| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
82,355 |
70,291 |
$9.93M |
| 00003 |
Internal/system code - not a standard HCPCS code |
21,614 |
17,870 |
$3.79M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
62,774 |
53,194 |
$752K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,228 |
3,873 |
$125K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,430 |
4,928 |
$66K |
| 59425 |
|
1,936 |
1,323 |
$49K |
| 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 |
3,239 |
2,487 |
$43K |
| 99000 |
|
5,719 |
5,264 |
$35K |
| 85018 |
|
6,867 |
6,602 |
$32K |
| 81000 |
|
1,607 |
1,207 |
$31K |
| 90686 |
|
3,348 |
3,213 |
$25K |
| J3490 |
Unclassified drugs |
952 |
931 |
$21K |
| 99222 |
Initial hospital care, per day, moderate complexity |
247 |
218 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,443 |
3,213 |
$19K |
| 92551 |
|
3,748 |
3,581 |
$19K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
484 |
188 |
$19K |
| 99173 |
|
3,721 |
3,566 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,134 |
1,084 |
$16K |
| 81005 |
|
3,406 |
2,485 |
$14K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
261 |
232 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,540 |
1,471 |
$10K |
| 99215 |
Prolong outpt/office vis |
145 |
135 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,383 |
2,231 |
$8K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
491 |
387 |
$5K |
| 81025 |
|
1,232 |
1,158 |
$4K |
| 98940 |
|
2,355 |
1,618 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
527 |
496 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
320 |
300 |
$1K |
| 90670 |
|
1,720 |
1,594 |
$1K |
| 86580 |
|
66 |
66 |
$957.15 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
31 |
24 |
$883.68 |
| 90633 |
|
843 |
789 |
$853.74 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$782.35 |
| 90688 |
|
28 |
28 |
$771.89 |
| 97802 |
|
12 |
12 |
$670.46 |
| 3074F |
|
3,102 |
2,738 |
$611.57 |
| 90658 |
|
14 |
14 |
$582.82 |
| D0145 |
Oral evaluation for a patient under three years of age |
36 |
36 |
$525.65 |
| 83655 |
|
464 |
430 |
$486.83 |
| 90723 |
|
1,112 |
1,039 |
$473.58 |
| 90648 |
|
1,781 |
1,671 |
$419.63 |
| 90680 |
|
985 |
917 |
$419.25 |
| 90677 |
|
487 |
469 |
$284.00 |
| 90685 |
|
12 |
12 |
$249.47 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
29 |
28 |
$249.43 |
| 99381 |
|
69 |
65 |
$164.84 |
| 82962 |
|
19 |
17 |
$158.26 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
339 |
339 |
$158.00 |
| 90698 |
|
26 |
26 |
$150.38 |
| 90700 |
|
324 |
298 |
$137.25 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
171 |
164 |
$117.63 |
| 90716 |
|
75 |
69 |
$81.00 |
| 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 |
70 |
69 |
$67.05 |
| 90744 |
|
13 |
13 |
$61.49 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
250 |
250 |
$45.89 |
| 90696 |
|
118 |
107 |
$27.00 |
| 90715 |
|
170 |
158 |
$27.00 |
| 90734 |
|
118 |
109 |
$18.00 |
| 90710 |
|
350 |
320 |
$18.00 |
| 90713 |
|
41 |
36 |
$6.75 |
| 81003 |
|
1,316 |
994 |
$3.37 |
| Z1034 |
|
6,401 |
4,234 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
3,606 |
3,149 |
$0.00 |
| 3008F |
|
5,537 |
4,823 |
$0.00 |
| 3079F |
|
614 |
582 |
$0.00 |
| 2001F |
|
5,536 |
4,822 |
$0.00 |
| 3048F |
|
517 |
458 |
$0.00 |
| Z6410 |
|
462 |
430 |
$0.00 |
| Z1032 |
|
258 |
258 |
$0.00 |
| 1111F |
|
5,632 |
5,025 |
$0.00 |
| 1034F |
|
31 |
26 |
$0.00 |
| 3075F |
|
241 |
234 |
$0.00 |
| 1036F |
|
3,974 |
3,405 |
$0.00 |
| 90647 |
|
145 |
129 |
$0.00 |
| Z6406 |
|
213 |
203 |
$0.00 |
| 3049F |
|
225 |
204 |
$0.00 |
| 90651 |
|
230 |
215 |
$0.00 |
| Z6204 |
|
190 |
189 |
$0.00 |
| 90656 |
|
120 |
118 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
12 |
12 |
$0.00 |
| 90474 |
|
27 |
27 |
$0.00 |
| Z1038 |
|
27 |
27 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
28 |
28 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
58 |
58 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
3,414 |
2,996 |
$0.00 |
| 3078F |
|
2,971 |
2,617 |
$0.00 |
| Z6400 |
|
454 |
452 |
$0.00 |
| Z6304 |
|
202 |
201 |
$0.00 |
| 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 |
32 |
30 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
49 |
47 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
263 |
249 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
61 |
61 |
$0.00 |
| 3077F |
|
263 |
249 |
$0.00 |
| 3050F |
|
41 |
37 |
$0.00 |
| Z6308 |
|
19 |
19 |
$0.00 |
| Z6500 |
|
65 |
65 |
$0.00 |
| Z6414 |
|
19 |
19 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$0.00 |
| Z6208 |
|
19 |
19 |
$0.00 |
| 90707 |
|
27 |
26 |
$0.00 |