| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
159,023 |
136,712 |
$52.37M |
| 00003 |
Internal/system code - not a standard HCPCS code |
40,566 |
34,151 |
$15.39M |
| 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 |
5,231 |
4,892 |
$1.60M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
85,075 |
77,430 |
$1.49M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
97,712 |
86,045 |
$1.43M |
| 90832 |
Psychotherapy, 30 minutes with patient |
21,118 |
16,016 |
$491K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,197 |
5,194 |
$292K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,919 |
3,915 |
$279K |
| 90739 |
|
1,806 |
1,800 |
$264K |
| 90677 |
|
964 |
964 |
$245K |
| 90750 |
|
1,372 |
1,365 |
$230K |
| 90686 |
|
11,567 |
11,556 |
$224K |
| 90791 |
Psychiatric diagnostic evaluation |
2,034 |
2,030 |
$171K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,329 |
3,316 |
$168K |
| 87428 |
|
2,503 |
2,393 |
$152K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,809 |
2,853 |
$136K |
| 90651 |
|
2,453 |
2,453 |
$135K |
| 97811 |
|
3,720 |
2,786 |
$119K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,091 |
8,313 |
$107K |
| 99215 |
Prolong outpt/office vis |
2,329 |
2,229 |
$94K |
| 92552 |
|
2,756 |
2,754 |
$91K |
| 90715 |
|
2,557 |
2,555 |
$70K |
| 0001A |
|
2,026 |
1,407 |
$69K |
| 0002A |
|
1,861 |
1,410 |
$68K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
7,465 |
7,410 |
$68K |
| 97810 |
|
6,605 |
4,894 |
$62K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
2,744 |
2,741 |
$62K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,012 |
3,319 |
$60K |
| 90746 |
|
850 |
847 |
$56K |
| 91322 |
|
554 |
538 |
$52K |
| 92551 |
|
2,317 |
2,316 |
$51K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
688 |
685 |
$46K |
| 99188 |
|
1,676 |
1,669 |
$44K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
664 |
662 |
$39K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
657 |
648 |
$38K |
| 90837 |
Psychotherapy, 53 minutes with patient |
568 |
464 |
$38K |
| 80305 |
|
3,456 |
2,244 |
$36K |
| 90732 |
|
353 |
352 |
$36K |
| 90670 |
|
1,057 |
1,049 |
$33K |
| 0004A |
|
832 |
832 |
$33K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
366 |
366 |
$29K |
| 99173 |
|
5,207 |
5,205 |
$27K |
| 90662 |
|
374 |
374 |
$25K |
| 90734 |
|
1,259 |
1,258 |
$24K |
| 90682 |
|
299 |
299 |
$20K |
| 71046 |
Radiologic examination, chest; 2 views |
628 |
622 |
$18K |
| 0072A |
|
392 |
392 |
$17K |
| 90656 |
|
628 |
628 |
$14K |
| 0071A |
|
339 |
339 |
$14K |
| 90633 |
|
743 |
740 |
$11K |
| 91320 |
|
84 |
84 |
$11K |
| 0012A |
|
303 |
189 |
$9K |
| 0054A |
|
134 |
134 |
$9K |
| G9920 |
Screening performed and negative |
297 |
297 |
$9K |
| 0124A |
|
128 |
128 |
$9K |
| 90710 |
|
546 |
543 |
$8K |
| 0064A |
|
177 |
177 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
962 |
948 |
$7K |
| 90619 |
|
342 |
342 |
$7K |
| H0049 |
Alcohol and/or drug screening |
203 |
203 |
$7K |
| 90480 |
|
165 |
165 |
$6K |
| 90698 |
|
428 |
427 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
62 |
43 |
$6K |
| 93000 |
|
230 |
229 |
$6K |
| 0011A |
|
297 |
187 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
144 |
143 |
$5K |
| 81025 |
|
1,537 |
1,483 |
$5K |
| 90680 |
|
285 |
285 |
$4K |
| 90716 |
|
110 |
110 |
$4K |
| 0031A |
|
110 |
70 |
$4K |
| 90696 |
|
249 |
249 |
$4K |
| 90744 |
|
231 |
231 |
$3K |
| 90688 |
|
209 |
209 |
$3K |
| 86580 |
|
545 |
527 |
$3K |
| 0134A |
|
37 |
37 |
$2K |
| 81002 |
|
990 |
968 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
315 |
293 |
$2K |
| 99205 |
Prolong outpt/office vis |
16 |
16 |
$2K |
| 90673 |
|
30 |
30 |
$2K |
| 0052A |
|
21 |
21 |
$1K |
| 99497 |
|
15 |
15 |
$1K |
| 0111A |
|
16 |
16 |
$1K |
| 0112A |
|
16 |
16 |
$1K |
| J3490 |
Unclassified drugs |
26 |
26 |
$1K |
| 90632 |
|
13 |
13 |
$948.80 |
| 82947 |
|
254 |
244 |
$857.01 |
| 0074A |
|
12 |
12 |
$804.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
85 |
85 |
$767.55 |
| 90647 |
|
48 |
45 |
$720.00 |
| 90685 |
|
40 |
40 |
$611.00 |
| 90700 |
|
33 |
33 |
$495.00 |
| 90707 |
|
17 |
17 |
$301.48 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
12 |
12 |
$297.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
18 |
12 |
$291.42 |
| 90621 |
|
12 |
12 |
$288.54 |
| 91321 |
|
87 |
84 |
$195.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
335 |
310 |
$169.09 |
| 99070 |
|
44 |
30 |
$148.00 |
| A4267 |
Contraceptive supply, condom, male, each |
28 |
28 |
$100.80 |
| 85018 |
|
15 |
15 |
$31.65 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
138 |
127 |
$18.04 |
| 99443 |
|
1,120 |
1,034 |
$0.00 |
| 99441 |
|
225 |
210 |
$0.00 |
| 91305 |
|
200 |
200 |
$0.00 |
| 91315 |
|
42 |
42 |
$0.00 |
| 91307 |
|
14 |
14 |
$0.00 |
| 91313 |
|
18 |
18 |
$0.00 |
| 99442 |
|
1,103 |
1,038 |
$0.00 |
| 91312 |
|
579 |
579 |
$0.00 |