| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
717,562 |
666,112 |
$227.76M |
| 00003 |
Internal/system code - not a standard HCPCS code |
54,284 |
44,664 |
$21.48M |
| 90834 |
Psychotherapy, 45 minutes with patient |
41,029 |
16,140 |
$1.91M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
449,330 |
289,148 |
$1.86M |
| 59425 |
|
21,240 |
19,842 |
$1.25M |
| 90837 |
Psychotherapy, 53 minutes with patient |
14,693 |
6,706 |
$1.22M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
238,684 |
157,480 |
$873K |
| 90832 |
Psychotherapy, 30 minutes with patient |
17,430 |
6,965 |
$621K |
| 99215 |
Prolong outpt/office vis |
7,727 |
5,783 |
$346K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17,138 |
11,824 |
$307K |
| G9012 |
Other specified case management service not elsewhere classified |
76,915 |
38,913 |
$282K |
| 90791 |
Psychiatric diagnostic evaluation |
3,700 |
2,623 |
$271K |
| 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 |
1,645 |
1,408 |
$236K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
102,639 |
55,635 |
$169K |
| 90677 |
|
2,529 |
1,871 |
$168K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31,907 |
23,224 |
$128K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,899 |
4,114 |
$117K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,374 |
878 |
$109K |
| 90715 |
|
5,260 |
3,989 |
$106K |
| 90750 |
|
847 |
685 |
$103K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
22,641 |
15,773 |
$101K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,703 |
2,484 |
$101K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
10,566 |
7,000 |
$79K |
| 99381 |
|
4,193 |
2,897 |
$71K |
| 90686 |
|
33,837 |
22,504 |
$57K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
611 |
218 |
$32K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
11,732 |
7,892 |
$27K |
| 90651 |
|
2,231 |
1,718 |
$27K |
| 87428 |
|
925 |
707 |
$26K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,423 |
1,677 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
28,525 |
18,614 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12,739 |
8,111 |
$22K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
425 |
115 |
$21K |
| 59430 |
|
342 |
341 |
$20K |
| 0011A |
|
301 |
301 |
$20K |
| 92133 |
|
1,177 |
761 |
$18K |
| 80305 |
|
4,531 |
3,703 |
$18K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,133 |
675 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,329 |
4,164 |
$17K |
| 92002 |
|
885 |
550 |
$16K |
| 99205 |
Prolong outpt/office vis |
642 |
498 |
$14K |
| 0012A |
|
203 |
203 |
$14K |
| 81025 |
|
11,614 |
7,885 |
$14K |
| 92551 |
|
1,862 |
1,035 |
$11K |
| H0034 |
Medication training and support, per 15 minutes |
151 |
118 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
113,592 |
84,700 |
$9K |
| G9920 |
Screening performed and negative |
7,826 |
5,331 |
$9K |
| 90732 |
|
103 |
85 |
$9K |
| 20610 |
|
356 |
164 |
$8K |
| 88720 |
|
4,939 |
2,842 |
$8K |
| 99188 |
|
2,609 |
1,928 |
$7K |
| 90670 |
|
10,664 |
7,634 |
$5K |
| 92060 |
|
991 |
606 |
$4K |
| 92015 |
Determination of refractive state |
881 |
529 |
$3K |
| 92134 |
|
204 |
118 |
$3K |
| 58300 |
|
68 |
29 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,021 |
3,982 |
$2K |
| 90694 |
|
85 |
85 |
$2K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
50 |
25 |
$2K |
| 0031A |
|
26 |
26 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
10,229 |
8,759 |
$2K |
| 92083 |
|
233 |
209 |
$2K |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
12 |
12 |
$2K |
| 90688 |
|
1,262 |
1,146 |
$2K |
| 88141 |
|
22 |
12 |
$1K |
| 83655 |
|
6,115 |
4,235 |
$964.22 |
| 90648 |
|
17,469 |
12,664 |
$738.00 |
| 0064A |
|
43 |
43 |
$670.00 |
| 81002 |
|
2,082 |
1,500 |
$578.09 |
| 99401 |
|
69 |
63 |
$508.13 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
726 |
237 |
$490.56 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,086 |
832 |
$478.46 |
