| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
87,783 |
76,058 |
$5.03M |
| 00003 |
Internal/system code - not a standard HCPCS code |
8,646 |
6,144 |
$1.07M |
| 0002A |
|
1,491 |
1,087 |
$48K |
| 90686 |
|
10,443 |
8,716 |
$45K |
| 0001A |
|
1,345 |
974 |
$44K |
| 0012A |
|
1,300 |
1,112 |
$43K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,579 |
2,844 |
$40K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,486 |
1,774 |
$32K |
| 90791 |
Psychiatric diagnostic evaluation |
797 |
594 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
86,840 |
68,109 |
$30K |
| 0011A |
|
1,111 |
938 |
$29K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,361 |
1,018 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,928 |
2,851 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,560 |
2,476 |
$26K |
| G9920 |
Screening performed and negative |
10,894 |
8,428 |
$19K |
| 0031A |
|
547 |
400 |
$19K |
| 90837 |
Psychotherapy, 53 minutes with patient |
305 |
188 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
52,306 |
39,873 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,112 |
2,397 |
$17K |
| 0064A |
|
447 |
360 |
$14K |
| V2020 |
Frames, purchases |
623 |
623 |
$11K |
| 92551 |
|
4,117 |
3,263 |
$11K |
| 90750 |
|
308 |
274 |
$10K |
| 0004A |
|
348 |
261 |
$10K |
| 90832 |
Psychotherapy, 30 minutes with patient |
850 |
415 |
$9K |
| 0071A |
|
320 |
210 |
$8K |
| 92015 |
Determination of refractive state |
6,990 |
5,535 |
$8K |
| 0054A |
|
253 |
194 |
$8K |
| 0072A |
|
296 |
203 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,046 |
14,201 |
$8K |
| 92552 |
|
6,676 |
4,897 |
$7K |
| 90656 |
|
1,203 |
1,070 |
$7K |
| 90834 |
Psychotherapy, 45 minutes with patient |
338 |
179 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
7,930 |
6,095 |
$5K |
| 90715 |
|
1,136 |
781 |
$5K |
| 59425 |
|
134 |
105 |
$5K |
| 85018 |
|
9,885 |
7,600 |
$4K |
| 81025 |
|
3,449 |
2,396 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,531 |
1,086 |
$3K |
| 81002 |
|
8,337 |
4,383 |
$3K |
| 92250 |
|
1,755 |
1,470 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,639 |
2,307 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,262 |
1,093 |
$2K |
| 90651 |
|
1,395 |
1,015 |
$2K |
| 90677 |
|
281 |
203 |
$2K |
| 0052A |
|
49 |
37 |
$1K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
5,505 |
3,721 |
$1K |
| 90648 |
|
1,113 |
848 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
837 |
601 |
$1K |
| 90734 |
|
1,006 |
688 |
$1K |
| 99173 |
|
3,035 |
2,216 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
157 |
132 |
$1K |
| 92060 |
|
1,933 |
1,310 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,529 |
1,442 |
$911.40 |
| 90670 |
|
709 |
549 |
$882.00 |
| 88142 |
|
2,952 |
2,139 |
$774.76 |
| 3074F |
|
2,303 |
1,835 |
$752.93 |
| 0051A |
|
20 |
17 |
$707.00 |
| 90633 |
|
550 |
432 |
$621.00 |
| 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 |
33 |
28 |
$512.00 |
| 90723 |
|
459 |
331 |
$504.00 |
| 59430 |
|
37 |
37 |
$483.84 |
| 93000 |
|
44 |
