| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
175,103 |
150,344 |
$20.76M |
| 00003 |
Internal/system code - not a standard HCPCS code |
77,906 |
47,488 |
$10.91M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
128,763 |
80,917 |
$1.01M |
| 98940 |
|
22,169 |
10,124 |
$262K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29,662 |
16,666 |
$260K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38,060 |
26,480 |
$193K |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,861 |
2,755 |
$129K |
| G9012 |
Other specified case management service not elsewhere classified |
841 |
686 |
$70K |
| 90791 |
Psychiatric diagnostic evaluation |
1,037 |
694 |
$59K |
| 99215 |
Prolong outpt/office vis |
2,374 |
1,364 |
$46K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,608 |
1,040 |
$32K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
929 |
572 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,471 |
1,555 |
$16K |
| 90834 |
Psychotherapy, 45 minutes with patient |
560 |
337 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,762 |
1,098 |
$15K |
| 92552 |
|
5,371 |
3,509 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,209 |
1,417 |
$13K |
| 90686 |
|
3,978 |
2,920 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,559 |
1,092 |
$9K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
954 |
407 |
$9K |
| 97802 |
|
261 |
260 |
$8K |
| 97803 |
|
304 |
301 |
$8K |
| 81002 |
|
10,389 |
6,041 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
718 |
531 |
$6K |
| J3490 |
Unclassified drugs |
276 |
223 |
$5K |
| 20600 |
|
491 |
283 |
$5K |
| 0012A |
|
317 |
285 |
$5K |
| 85018 |
|
9,412 |
5,964 |
$3K |
| 90656 |
|
440 |
313 |
$3K |
| 90715 |
|
625 |
396 |
$3K |
| 0011A |
|
408 |
403 |
$3K |
| 82962 |
|
3,647 |
2,152 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
320 |
249 |
$3K |
| 90651 |
|
782 |
451 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
976 |
592 |
$2K |
| 81025 |
|
2,030 |
1,351 |
$2K |
| 92551 |
|
501 |
340 |
$2K |
| 96156 |
|
146 |
141 |
$2K |
| 90619 |
|
483 |
276 |
$1K |
| 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 |
79 |
29 |
$1K |
| 90633 |
|
750 |
486 |
$1K |
| 90671 |
|
336 |
228 |
$1K |
| 90697 |
|
604 |
405 |
$918.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
413 |
242 |
$777.64 |
| 90680 |
|
546 |
373 |
$531.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
405 |
378 |
$463.66 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
91 |
56 |
$433.65 |
| 90710 |
|
254 |
161 |
$418.00 |
| 90716 |
|
126 |
82 |
$390.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
343 |
298 |
$374.64 |
| 82948 |
|
1,226 |
935 |
$352.30 |
| 90696 |
|
164 |
99 |
$313.00 |
| 80305 |
|
62 |
27 |
$299.56 |
| 90707 |
|
57 |
37 |
$288.00 |
| 90620 |
|
51 |
27 |
$234.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
51 |
44 |
$135.00 |
| 99401 |
|
15 |
15 |
$134.56 |
| 90734 |
|
319 |
210 |
$109.87 |
| 99173 |
|
2,430 |
1,804 |
$102.09 |
| 90461 |
|
461 |
337 |
$77.88 |
| 90700 |
|
19 |
13 |
$77.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
82 |
48 |
$69.90 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
75 |
51 |
$55.22 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
15 |
12 |
$21.84 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
908 |
652 |
$17.08 |
| 83037 |
|
2,379 |
1,835 |
$7.20 |
| 81005 |
|
18 |
15 |
$5.19 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
309 |
207 |
$0.70 |
| 3455F |
|
3,486 |
2,829 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
814 |
535 |
$0.00 |
| 90670 |
|
1,097 |
728 |
$0.00 |
| 90648 |
|
570 |
397 |
$0.00 |
| 90649 |
|
109 |
81 |
$0.00 |
| Z6304 |
|
70 |
69 |
$0.00 |
| 99201 |
|
30 |
30 |
$0.00 |
| 2028F |
|
100 |
65 |
$0.00 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
275 |
274 |
$0.00 |
| 90662 |
|
29 |
29 |
$0.00 |
| 3077F |
|
19 |
14 |
$0.00 |
| 91300 |
|
99 |
72 |
$0.00 |
| Z6200 |
|
12 |
12 |
$0.00 |
| Z6400 |
|
27 |
26 |
$0.00 |
| 4004F |
|
28 |
28 |
$0.00 |
| 91301 |
|
667 |
627 |
$0.00 |
| 1000F |
|
1,873 |
1,329 |
$0.00 |
| 99172 |
|
1,725 |
1,275 |
$0.00 |
| 36416 |
|
137 |
126 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,421 |
780 |
$0.00 |
| 90723 |
|
393 |
274 |
$0.00 |
| 94760 |
|
567 |
397 |
$0.00 |
| Z6406 |
|
70 |
69 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
12 |
12 |
$0.00 |
| 20610 |
|
13 |
13 |
$0.00 |
| 87081 |
|
58 |
36 |
$0.00 |
| Z6204 |
|
31 |
31 |
$0.00 |
| 3044F |
|
97 |
97 |
$0.00 |
| 86580 |
|
17 |
13 |
$0.00 |