| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00003 |
Internal/system code - not a standard HCPCS code |
114,113 |
56,636 |
$29.67M |
| T1015 |
Clinic visit/encounter, all-inclusive |
118,900 |
95,664 |
$28.83M |
| G9012 |
Other specified case management service not elsewhere classified |
2,909 |
2,413 |
$619K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
73,245 |
51,478 |
$281K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,399 |
16,559 |
$139K |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,394 |
1,838 |
$102K |
| 90791 |
Psychiatric diagnostic evaluation |
605 |
387 |
$38K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17,360 |
13,216 |
$36K |
| 99215 |
Prolong outpt/office vis |
5,583 |
3,183 |
$28K |
| 0012A |
|
454 |
439 |
$28K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
344 |
340 |
$27K |
| 0011A |
|
418 |
410 |
$26K |
| 97810 |
|
10,476 |
4,531 |
$22K |
| 0001A |
|
351 |
321 |
$20K |
| 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 |
323 |
273 |
$18K |
| 0002A |
|
299 |
274 |
$17K |
| 97811 |
|
9,729 |
4,471 |
$16K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
11,518 |
5,467 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,254 |
989 |
$11K |
| G9920 |
Screening performed and negative |
4,690 |
3,202 |
$9K |
| 90619 |
|
122 |
89 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,185 |
739 |
$7K |
| 90686 |
|
3,148 |
2,363 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,515 |
964 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
911 |
622 |
$6K |
| 92552 |
|
1,313 |
923 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,442 |
1,635 |
$4K |
| 90677 |
|
73 |
54 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
188 |
153 |
$4K |
| 83026 |
|
3,914 |
3,001 |
$3K |
| 92551 |
|
2,285 |
1,835 |
$3K |
| 92250 |
|
440 |
394 |
$3K |
| 0064A |
|
59 |
54 |
$3K |
| 0031A |
|
52 |
48 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
153 |
75 |
$3K |
| 0134A |
|
42 |
42 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,470 |
997 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
847 |
675 |
$2K |
| G9919 |
Screening performed and positive and provision of recommendations |
496 |
418 |
$2K |
| 92133 |
|
128 |
102 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
334 |
270 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
153 |
124 |
$1K |
| 90715 |
|
214 |
168 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,960 |
2,418 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,695 |
1,405 |
$1K |
| 97813 |
|
27 |
15 |
$992.16 |
| 90651 |
|
220 |
165 |
$944.12 |
| 90660 |
|
146 |
146 |
$937.73 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
94 |
67 |
$863.17 |
| 90707 |
|
83 |
65 |
$805.12 |
| 90837 |
Psychotherapy, 53 minutes with patient |
42 |
34 |
$784.16 |
| 90671 |
|
13 |
12 |
$771.98 |
| 85018 |
|
1,674 |
1,408 |
$763.46 |
| 96127 |
|
1,284 |
763 |
$685.13 |
| 99188 |
|
159 |
116 |
$628.60 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
36 |
32 |
$457.92 |
| 82947 |
|
414 |
308 |
$457.00 |
| 92083 |
|
27 |
19 |
$427.13 |
| 90633 |
|
225 |
199 |
$423.20 |
| 98942 |
|
490 |
265 |
$423.01 |
| 90688 |
|
167 |
167 |
$354.00 |
| 90716 |
|
157 |
131 |
$351.00 |
| 90750 |
|
80 |
63 |
$336.00 |
| 99384 |
|
18 |
12 |
$290.08 |
| 90656 |
|
327 |
252 |
$268.77 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
876 |
814 |
$228.18 |
| 81002 |
|
722 |
607 |
$219.65 |
| 90670 |
|
65 |
49 |
$189.92 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
41 |
39 |
$182.52 |
| 99386 |
|
18 |
12 |
$172.59 |
| 90744 |
|
81 |
69 |
$156.68 |
| 90713 |
|
74 |
64 |
$129.68 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
62 |
53 |
$102.90 |
| 90648 |
|
52 |
43 |
$99.00 |
| 90658 |
|
31 |
19 |
$90.00 |
| 98940 |
|
176 |
95 |
$86.94 |
| 92015 |
Determination of refractive state |
4,487 |
3,328 |
$80.90 |
| 90734 |
|
17 |
12 |
$75.68 |
| 90620 |
|
21 |
14 |
$72.00 |
| 90662 |
|
122 |
93 |
$67.50 |
| 90661 |
|
54 |
43 |
$59.52 |
| 99490 |
Ccm add 20min |
166 |
164 |
$49.73 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
12 |
$44.25 |
| 90756 |
|
21 |
14 |
$36.00 |
| 90723 |
|
14 |
12 |
$27.92 |
| 90714 |
|
15 |
15 |
$27.00 |
| 82962 |
|
146 |
143 |
$26.40 |
| 81025 |
|
30 |
30 |
$25.20 |
| 90710 |
|
16 |
12 |
$18.00 |
| 99441 |
|
74 |
72 |
$17.50 |
| 97814 |
|
23 |
15 |
$5.79 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
85 |
76 |
$4.91 |
| 99173 |
|
2,705 |
2,019 |
$2.40 |
| 3074F |
|
2,463 |
2,225 |
$0.00 |
| 3075F |
|
51 |
50 |
$0.00 |
| 3079F |
|
358 |
338 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
169 |
124 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
66 |
50 |
$0.00 |
| 3080F |
|
76 |
72 |
$0.00 |
| 3078F |
|
2,544 |
2,301 |
$0.00 |
| 90461 |
|
281 |
265 |
$0.00 |
| 3077F |
|
317 |
300 |
$0.00 |
| 81003 |
|
180 |
109 |
$0.00 |
| 92134 |
|
27 |
25 |
$0.00 |
| 90687 |
|
22 |
22 |
$0.00 |
| 91300 |
|
32 |
29 |
$0.00 |
| 99201 |
|
12 |
12 |
$0.00 |
| 83655 |
|
12 |
12 |
$0.00 |
| 90749 |
|
14 |
13 |
$0.00 |