| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
201,553 |
173,674 |
$29.56M |
| 00003 |
Internal/system code - not a standard HCPCS code |
21,759 |
16,676 |
$4.35M |
| 90834 |
Psychotherapy, 45 minutes with patient |
9,211 |
4,521 |
$186K |
| 90791 |
Psychiatric diagnostic evaluation |
1,650 |
1,173 |
$51K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
2,551 |
1,776 |
$47K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,858 |
2,272 |
$28K |
| G9012 |
Other specified case management service not elsewhere classified |
801 |
605 |
$26K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,076 |
960 |
$21K |
| G9920 |
Screening performed and negative |
1,343 |
1,316 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,426 |
1,965 |
$20K |
| 90837 |
Psychotherapy, 53 minutes with patient |
729 |
467 |
$18K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,205 |
465 |
$16K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,571 |
2,188 |
$15K |
| 92551 |
|
3,313 |
2,902 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
75,966 |
67,432 |
$9K |
| V2020 |
Frames, purchases |
964 |
939 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,021 |
837 |
$8K |
| 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 |
456 |
455 |
$7K |
| 0012A |
|
125 |
97 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
675 |
599 |
$5K |
| 0011A |
|
87 |
73 |
$5K |
| 92015 |
Determination of refractive state |
3,596 |
3,126 |
$4K |
| 0001A |
|
91 |
72 |
$4K |
| 0004A |
|
65 |
63 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,131 |
1,907 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
303 |
303 |
$3K |
| 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 |
89 |
78 |
$3K |
| 85018 |
|
6,566 |
5,482 |
$3K |
| 92341 |
|
126 |
125 |
$3K |
| 97803 |
|
2,013 |
1,922 |
$3K |
| 90670 |
|
1,780 |
1,354 |
$2K |
| 0064A |
|
36 |
35 |
$2K |
| 90686 |
|
2,106 |
1,730 |
$2K |
| 0002A |
|
29 |
29 |
$2K |
| 0031A |
|
26 |
24 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
30 |
27 |
$1K |
| 90698 |
|
990 |
746 |
$1K |
| 0072A |
|
13 |
13 |
$871.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
800 |
725 |
$826.49 |
| 90680 |
|
1,148 |
884 |
$783.00 |
| 90633 |
|
842 |
651 |
$703.00 |
| 99381 |
|
240 |
189 |
$627.22 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
512 |
488 |
$495.00 |
| 99173 |
|
2,958 |
2,357 |
$487.36 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15,566 |
14,088 |
$425.42 |
| 90744 |
|
539 |
405 |
$423.00 |
| 83655 |
|
655 |
543 |
$354.00 |
| 97802 |
|
1,143 |
1,098 |
$302.89 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,917 |
1,761 |
$286.51 |
| 90710 |
|
424 |
334 |
$279.00 |
| 86580 |
|
279 |
212 |
$257.57 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,242 |
8,244 |
$245.65 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
16 |
12 |
$206.50 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
57 |
40 |
$179.20 |
| 92552 |
|
15 |
13 |
$114.51 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
386 |
356 |
$102.90 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
112 |
107 |
$93.74 |
| 81002 |
|
12,546 |
9,910 |
$89.31 |
| 92250 |
|
1,137 |
1,133 |
$63.72 |
| 81025 |
|
2,992 |
2,804 |
$19.57 |
| 1159F |
|
7,689 |
7,099 |
$18.50 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
107 |
94 |
$16.16 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
462 |
451 |
$12.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
460 |
449 |
$12.00 |
| 90696 |
|
15 |
12 |
$9.00 |
| 90715 |
|
115 |
108 |
$9.00 |
| 3074F |
|
15,660 |
14,175 |
$0.00 |
| Z1034 |
|
11,091 |
8,107 |
$0.00 |
| 3008F |
|
7,406 |
6,935 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,584 |
1,430 |
$0.00 |
| 1126F |
|
3,871 |
3,666 |
$0.00 |
| 3075F |
|
977 |
922 |
$0.00 |
| 3044F |
|
5,653 |
5,362 |
$0.00 |
| 1170F |
|
5,435 |
5,139 |
$0.00 |
| 0501F |
|
1,312 |
1,114 |
$0.00 |
| 82962 |
|
3,033 |
2,838 |
$0.00 |
| 90677 |
|
191 |
181 |
$0.00 |
| Z1038 |
|
213 |
207 |
$0.00 |
| 1123F |
|
1,315 |
1,247 |
$0.00 |
| 88142 |
|
200 |
193 |
$0.00 |
| 3079F |
|
1,764 |
1,646 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
264 |
240 |
$0.00 |
| 1125F |
|
550 |
531 |
$0.00 |
| Z6410 |
|
574 |
564 |
$0.00 |
| Z1032 |
|
591 |
589 |
$0.00 |
| 1000F |
|
132 |
125 |
$0.00 |
| Z6204 |
|
211 |
211 |
$0.00 |
| 90697 |
|
112 |
103 |
$0.00 |
| 90474 |
|
92 |
85 |
$0.00 |
| Z6406 |
|
169 |
168 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
42 |
41 |
$0.00 |
| 3351F |
|
88 |
86 |
$0.00 |
| 36416 |
|
221 |
204 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
39 |
39 |
$0.00 |
| 99000 |
|
21 |
17 |
$0.00 |
| 0503F |
|
14 |
12 |
$0.00 |
| 3080F |
|
18 |
18 |
$0.00 |
| 0500F |
|
14 |
14 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
34 |
34 |
$0.00 |
| 3078F |
|
16,338 |
14,877 |
$0.00 |
| 1158F |
|
1,293 |
1,227 |
$0.00 |
| 0502F |
|
1,630 |
1,394 |
$0.00 |
| Z6304 |
|
128 |
128 |
$0.00 |
| 1160F |
|
1,314 |
1,251 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
484 |
454 |
$0.00 |
| Z6400 |
|
1,253 |
1,245 |
$0.00 |
| 92134 |
|
180 |
166 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
428 |
416 |
$0.00 |
| 3725F |
|
407 |
395 |
$0.00 |
| 3077F |
|
416 |
393 |
$0.00 |
| 90648 |
|
75 |
53 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
16 |
$0.00 |
| Z6500 |
|
70 |
70 |
$0.00 |
| 90750 |
|
14 |
14 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
179 |
177 |
$0.00 |
| 90661 |
|
69 |
64 |
$0.00 |
| 90461 |
|
16 |
16 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
19 |
13 |
$0.00 |
| 90700 |
|
15 |
13 |
$0.00 |