| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
107,546 |
88,284 |
$15.27M |
| 00003 |
Internal/system code - not a standard HCPCS code |
41,663 |
32,926 |
$7.60M |
| 90834 |
Psychotherapy, 45 minutes with patient |
9,592 |
3,088 |
$342K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
59,995 |
39,961 |
$181K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
15,104 |
6,482 |
$150K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,310 |
6,492 |
$144K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
7,300 |
5,273 |
$133K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,908 |
4,756 |
$124K |
| V2020 |
Frames, purchases |
10,119 |
7,065 |
$98K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
7,176 |
3,717 |
$55K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,676 |
492 |
$48K |
| 92015 |
Determination of refractive state |
14,431 |
10,298 |
$44K |
| 98940 |
|
3,513 |
1,739 |
$33K |
| 90686 |
|
1,367 |
1,021 |
$21K |
| 0001A |
|
284 |
284 |
$19K |
| 59425 |
|
445 |
276 |
$19K |
| 0002A |
|
224 |
224 |
$15K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
5,762 |
2,565 |
$14K |
| 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 |
4,379 |
3,787 |
$13K |
| G9920 |
Screening performed and negative |
3,239 |
2,640 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,663 |
4,222 |
$13K |
| 97035 |
|
3,594 |
1,762 |
$12K |
| 97032 |
|
2,374 |
1,140 |
$9K |
| 99205 |
Prolong outpt/office vis |
331 |
168 |
$8K |
| 92551 |
|
6,986 |
5,122 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,075 |
563 |
$8K |
| 0011A |
|
104 |
104 |
$7K |
| 0012A |
|
101 |
101 |
$7K |
| 92250 |
|
323 |
192 |
$7K |
| 90791 |
Psychiatric diagnostic evaluation |
100 |
53 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,201 |
867 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
588 |
370 |
$5K |
| 0004A |
|
62 |
61 |
$4K |
| 99000 |
|
11,681 |
8,096 |
$3K |
| 97014 |
|
727 |
366 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
263 |
195 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
219 |
172 |
$3K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
93 |
50 |
$3K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
55 |
49 |
$2K |
| 92083 |
|
122 |
65 |
$1K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
122 |
68 |
$1K |
| 81025 |
|
1,169 |
838 |
$1K |
| 0072A |
|
19 |
19 |
$1K |
| 0054A |
|
17 |
17 |
$1K |
| 0071A |
|
14 |
14 |
$938.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,632 |
8,045 |
$872.34 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,595 |
1,230 |
$619.27 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,118 |
858 |
$583.21 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
755 |
516 |
$513.46 |
| 85018 |
|
10,704 |
7,771 |
$435.55 |
| 90656 |
|
80 |
72 |
$400.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
131 |
61 |
$372.30 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
28 |
$370.44 |
| V2750 |
Anti-reflective coating, per lens |
532 |
249 |
$271.68 |
| 81003 |
|
3,511 |
2,341 |
$221.91 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
39 |
33 |
$143.76 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,137 |
366 |
$142.05 |
| 92133 |
|
1,010 |
792 |
$134.40 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,958 |
2,625 |
$119.96 |
| 99188 |
|
341 |
338 |
$115.20 |
| 99215 |
Prolong outpt/office vis |
53 |
28 |
$68.64 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
167 |
141 |
$64.19 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
503 |
303 |
$63.13 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
126 |
124 |
$41.92 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
109 |
67 |
$15.71 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
17 |
12 |
$11.11 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
131 |
79 |
$9.00 |
| 81002 |
|
99 |
80 |
$2.58 |
| 1159F |
|
31,314 |
20,895 |
$0.00 |
| 99173 |
|
6,242 |
4,326 |
$0.00 |
| 3078F |
|
4,886 |
4,458 |
$0.00 |
| 1160F |
|
31,315 |
20,895 |
$0.00 |
| 3077F |
|
1,659 |
1,273 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
158 |
158 |
$0.00 |
| 90473 |
|
187 |
121 |
$0.00 |
| 96160 |
|
250 |
212 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
173 |
173 |
$0.00 |
| 92134 |
|
25 |
25 |
$0.00 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
31 |
29 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
46 |
46 |
$0.00 |
| 36416 |
|
5,033 |
4,151 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
3,627 |
3,564 |
$0.00 |
| 3008F |
|
8,262 |
7,343 |
$0.00 |
| 3079F |
|
2,337 |
2,210 |
$0.00 |
| 3074F |
|
6,283 |
5,679 |
$0.00 |
| 3080F |
|
825 |
625 |
$0.00 |
| V2782 |
Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens |
1,100 |
433 |
$0.00 |
| 3075F |
|
769 |
733 |
$0.00 |
| 1111F |
|
1,192 |
969 |
$0.00 |
| Z1034 |
|
405 |
280 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
25 |
25 |
$0.00 |
| 99441 |
|
28 |
28 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
21 |
13 |
$0.00 |