |
26 |
$0.00 |
| Z6200 |
|
174 |
174 |
$0.00 |
| 98926 |
|
133 |
104 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
83 |
53 |
$0.00 |
| 87210 |
|
39 |
39 |
$0.00 |
| 90746 |
|
12 |
12 |
$0.00 |
| 90621 |
|
26 |
13 |
$0.00 |
| 97810 |
|
32 |
25 |
$0.00 |
| 97811 |
|
16 |
13 |
$0.00 |
| 90713 |
|
21 |
12 |
$0.00 |
| 59425 |
|
13 |
12 |
$0.00 |
| 90714 |
|
13 |
13 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
20 |
12 |
$0.00 |
| 3044F |
|
79 |
41 |
$0.00 |
| 90673 |
|
98 |
82 |
$0.00 |
| 3074F |
|
1,202 |
821 |
$0.00 |
| 90698 |
|
64 |
42 |
$0.00 |
| 99441 |
|
10,428 |
9,913 |
$0.00 |
| 96151 |
|
28 |
28 |
$0.00 |
| Z6406 |
|
149 |
147 |
$0.00 |
| Z6402 |
|
154 |
154 |
$0.00 |
| 90744 |
|
63 |
42 |
$0.00 |
| 99403 |
|
43 |
43 |
$0.00 |
| 3079F |
|
213 |
148 |
$0.00 |
| 99443 |
|
1,300 |
1,263 |
$0.00 |
| Z6410 |
|
25 |
24 |
$0.00 |
| 88738 |
|
767 |
453 |
$0.00 |
| Z6204 |
|
178 |
175 |
$0.00 |
| 3072F |
|
846 |
844 |
$0.00 |
| 90480 |
|
80 |
80 |
$0.00 |
| 90632 |
|
43 |
43 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
14 |
14 |
$0.00 |
| H2000 |
Comprehensive multidisciplinary evaluation |
43 |
36 |
$0.00 |
| 90378 |
|
15 |
15 |
$0.00 |