| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
109,227 |
94,937 |
$22.65M |
| 00003 |
Internal/system code - not a standard HCPCS code |
1,376 |
1,110 |
$382K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49,693 |
38,210 |
$326K |
| 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 |
9,189 |
6,796 |
$312K |
| 99334 |
|
18,555 |
13,503 |
$29K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
2,736 |
2,248 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,644 |
4,507 |
$23K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,290 |
1,332 |
$14K |
| 99335 |
|
3,714 |
2,949 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,545 |
3,533 |
$11K |
| 99347 |
|
1,975 |
1,589 |
$4K |
| 90686 |
|
2,037 |
1,883 |
$2K |
| 81025 |
|
1,854 |
1,622 |
$2K |
| 59425 |
|
65 |
51 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
261 |
216 |
$1K |
| 92551 |
|
4,640 |
4,158 |
$1K |
| 99348 |
|
771 |
610 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
57 |
37 |
$1K |
| 0011A |
|
40 |
28 |
$763.50 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
368 |
292 |
$741.56 |
| J3490 |
Unclassified drugs |
12 |
12 |
$456.56 |
| 0072A |
|
15 |
15 |
$440.01 |
| 96156 |
|
2,843 |
2,518 |
$394.33 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
671 |
617 |
$346.30 |
| 0064A |
|
33 |
32 |
$320.00 |
| 85018 |
|
4,598 |
4,082 |
$271.06 |
| 99349 |
|
347 |
249 |
$268.32 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
116 |
106 |
$243.00 |
| 0071A |
|
18 |
18 |
$240.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
488 |
414 |
$239.60 |
| 11721 |
|
387 |
294 |
$226.17 |
| 82274 |
|
331 |
266 |
$169.54 |
| 99442 |
|
366 |
303 |
$94.30 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,113 |
368 |
$87.96 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
71 |
64 |
$68.22 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
490 |
446 |
$64.11 |
| 99173 |
|
4,805 |
4,290 |
$61.10 |
| 69210 |
|
18 |
16 |
$61.06 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
406 |
359 |
$52.41 |
| 90688 |
|
13 |
12 |
$49.08 |
| 99342 |
|
156 |
141 |
$44.28 |
| 92250 |
|
14 |
12 |
$37.92 |
| 81002 |
|
754 |
643 |
$27.29 |
| 97810 |
|
787 |
196 |
$23.16 |
| 99336 |
|
437 |
339 |
$21.15 |
| 90651 |
|
69 |
62 |
$18.00 |
| 82962 |
|
1,075 |
768 |
$15.94 |
| 90680 |
|
56 |
51 |
$9.00 |
| 90648 |
|
161 |
154 |
$9.00 |
| 90670 |
|
182 |
178 |
$9.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
56 |
42 |
$7.76 |
| 86580 |
|
35 |
31 |
$3.36 |
| 97802 |
|
106 |
94 |
$0.00 |
| 97026 |
|
648 |
149 |
$0.00 |
| 3075F |
|
394 |
343 |
$0.00 |
| 3074F |
|
4,264 |
3,475 |
$0.00 |
| Z1034 |
|
2,025 |
1,548 |
$0.00 |
| Z1032 |
|
83 |
83 |
$0.00 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
360 |
192 |
$0.00 |
| Z6410 |
|
73 |
63 |
$0.00 |
| Z6402 |
|
29 |
29 |
$0.00 |
| 81000 |
|
131 |
105 |
$0.00 |
| 3079F |
|
1,095 |
907 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
31 |
30 |
$0.00 |
| 36416 |
|
27 |
27 |
$0.00 |
| 98943 |
|
47 |
26 |
$0.00 |
| Z6406 |
|
79 |
56 |
$0.00 |
| 01 |
Inj., retisert, 0.01 mg |
46 |
34 |
$0.00 |
| 86803 |
|
16 |
13 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
158 |
117 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$0.00 |
| 1126F |
|
32 |
32 |
$0.00 |
| 1000F |
|
62 |
61 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
18 |
17 |
$0.00 |
| 91301 |
|
20 |
20 |
$0.00 |
| 91306 |
|
14 |
13 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
41 |
31 |
$0.00 |
| Z6204 |
|
32 |
26 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
17 |
14 |
$0.00 |
| 1034F |
|
54 |
53 |
$0.00 |
| 99443 |
|
15 |
12 |
$0.00 |
| 90677 |
|
13 |
12 |
$0.00 |
| 3080F |
|
46 |
33 |
$0.00 |
| 99324 |
|
13 |
12 |
$0.00 |
| 91307 |
|
14 |
13 |
$0.00 |
| 87430 |
|
14 |
12 |
$0.00 |
| 99350 |
Prolong home eval add 15m |
20 |
16 |
$0.00 |
| 0134A |
|
65 |
65 |
$0.00 |
| 90723 |
|
13 |
12 |
$0.00 |
| 90619 |
|
16 |
14 |
$0.00 |
| 3078F |
|
4,010 |
3,247 |
$0.00 |
| Z6400 |
|
278 |
228 |
$0.00 |
| 83655 |
|
27 |
27 |
$0.00 |
| Z6300 |
|
29 |
29 |
$0.00 |
| 3077F |
|
433 |
342 |
$0.00 |
| 11720 |
|
297 |
223 |
$0.00 |
| 90685 |
|
14 |
14 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
150 |
133 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
173 |
156 |
$0.00 |
| 1160F |
|
81 |
80 |
$0.00 |
| 97803 |
|
42 |
37 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
67 |
63 |
$0.00 |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
17 |
17 |
$0.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
15 |
12 |
$0.00 |
| 90633 |
|
32 |
31 |
$0.00 |
| 91313 |
|
65 |
65 |
$0.00 |
| 99397 |
|
20 |
20 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
12 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
103 |
95 |
$0.00 |
| 90785 |
|
19 |
16 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
12 |
$0.00 |
| 90710 |
|
15 |
15 |
$0.00 |
| 99325 |
|
15 |
14 |
$0.00 |
| 99337 |
|
18 |
14 |
$0.00 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
23 |
23 |
$0.00 |
| 1159F |
|
81 |
80 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
22 |
19 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
23 |
20 |
$0.00 |
| 11056 |
|
16 |
12 |
$0.00 |
| 90715 |
|
28 |
25 |
$0.00 |
| Z6200 |
|
29 |
29 |
$0.00 |
| 92015 |
Determination of refractive state |
22 |
19 |
$0.00 |