| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
181,693 |
155,340 |
$22.33M |
| 00003 |
Internal/system code - not a standard HCPCS code |
52,257 |
37,891 |
$11.81M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
157,937 |
102,888 |
$458K |
| 97803 |
|
3,933 |
2,864 |
$275K |
| 97802 |
|
1,110 |
1,085 |
$154K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,128 |
10,989 |
$83K |
| 90832 |
Psychotherapy, 30 minutes with patient |
8,358 |
4,804 |
$81K |
| 90686 |
|
5,976 |
5,514 |
$77K |
| G9012 |
Other specified case management service not elsewhere classified |
364 |
189 |
$69K |
| 90651 |
|
1,233 |
1,137 |
$61K |
| 90670 |
|
3,885 |
3,308 |
$48K |
| 90791 |
Psychiatric diagnostic evaluation |
1,816 |
1,426 |
$46K |
| 0002A |
|
632 |
614 |
$40K |
| 0001A |
|
638 |
612 |
$39K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
2,114 |
1,582 |
$38K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,457 |
3,632 |
$37K |
| 90648 |
|
4,337 |
3,662 |
$33K |
| 90688 |
|
3,066 |
2,607 |
$30K |
| 90677 |
|
714 |
604 |
$29K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,832 |
4,004 |
$24K |
| 0011A |
|
353 |
353 |
$24K |
| 90723 |
|
3,055 |
2,577 |
$23K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
1,239 |
1,147 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,600 |
4,804 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,236 |
5,400 |
$19K |
| 59425 |
|
283 |
234 |
$17K |
| 99460 |
|
403 |
392 |
$16K |
| 90715 |
|
1,008 |
854 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,853 |
4,254 |
$16K |
| 90633 |
|
1,941 |
1,617 |
$15K |
| 90834 |
Psychotherapy, 45 minutes with patient |
845 |
446 |
$14K |
| 0012A |
|
200 |
200 |
$13K |
| 0003A |
|
280 |
255 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,147 |
2,457 |
$12K |
| 90750 |
|
62 |
58 |
$11K |
| 90680 |
|
1,458 |
1,208 |
$10K |
| 92551 |
|
11,390 |
9,874 |
$9K |
| 83655 |
|
1,194 |
909 |
$9K |
| Q3014 |
Telehealth originating site facility fee |
395 |
395 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
606 |
451 |
$9K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
12 |
12 |
$9K |
| H2000 |
Comprehensive multidisciplinary evaluation |
371 |
272 |
$8K |
| 90685 |
|
1,014 |
854 |
$8K |
| 99462 |
|
331 |
250 |
$7K |
| 90734 |
|
796 |
688 |
$7K |
| 92250 |
|
167 |
162 |
$7K |
| 0064A |
|
142 |
122 |
$7K |
| 0072A |
|
173 |
173 |
$7K |
| 90710 |
|
781 |
656 |
$6K |
| 0071A |
|
192 |
181 |
$5K |
| 81025 |
|
2,186 |
1,928 |
$5K |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
198 |
194 |
$5K |
| 90649 |
|
517 |
367 |
$4K |
| 90662 |
|
211 |
187 |
$4K |
| 90681 |
|
451 |
373 |
$4K |
| 99215 |
Prolong outpt/office vis |
86 |
72 |
$3K |
| 99381 |
|
248 |
189 |
$3K |
| 90716 |
|
190 |
136 |
$3K |
| 97810 |
|
258 |
156 |
$3K |
| 96156 |
|
159 |
92 |
$2K |
| 90656 |
|
546 |
402 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
228 |
191 |
$2K |
| 11981 |
|
12 |
12 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
9,742 |
8,485 |
$2K |
| 90746 |
|
33 |
33 |
$2K |
| 90700 |
|
217 |
187 |
$2K |
| 90696 |
|
238 |
190 |
$2K |
| 80305 |
|
168 |
149 |
$2K |
| 11976 |
|
24 |
13 |
$1K |
| 90707 |
|
89 |
62 |
$1K |
| 0031A |
|
17 |
17 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
360 |
222 |
$948.33 |
| 0124A |
|
12 |
12 |
$804.00 |
| 90732 |
|
14 |
14 |
$720.00 |
| 90733 |
|
53 |
52 |
$703.76 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
184 |
121 |
$549.56 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
122 |
94 |
$540.57 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
15 |
12 |
$461.37 |
| 90619 |
|
90 |
59 |
$450.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
85 |
75 |
$416.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
136 |
136 |
$343.42 |
| Z7500 |
|
14 |
14 |
$303.24 |
| 99383 |
|
44 |
30 |
$280.75 |
| 99401 |
|
13 |
13 |
$277.53 |
| 86710 |
|
385 |
372 |
$154.31 |
| 81003 |
|
380 |
363 |
$126.36 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$115.96 |
| 85018 |
|
1,413 |
1,378 |
$104.32 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
386 |
386 |
$92.64 |
| 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 |
629 |
523 |
$90.22 |
| 93000 |
|
26 |
24 |
$86.10 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
14 |
13 |
$84.25 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
13 |
13 |
$71.28 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
105 |
96 |
$61.95 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
225 |
220 |
$54.63 |
| S0197 |
Prenatal vitamins, 30-day supply |
25 |
25 |
$41.60 |
| 81002 |
|
54 |
42 |
$36.55 |
| 87430 |
|
62 |
60 |
$16.36 |
| 86580 |
|
94 |
64 |
$13.44 |
| 91321 |
|
13 |
13 |
$9.00 |
| 88720 |
|
44 |
40 |
$4.30 |
| 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 |
8,169 |
7,616 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
137 |
135 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
989 |
927 |
$0.00 |
| Z6410 |
|
2,945 |
2,470 |
$0.00 |
| Z6204 |
|
1,258 |
655 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
30 |
30 |
$0.00 |
| Z6406 |
|
147 |
138 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
137 |
135 |
$0.00 |
| Z1034 |
|
223 |
187 |
$0.00 |
| Z1032 |
|
17 |
17 |
$0.00 |
| 99174 |
|
38 |
38 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
41 |
41 |
$0.00 |
| Z6414 |
|
372 |
290 |
$0.00 |
| Z6400 |
|
1,163 |
1,090 |
$0.00 |
| 99173 |
|
1,326 |
1,326 |
$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 |
52 |
44 |
$0.00 |
| Z6500 |
|
198 |
197 |
$0.00 |
| Z6304 |
|
243 |
138 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
26 |
$0.00 |
| Z6308 |
|
18 |
17 |
$0.00 |
| 82948 |
|
22 |
22 |
$0.00 |