| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
51,056 |
43,744 |
$8.05M |
| 00003 |
Internal/system code - not a standard HCPCS code |
30,780 |
26,678 |
$6.02M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,703 |
26,369 |
$1.74M |
| 96156 |
|
13,123 |
11,165 |
$281K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,822 |
4,247 |
$269K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13,790 |
11,935 |
$150K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,796 |
1,637 |
$117K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,558 |
1,256 |
$109K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,125 |
3,218 |
$92K |
| V2020 |
Frames, purchases |
11,079 |
9,436 |
$64K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
9,298 |
7,917 |
$52K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,486 |
4,029 |
$50K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,074 |
741 |
$50K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,237 |
3,612 |
$45K |
| 92015 |
Determination of refractive state |
18,783 |
16,172 |
$40K |
| 90677 |
|
233 |
190 |
$37K |
| 93000 |
|
1,575 |
1,432 |
$30K |
| 90715 |
|
1,024 |
898 |
$26K |
| 92551 |
|
2,742 |
2,447 |
$24K |
| 99173 |
|
2,577 |
2,335 |
$23K |
| 96127 |
|
6,862 |
6,197 |
$22K |
| 92341 |
|
1,129 |
1,059 |
$17K |
| 99401 |
|
157 |
149 |
$16K |
| 90686 |
|
813 |
666 |
$14K |
| 90746 |
|
232 |
227 |
$14K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,212 |
3,962 |
$13K |
| 90651 |
|
91 |
73 |
$12K |
| 99000 |
|
4,274 |
3,912 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
780 |
686 |
$10K |
| 0002A |
|
327 |
309 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
942 |
769 |
$10K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,049 |
1,436 |
$10K |
| 0001A |
|
426 |
323 |
$8K |
| 90756 |
|
645 |
602 |
$8K |
| 99397 |
|
114 |
103 |
$8K |
| 90656 |
|
417 |
407 |
$7K |
| 0012A |
|
230 |
214 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
777 |
560 |
$6K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,488 |
1,731 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
431 |
397 |
$4K |
| 0011A |
|
196 |
189 |
$4K |
| 0071A |
|
81 |
81 |
$3K |
| 0072A |
|
80 |
80 |
$3K |
| 96150 |
|
202 |
187 |
$3K |
| 0004A |
|
78 |
78 |
$3K |
| 99406 |
|
536 |
441 |
$2K |
| 90747 |
|
23 |
18 |
$2K |
| 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 |
1,800 |
1,550 |
$2K |
| H0049 |
Alcohol and/or drug screening |
58 |
56 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
95 |
77 |
$1K |
| 0064A |
|
30 |
30 |
$1K |
| 92250 |
|
397 |
390 |
$1K |
| 90674 |
|
30 |
30 |
$826.79 |
| 81002 |
|
946 |
860 |
$711.50 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
63 |
52 |
$627.80 |
| 90661 |
|
28 |
28 |
$619.65 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
111 |
109 |
$607.59 |
| 0003A |
|
14 |
14 |
$560.00 |
| 92002 |
|
15 |
15 |
$435.42 |
| 85018 |
|
650 |
597 |
$393.99 |
| 3008F |
|
18,962 |
16,096 |
$262.27 |
| 82947 |
|
598 |
573 |
$258.16 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
13 |
$241.90 |
| 81001 |
|
237 |
220 |
$192.87 |
| 3078F |
|
13,749 |
11,917 |
$74.77 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
16 |
14 |
$72.44 |
| 80305 |
|
414 |
302 |
$61.00 |
| 81025 |
|
32 |
29 |
$47.22 |
| 3074F |
|
12,994 |
11,201 |
$34.57 |
| 80053 |
Comprehensive metabolic panel |
331 |
331 |
$28.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
395 |
394 |
$22.00 |
| 99080 |
|
12 |
12 |
$13.90 |
| 99441 |
|
1,319 |
976 |
$10.26 |
| 90832 |
Psychotherapy, 30 minutes with patient |
290 |
258 |
$0.00 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
238 |
209 |
$0.00 |
| 80061 |
Lipid panel |
151 |
149 |
$0.00 |
| 3077F |
|
2,222 |
2,003 |
$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 |
13 |
12 |
$0.00 |
| 3051F |
|
123 |
115 |
$0.00 |
| 83718 |
|
77 |
77 |
$0.00 |
| 82570 |
|
27 |
27 |
$0.00 |
| 99442 |
|
295 |
214 |
$0.00 |
| 3046F |
|
387 |
363 |
$0.00 |
| 86708 |
|
13 |
12 |
$0.00 |
| 82465 |
|
78 |
78 |
$0.00 |
| 82274 |
|
71 |
71 |
$0.00 |
| 99408 |
|
29 |
26 |
$0.00 |
| 91300 |
|
20 |
20 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
39 |
39 |
$0.00 |
| 2028F |
|
117 |
102 |
$0.00 |
| 3045F |
|
18 |
18 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,470 |
2,366 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
27 |
27 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,787 |
2,756 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
67 |
66 |
$0.00 |
| 87340 |
|
13 |
12 |
$0.00 |
| 3075F |
|
3,252 |
2,975 |
$0.00 |
| 3044F |
|
506 |
474 |
$0.00 |
| 3079F |
|
3,671 |
3,280 |
$0.00 |
| 3080F |
|
925 |
837 |
$0.00 |
| 84478 |
|
77 |
77 |
$0.00 |
| 86704 |
|
13 |
12 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
90 |
90 |
$0.00 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
127 |
122 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
188 |
186 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
97 |
89 |
$0.00 |
| 99385 |
|
12 |
12 |
$0.00 |
| 86803 |
|
15 |
14 |
$0.00 |
| 97802 |
|
40 |
20 |
$0.00 |
| 82043 |
|
27 |
27 |
$0.00 |
| 86706 |
|
13 |
12 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
17 |
17 |
$0.00 |