| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
88,936 |
72,976 |
$14.63M |
| 00003 |
Internal/system code - not a standard HCPCS code |
23,366 |
16,561 |
$4.27M |
| G9012 |
Other specified case management service not elsewhere classified |
22,021 |
12,449 |
$3.36M |
| 98940 |
|
13,784 |
7,647 |
$1.46M |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
7,547 |
6,162 |
$1.05M |
| 97810 |
|
1,317 |
931 |
$234K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
111,201 |
64,543 |
$67K |
| 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 |
3,456 |
2,952 |
$64K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16,031 |
11,605 |
$47K |
| 97813 |
|
130 |
90 |
$24K |
| 90686 |
|
4,468 |
3,419 |
$22K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
8,774 |
5,727 |
$13K |
| 90688 |
|
2,437 |
1,751 |
$12K |
| 88150 |
|
1,726 |
1,097 |
$11K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
586 |
523 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,307 |
2,104 |
$5K |
| G9920 |
Screening performed and negative |
6,692 |
3,799 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,105 |
1,343 |
$4K |
| 93000 |
|
698 |
514 |
$3K |
| 92551 |
|
930 |
685 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,127 |
743 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
191 |
119 |
$2K |
| 90674 |
|
218 |
190 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,519 |
1,416 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
117 |
69 |
$1K |
| 0011A |
|
51 |
32 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
131 |
91 |
$1K |
| 90715 |
|
1,444 |
1,156 |
$976.80 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
198 |
127 |
$958.70 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
533 |
354 |
$909.95 |
| 90658 |
|
602 |
385 |
$885.00 |
| 90750 |
|
2,533 |
1,737 |
$760.09 |
| 92552 |
|
262 |
143 |
$676.65 |
| 90662 |
|
50 |
42 |
$580.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
989 |
722 |
$566.97 |
| 99384 |
|
24 |
14 |
$394.56 |
| 99173 |
|
1,101 |
719 |
$331.80 |
| 90651 |
|
182 |
120 |
$320.01 |
| 90736 |
|
77 |
77 |
$194.36 |
| 82962 |
|
14,457 |
8,987 |
$183.25 |
| 90756 |
|
25 |
25 |
$150.00 |
| 99397 |
|
244 |
155 |
$145.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
330 |
223 |
$133.90 |
| 99386 |
|
128 |
110 |
$133.40 |
| 99385 |
|
74 |
52 |
$112.02 |
| 99383 |
|
34 |
26 |
$98.02 |
| 90670 |
|
66 |
52 |
$74.75 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
21 |
15 |
$72.20 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
122 |
83 |
$60.00 |
| 90746 |
|
1,236 |
835 |
$50.01 |
| 90744 |
|
107 |
91 |
$44.25 |
| 90461 |
|
166 |
144 |
$32.32 |
| 90698 |
|
16 |
12 |
$30.00 |
| 81002 |
|
366 |
293 |
$19.17 |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,493 |
1,149 |
$18.79 |
| 90656 |
|
60 |
38 |
$8.91 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13,715 |
9,026 |
$0.44 |
| 97803 |
|
706 |
470 |
$0.02 |
| 97802 |
|
130 |
88 |
$0.01 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,524 |
1,124 |
$0.00 |
| 3725F |
|
15,410 |
10,047 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
287 |
286 |
$0.00 |
| 1160F |
|
489 |
289 |
$0.00 |
| 3078F |
|
13,087 |
7,800 |
$0.00 |
| 3288F |
|
349 |
220 |
$0.00 |
| 1159F |
|
490 |
290 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
488 |
343 |
$0.00 |
| 3077F |
|
1,990 |
1,135 |
$0.00 |
| 1090F |
|
312 |
202 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
38 |
20 |
$0.00 |
| 97012 |
|
693 |
516 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
52 |
52 |
$0.00 |
| 1158F |
|
122 |
73 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
368 |
317 |
$0.00 |
| 2022F |
|
65 |
65 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
108 |
40 |
$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 |
57 |
57 |
$0.00 |
| 90661 |
|
57 |
37 |
$0.00 |
| 3015F |
|
95 |
91 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
47 |
47 |
$0.00 |
| 90707 |
|
13 |
12 |
$0.00 |
| 97811 |
|
241 |
161 |
$0.00 |
| 90679 |
|
57 |
36 |
$0.00 |
| 3075F |
|
6,120 |
3,662 |
$0.00 |
| 3008F |
|
17,665 |
11,816 |
$0.00 |
| 3074F |
|
8,140 |
4,971 |
$0.00 |
| 3079F |
|
3,220 |
1,980 |
$0.00 |
| G0245 |
Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education |
1,588 |
994 |
$0.00 |
| 3014F |
|
411 |
354 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
234 |
215 |
$0.00 |
| 97010 |
|
2,310 |
1,665 |
$0.00 |
| 1101F |
|
354 |
230 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,067 |
787 |
$0.00 |
| 3044F |
|
257 |
215 |
$0.00 |
| 90677 |
|
148 |
91 |
$0.00 |
| 3080F |
|
212 |
117 |
$0.00 |
| 88142 |
|
203 |
203 |
$0.00 |
| 97014 |
|
2,860 |
2,040 |
$0.00 |
| 1170F |
|
449 |
277 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
303 |
178 |
$0.00 |
| 3017F |
|
368 |
325 |
$0.00 |
| 98943 |
|
352 |
159 |
$0.00 |
| 97814 |
|
92 |
67 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
159 |
95 |
$0.00 |
| 1126F |
|
28 |
14 |
$0.00 |
| 99406 |
|
45 |
25 |
$0.00 |
| 90732 |
|
31 |
16 |
$0.00 |
| 3061F |
|
23 |
12 |
$0.00 |