| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
41,200 |
34,827 |
$4.39M |
| 00003 |
Internal/system code - not a standard HCPCS code |
27,970 |
17,857 |
$3.84M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,769 |
19,217 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,136 |
7,785 |
$20K |
| G9920 |
Screening performed and negative |
2,565 |
1,825 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
475 |
339 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
753 |
482 |
$868.99 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,188 |
882 |
$635.12 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
497 |
293 |
$495.23 |
| 90686 |
|
1,579 |
1,229 |
$266.94 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
430 |
263 |
$260.67 |
| 81025 |
|
932 |
663 |
$237.97 |
| 92551 |
|
2,208 |
1,510 |
$233.69 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,332 |
802 |
$100.72 |
| 90651 |
|
129 |
82 |
$85.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
746 |
475 |
$74.53 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
851 |
575 |
$68.97 |
| 99173 |
|
2,126 |
1,451 |
$65.29 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,171 |
850 |
$54.39 |
| 85018 |
|
3,964 |
2,820 |
$49.56 |
| 90734 |
|
99 |
55 |
$34.00 |
| 81002 |
|
1,335 |
1,013 |
$28.21 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
359 |
238 |
$18.43 |
| 82962 |
|
284 |
173 |
$13.47 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
16,507 |
9,109 |
$1.53 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
111 |
70 |
$0.06 |
| 3078F |
|
1,841 |
1,143 |
$0.00 |
| 3077F |
|
617 |
359 |
$0.00 |
| 90713 |
|
15 |
12 |
$0.00 |
| 90715 |
|
120 |
83 |
$0.00 |
| 90633 |
|
16 |
14 |
$0.00 |
| 3079F |
|
932 |
567 |
$0.00 |
| 3075F |
|
487 |
303 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
543 |
538 |
$0.00 |
| 3074F |
|
1,530 |
954 |
$0.00 |
| 90688 |
|
330 |
176 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
239 |
148 |
$0.00 |
| 86580 |
|
112 |
78 |
$0.00 |
| 90732 |
|
18 |
12 |
$0.00 |
| Z1034 |
|
32 |
25 |
$0.00 |
| 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 |
13 |
13 |
$0.00 |
| 3080F |
|
68 |
37 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
12 |
$0.00 |
| 99174 |
|
48 |
27 |
$0.00 |