| 0124A |
|
67 |
65 |
$475.40 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
406 |
312 |
$457.98 |
| 85018 |
|
10,893 |
7,937 |
$406.86 |
| 90656 |
|
2,362 |
1,718 |
$393.36 |
| 99383 |
|
518 |
393 |
$381.06 |
| 90653 |
|
36 |
26 |
$352.00 |
| 0134A |
|
27 |
27 |
$335.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
128 |
90 |
$295.75 |
| 99382 |
|
221 |
175 |
$280.43 |
| 90723 |
|
10,930 |
8,207 |
$270.00 |
| 96127 |
|
582 |
357 |
$233.24 |
| G9919 |
Screening performed and positive and provision of recommendations |
137 |
108 |
$231.71 |
| 99385 |
|
50 |
38 |
$228.20 |
| 96160 |
|
13,507 |
10,517 |
$213.80 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
50,635 |
25,944 |
$150.70 |
| 90658 |
|
118 |
109 |
$147.00 |
| 92250 |
|
23 |
16 |
$145.67 |
| 99384 |
|
107 |
90 |
$130.24 |
| 90681 |
|
3,007 |
2,361 |
$126.00 |
| 81003 |
|
3,863 |
2,781 |
$115.76 |
| J7297 |
Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg |
13 |
13 |
$105.00 |
| 76514 |
|
22 |
14 |
$100.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
381 |
286 |
$96.88 |
| 86580 |
|
738 |
557 |
$83.28 |
| J3490 |
Unclassified drugs |
62 |
62 |
$69.00 |
| 0051A |
|
12 |
12 |
$67.00 |
| 90633 |
|
5,778 |
4,005 |
$54.00 |
| 90700 |
|
981 |
754 |
$45.00 |
| 82962 |
|
2,019 |
1,938 |
$36.76 |
| G0008 |
Administration of influenza virus vaccine |
96 |
96 |
$28.75 |
| 96161 |
|
16,194 |
12,723 |
$11.04 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
52 |
51 |
$5.72 |
| 3078F |
|
161,677 |
109,310 |
$0.00 |
| 3077F |
|
32,138 |
22,570 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
6,545 |
4,641 |
$0.00 |
| Z6400 |
|
247 |
245 |
$0.00 |
| 99177 |
|
707 |
707 |
$0.00 |
| Z6304 |
|
766 |
766 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
359 |
357 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
909 |
547 |
$0.00 |
| 90734 |
|
1,065 |
826 |
$0.00 |
| 3051F |
|
162 |
156 |
$0.00 |
| 90707 |
|
1,104 |
837 |
$0.00 |
| 99173 |
|
850 |
850 |
$0.00 |
| Z6200 |
|
261 |
260 |
$0.00 |
| 3046F |
|
74 |
73 |
$0.00 |
| 90671 |
|
5,253 |
4,086 |
$0.00 |
| 96381 |
|
143 |
143 |
$0.00 |
| Z6300 |
|
260 |
259 |
$0.00 |
| Z6308 |
|
129 |
129 |
$0.00 |
| 90380 |
|
63 |
63 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
239 |
197 |
$0.00 |
| Z6414 |
|
145 |
145 |
$0.00 |
| 90710 |
|
861 |
684 |
$0.00 |
| 3725F |
|
47 |
47 |
$0.00 |
| 91322 |
|
370 |
370 |
$0.00 |
| 90461 |
|
231 |
172 |
$0.00 |
| Z6208 |
|
129 |
129 |
$0.00 |
| Z1036 |
|
19 |
19 |
$0.00 |
| 91321 |
|
115 |
115 |
$0.00 |
| 91312 |
|
37 |
37 |
$0.00 |
| 90713 |
|
51 |
51 |
$0.00 |
| 90678 |
|
28 |
28 |
$0.00 |
| 90611 |
|
13 |
12 |
$0.00 |
| 99201 |
|
58 |
29 |
$0.00 |
| 90746 |
|
25 |
24 |
$0.00 |
| 3074F |
|
192,817 |
128,072 |
$0.00 |
| 3079F |
|
88,309 |
59,791 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
167,752 |
121,676 |
$0.00 |
| 3075F |
|
39,329 |
28,035 |
$0.00 |
| 3080F |
|
13,853 |
9,883 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
216,619 |
209,504 |
$0.00 |
| Z1032 |
|
2,550 |
2,548 |
$0.00 |
| Z1034 |
|
22,680 |
20,986 |
$0.00 |
| 90620 |
|
125 |
125 |
$0.00 |
| 90696 |
|
605 |
468 |
$0.00 |
| Z6204 |
|
771 |
771 |
$0.00 |
| 90474 |
|
1,650 |
1,613 |
$0.00 |
| Z6406 |
|
753 |
753 |
$0.00 |
| 90480 |
|
499 |
499 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
429 |
312 |
$0.00 |
| 3044F |
|
578 |
578 |
$0.00 |
| Z1038 |
|
535 |
533 |
$0.00 |
| 90716 |
|
1,177 |
883 |
$0.00 |
| 91306 |
|
26 |
26 |
$0.00 |
| 91305 |
|
13 |
13 |
$0.00 |
| Z6402 |
|
259 |
258 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
567 |
554 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
31 |
26 |
$0.00 |
| 97802 |
|
14 |
13 |
$0.00 |
| 93000 |
|
35 |
35 |
$0.00 |
| 3052F |
|
88 |
84 |
$0.00 |
| 99402 |
|
27 |
27 |
$0.00 |
| 0500F |
|
13 |
13 |
$0.00 |
| 90744 |
|
67 |
66 |
$0.00 |
| 90381 |
|
59 |
59 |
$0.00 |
| 99174 |
|
13 |
13 |
$0.00 |
| 20550 |
|
12 |
12 |
$0.00 |