39 |
$426.30 |
| 3078F |
|
2,982 |
2,479 |
$383.94 |
| 90620 |
|
350 |
234 |
$378.00 |
| 99215 |
Prolong outpt/office vis |
334 |
291 |
$320.26 |
| 99384 |
|
35 |
25 |
$274.02 |
| 83026 |
|
236 |
167 |
$245.47 |
| 0124A |
|
29 |
27 |
$201.00 |
| 90681 |
|
96 |
65 |
$153.00 |
| 99383 |
|
19 |
12 |
$147.03 |
| 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 |
40 |
40 |
$140.31 |
| 86580 |
|
43 |
42 |
$96.44 |
| 90710 |
|
32 |
27 |
$81.00 |
| 90696 |
|
43 |
38 |
$72.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
201 |
132 |
$42.00 |
| 97802 |
|
3,947 |
3,050 |
$16.83 |
| 90716 |
|
15 |
12 |
$9.00 |
| 90707 |
|
17 |
12 |
$9.00 |
| 92081 |
|
2,580 |
1,926 |
$7.00 |
| 99000 |
|
122 |
107 |
$3.63 |
| 91307 |
|
243 |
224 |
$0.01 |
| 1126F |
|
855 |
771 |
$0.00 |
| 91301 |
|
350 |
343 |
$0.00 |
| 82962 |
|
34 |
29 |
$0.00 |
| Z1034 |
|
3,969 |
2,855 |
$0.00 |
| 1125F |
|
107 |
98 |
$0.00 |
| 1170F |
|
2,009 |
1,766 |
$0.00 |
| 92227 |
|
206 |
206 |
$0.00 |
| 3075F |
|
161 |
150 |
$0.00 |
| 3044F |
|
114 |
109 |
$0.00 |
| Z6406 |
|
232 |
232 |
$0.00 |
| 2023F |
|
592 |
488 |
$0.00 |
| 2033F |
|
797 |
678 |
$0.00 |
| 91305 |
|
124 |
122 |
$0.00 |
| Z1032 |
|
308 |
307 |
$0.00 |
| 1111F |
|
111 |
109 |
$0.00 |
| Z6204 |
|
232 |
232 |
$0.00 |
| 3079F |
|
242 |
212 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$0.00 |
| 96156 |
|
222 |
219 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
89 |
75 |
$0.00 |
| 1123F |
|
20 |
19 |
$0.00 |
| 91306 |
|
46 |
46 |
$0.00 |
| D1330 |
|
21 |
20 |
$0.00 |
| 81000 |
|
68 |
60 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
163 |
100 |
$0.00 |
| J3490 |
Unclassified drugs |
14 |
14 |
$0.00 |
| Z1038 |
|
25 |
25 |
$0.00 |
| 91303 |
|
37 |
37 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
16 |
13 |
$0.00 |
| 99385 |
|
12 |
12 |
$0.00 |
| 97803 |
|
4,144 |
3,422 |
$0.00 |
| 1160F |
|
2,901 |
2,544 |
$0.00 |
| 91300 |
|
690 |
637 |
$0.00 |
| 1159F |
|
2,902 |
2,546 |
$0.00 |
| 82274 |
|
285 |
283 |
$0.00 |
| 2022F |
|
232 |
197 |
$0.00 |
| 2028F |
|
472 |
403 |
$0.00 |
| Z6304 |
|
232 |
232 |
$0.00 |
| Z6400 |
|
570 |
569 |
$0.00 |
| 3077F |
|
116 |
103 |
$0.00 |
| 90461 |
|
251 |
175 |
$0.00 |
| H2014 |
Skills training and development, per 15 minutes |
135 |
133 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
68 |
41 |
$0.00 |
| 83037 |
|
261 |
245 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
132 |
110 |
$0.00 |
| Z6500 |
|
27 |
27 |
$0.00 |
| 1158F |
|
20 |
19 |
$0.00 |
| 99201 |
|
30 |
24 |
$0.00 |
| 99188 |
|
19 |
17 |
$0.00 |
| 91312 |
|
26 |
26 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
304 |
288 |
$0.00 |
| 87210 |
|
12 |
12 |
$0.00 |
| 0502F |
|
30 |
23 |
$0.00 |
| 99408 |
|
61 |
61 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
49 |
40 |
$0.00 |
| Z6200 |
|
14 |
14 |
$0.00 |
| 99401 |
|
124 |
124 |
$0.00 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$0.00 |
| 92083 |
|
16 |
14 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
37 |
28 |
$0.00 |
| 99499 |
|
13 |
13 |
$0.00 |