| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
90,941 |
79,871 |
$8.17M |
| 00003 |
Internal/system code - not a standard HCPCS code |
10,882 |
8,330 |
$2.90M |
| G9012 |
Other specified case management service not elsewhere classified |
1,885 |
1,376 |
$616K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
953 |
575 |
$198K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
72,975 |
57,600 |
$91K |
| 90832 |
Psychotherapy, 30 minutes with patient |
8,071 |
5,817 |
$50K |
| 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 |
5,053 |
4,244 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,804 |
21,368 |
$26K |
| 0012A |
|
406 |
370 |
$26K |
| 0011A |
|
334 |
314 |
$22K |
| 0064A |
|
259 |
259 |
$17K |
| G9920 |
Screening performed and negative |
1,157 |
1,157 |
$17K |
| 90791 |
Psychiatric diagnostic evaluation |
610 |
528 |
$12K |
| 0134A |
|
92 |
92 |
$6K |
| 90834 |
Psychotherapy, 45 minutes with patient |
222 |
156 |
$4K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
389 |
377 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,321 |
8,167 |
$3K |
| 0004A |
|
41 |
41 |
$3K |
| 0054A |
|
38 |
38 |
$3K |
| 81025 |
|
2,493 |
2,004 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
275 |
262 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
36 |
12 |
$1K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
594 |
512 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
430 |
349 |
$1K |
| 92552 |
|
2,256 |
1,923 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
506 |
325 |
$977.55 |
| 99404 |
|
57 |
54 |
$855.00 |
| 90686 |
|
3,902 |
3,024 |
$684.67 |
| 96127 |
|
8,773 |
8,438 |
$608.72 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,540 |
2,858 |
$498.05 |
| 97802 |
|
425 |
425 |
$420.54 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14,369 |
11,894 |
$414.84 |
| 97803 |
|
749 |
749 |
$361.90 |
| 94760 |
|
720 |
542 |
$305.32 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
508 |
460 |
$286.49 |
| 81002 |
|
667 |
578 |
$246.83 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,308 |
940 |
$175.48 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,093 |
858 |
$148.08 |
| 99201 |
|
143 |
115 |
$135.30 |
| 92551 |
|
1,782 |
1,688 |
$131.46 |
| 90688 |
|
2,307 |
2,058 |
$121.50 |
| 99215 |
Prolong outpt/office vis |
103 |
98 |
$115.86 |
| 99385 |
|
83 |
66 |
$114.10 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
2,231 |
2,211 |
$96.76 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
428 |
397 |
$90.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,450 |
1,039 |
$86.82 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
2,590 |
1,129 |
$83.60 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
266 |
182 |
$78.75 |
| 85018 |
|
4,464 |
3,191 |
$72.02 |
| 92081 |
|
2,111 |
1,796 |
$70.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
6,870 |
6,791 |
$63.24 |
| 90715 |
|
277 |
241 |
$36.56 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
256 |
227 |
$34.30 |
| 82962 |
|
802 |
761 |
$28.00 |
| 99173 |
|
1,894 |
1,811 |
$27.29 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
214 |
167 |
$17.30 |
| 99442 |
|
165 |
146 |
$15.16 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,054 |
1,682 |
$14.85 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
844 |
733 |
$11.11 |
| 99188 |
|
500 |
346 |
$9.75 |
| 90651 |
|
411 |
325 |
$9.00 |
| 90734 |
|
223 |
158 |
$9.00 |
| 81003 |
|
169 |
160 |
$3.72 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,651 |
1,623 |
$3.00 |
| G0008 |
Administration of influenza virus vaccine |
77 |
75 |
$2.70 |
| 96160 |
|
5,483 |
5,427 |
$2.12 |
| 2014F |
|
155 |
155 |
$1.50 |
| S9452 |
Nutrition classes, non-physician provider, per session |
2,608 |
2,558 |
$0.08 |
| H0049 |
Alcohol and/or drug screening |
3,044 |
3,029 |
$0.06 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,466 |
1,440 |
$0.06 |
| 3079F |
|
240 |
234 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
264 |
246 |
$0.00 |
| 1036F |
|
5,796 |
4,981 |
$0.00 |
| 3008F |
|
3,695 |
3,572 |
$0.00 |
| 3074F |
|
1,086 |
1,011 |
$0.00 |
| 4037F |
|
1,139 |
1,102 |
$0.00 |
| 96161 |
|
12 |
12 |
$0.00 |
| 3044F |
|
85 |
57 |
$0.00 |
| 1034F |
|
14 |
14 |
$0.00 |
| Z1034 |
|
142 |
101 |
$0.00 |
| 3075F |
|
213 |
207 |
$0.00 |
| 93000 |
|
157 |
129 |
$0.00 |
| 4010F |
|
136 |
135 |
$0.00 |
| 90656 |
|
314 |
243 |
$0.00 |
| 90674 |
|
43 |
43 |
$0.00 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
44 |
43 |
$0.00 |
| 0501F |
|
33 |
25 |
$0.00 |
| 99000 |
|
15 |
12 |
$0.00 |
| 90480 |
|
44 |
44 |
$0.00 |
| 99441 |
|
29 |
28 |
$0.00 |
| Z1032 |
|
12 |
12 |
$0.00 |
| 3078F |
|
1,332 |
1,225 |
$0.00 |
| 80305 |
|
14 |
12 |
$0.00 |
| 3077F |
|
53 |
52 |
$0.00 |
| 90633 |
|
70 |
42 |
$0.00 |
| 98940 |
|
1,743 |
741 |
$0.00 |
| 4004F |
|
76 |
70 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
30 |
24 |
$0.00 |
| 03 |
Instill, bupivac and meloxic |
1,301 |
1,149 |
$0.00 |
| 1160F |
|
235 |
231 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
155 |
129 |
$0.00 |
| 82947 |
|
15 |
15 |
$0.00 |
| 1159F |
|
234 |
231 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19 |
19 |
$0.00 |
| 90756 |
|
51 |
51 |
$0.00 |