| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
236,058 |
191,317 |
$49.07M |
| 00003 |
Internal/system code - not a standard HCPCS code |
81,963 |
74,120 |
$21.75M |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
24,735 |
9,651 |
$715K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
135,147 |
83,800 |
$482K |
| 97810 |
|
21,922 |
8,442 |
$260K |
| 98940 |
|
8,687 |
3,077 |
$204K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54,903 |
33,053 |
$192K |
| 90834 |
Psychotherapy, 45 minutes with patient |
12,305 |
5,966 |
$166K |
| 90832 |
Psychotherapy, 30 minutes with patient |
15,215 |
7,282 |
$138K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,748 |
1,322 |
$107K |
| 0002A |
|
1,872 |
1,866 |
$93K |
| 90686 |
|
7,409 |
5,843 |
$86K |
| 0001A |
|
1,353 |
1,342 |
$68K |
| 90791 |
Psychiatric diagnostic evaluation |
1,526 |
1,048 |
$62K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27,161 |
16,216 |
$61K |
| 59425 |
|
727 |
566 |
$44K |
| 0071A |
|
909 |
908 |
$41K |
| 0004A |
|
732 |
732 |
$34K |
| 0072A |
|
683 |
683 |
$30K |
| 0003A |
|
520 |
520 |
$26K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,758 |
1,283 |
$24K |
| 97803 |
|
728 |
653 |
$18K |
| G9920 |
Screening performed and negative |
556 |
538 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,964 |
1,287 |
$15K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,430 |
4,303 |
$12K |
| 90656 |
|
1,101 |
804 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
607 |
481 |
$11K |
| 97802 |
|
240 |
238 |
$9K |
| 98926 |
|
210 |
160 |
$8K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
677 |
502 |
$8K |
| 99401 |
|
745 |
653 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
310 |
224 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
227 |
209 |
$6K |
| 87428 |
|
162 |
98 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,560 |
1,690 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,324 |
1,462 |
$5K |
| 90670 |
|
634 |
505 |
$5K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,882 |
5,621 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
251 |
165 |
$3K |
| 92015 |
Determination of refractive state |
3,235 |
3,111 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,230 |
775 |
$2K |
| 90633 |
|
342 |
236 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
23 |
12 |
$2K |
| 83655 |
|
194 |
147 |
$2K |
| 90723 |
|
251 |
215 |
$2K |
| 90647 |
|
253 |
208 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
116 |
77 |
$2K |
| H2000 |
Comprehensive multidisciplinary evaluation |
114 |
96 |
$2K |
| 90710 |
|
176 |
143 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
83 |
54 |
$1K |
| 81025 |
|
516 |
394 |
$1K |
| 99402 |
|
62 |
61 |
$1K |
| 96156 |
|
61 |
60 |
$1K |
| 90715 |
|
63 |
37 |
$1K |
| 0111A |
|
14 |
14 |
$938.00 |
| 90651 |
|
120 |
112 |
$936.27 |
| 90680 |
|
123 |
104 |
$873.00 |
| 90697 |
|
101 |
72 |
$738.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
24 |
24 |
$696.00 |
| 90677 |
|
127 |
87 |
$675.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
48 |
39 |
$454.14 |
| 90734 |
|
38 |
38 |
$324.00 |
| 99381 |
|
14 |
14 |
$271.98 |
| 81002 |
|
1,622 |
1,245 |
$252.61 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
144 |
140 |
$199.12 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
67 |
64 |
$159.02 |
| 90619 |
|
28 |
14 |
$126.00 |
| 90700 |
|
13 |
13 |
$108.00 |
| 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 |
2,385 |
1,741 |
$101.24 |
| 11721 |
|
38 |
36 |
$86.14 |
| 81003 |
|
83 |
60 |
$80.36 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
149 |
137 |
$66.90 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
246 |
238 |
$36.10 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
76 |
73 |
$20.97 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
129 |
119 |
$17.04 |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
193 |
131 |
$0.00 |
| Z6200 |
|
143 |
141 |
$0.00 |
| 9212 |
|
21 |
18 |
$0.00 |
| Z6400 |
|
38 |
38 |
$0.00 |
| Z6414 |
|
13 |
13 |
$0.00 |
| Z6202 |
|
55 |
53 |
$0.00 |
| Z6300 |
|
96 |
95 |
$0.00 |
| 90653 |
|
28 |
28 |
$0.00 |
| A4550 |
Surgical trays |
26 |
12 |
$0.00 |
| 91322 |
|
18 |
18 |
$0.00 |
| Z6410 |
|
717 |
576 |
$0.00 |
| Z6204 |
|
746 |
721 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,228 |
1,025 |
$0.00 |
| Z1034 |
|
2,125 |
1,728 |
$0.00 |
| Z6406 |
|
810 |
752 |
$0.00 |
| 9213 |
|
277 |
250 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| Z6402 |
|
97 |
95 |
$0.00 |
| 85018 |
|
32 |
32 |
$0.00 |
| 9214 |
|
26 |
26 |
$0.00 |