| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
132,762 |
107,953 |
$39.46M |
| 00003 |
Internal/system code - not a standard HCPCS code |
60,661 |
57,043 |
$25.62M |
| 90834 |
Psychotherapy, 45 minutes with patient |
17,549 |
6,413 |
$847K |
| 90837 |
Psychotherapy, 53 minutes with patient |
5,520 |
2,144 |
$398K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
109,072 |
63,942 |
$290K |
| 90832 |
Psychotherapy, 30 minutes with patient |
6,029 |
2,573 |
$209K |
| G9012 |
Other specified case management service not elsewhere classified |
824 |
396 |
$146K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31,511 |
19,807 |
$136K |
| 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 |
1,216 |
1,028 |
$120K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,706 |
2,608 |
$28K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
55 |
55 |
$15K |
| 90677 |
|
335 |
213 |
$14K |
| 90791 |
Psychiatric diagnostic evaluation |
103 |
81 |
$13K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
61 |
61 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
319 |
251 |
$5K |
| 81025 |
|
3,245 |
2,363 |
$3K |
| 90746 |
|
217 |
215 |
$3K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
2,361 |
1,779 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15,982 |
10,836 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
271 |
252 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
807 |
597 |
$2K |
| 99215 |
Prolong outpt/office vis |
1,933 |
1,088 |
$2K |
| 97802 |
|
1,184 |
1,143 |
$1K |
| 97803 |
|
789 |
702 |
$1K |
| 85018 |
|
6,857 |
4,848 |
$1K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
309 |
257 |
$1K |
| J3490 |
Unclassified drugs |
68 |
56 |
$991.84 |
| 86703 |
|
62 |
61 |
$791.51 |
| 90686 |
|
2,078 |
1,421 |
$655.43 |
| 90480 |
|
49 |
49 |
$560.00 |
| 90670 |
|
588 |
426 |
$500.00 |
| 90680 |
|
361 |
278 |
$460.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
51 |
31 |
$377.20 |
| 99401 |
|
237 |
222 |
$357.24 |
| 90656 |
|
975 |
673 |
$327.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
66 |
47 |
$318.68 |
| G9919 |
Screening performed and positive and provision of recommendations |
20 |
13 |
$290.00 |
| 90647 |
|
212 |
149 |
$290.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
284 |
178 |
$287.00 |
| A4267 |
Contraceptive supply, condom, male, each |
172 |
123 |
$281.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,666 |
3,342 |
$261.73 |
| 90715 |
|
304 |
234 |
$234.80 |
| 90739 |
|
220 |
167 |
$190.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
121 |
74 |
$153.81 |
| 90723 |
|
102 |
78 |
$150.00 |
| 96156 |
|
221 |
203 |
$117.74 |
| 90674 |
|
230 |
168 |
$113.23 |
| 90688 |
|
398 |
286 |
$90.00 |
| 90633 |
|
204 |
147 |
$80.00 |
| 90713 |
|
100 |
94 |
$70.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
43 |
39 |
$67.28 |
| 90744 |
|
46 |
42 |
$40.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
329 |
202 |
$34.96 |
| 90734 |
|
37 |
27 |
$30.00 |
| 90716 |
|
96 |
73 |
$30.00 |
| 90658 |
|
89 |
63 |
$20.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
30 |
17 |
$19.55 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
14 |
$18.75 |
| 90756 |
|
12 |
12 |
$15.00 |
| 87806 |
|
38 |
31 |
$14.24 |
| 82962 |
|
176 |
155 |
$13.20 |
| 90648 |
|
16 |
13 |
$10.00 |
| 90651 |
|
59 |
41 |
$10.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
851 |
681 |
$9.39 |
| 82948 |
|
168 |
105 |
$2.98 |
| Z6400 |
|
197 |
196 |
$0.00 |
| 91322 |
|
20 |
19 |
$0.00 |
| Z6304 |
|
205 |
202 |
$0.00 |
| Z6500 |
|
12 |
12 |
$0.00 |
| 90678 |
|
27 |
14 |
$0.00 |
| 80305 |
|
144 |
130 |
$0.00 |
| 81002 |
|
23 |
13 |
$0.00 |
| 99173 |
|
39 |
39 |
$0.00 |
| Z6410 |
|
1,484 |
1,189 |
$0.00 |
| Z6406 |
|
280 |
274 |
$0.00 |
| Z6204 |
|
238 |
235 |
$0.00 |
| 99406 |
|
25 |
14 |
$0.00 |
| 90474 |
|
13 |
13 |
$0.00 |
| 92551 |
|
26 |
25 |
$0.00 |
| 90698 |
|
18 |
13 |
$0.00 |
| 92250 |
|
35 |
35 |
$0.00 |
| 90732 |
|
23 |
13 |
$0.00 |
| 90657 |
|
19 |
16 |
$0.00 |
| 99383 |
|
17 |
17 |
$0.00 |