| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
77,057 |
66,604 |
$12.28M |
| 00003 |
Internal/system code - not a standard HCPCS code |
18,228 |
17,061 |
$4.14M |
| 90832 |
Psychotherapy, 30 minutes with patient |
7,968 |
3,549 |
$267K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43,405 |
27,042 |
$137K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30,315 |
17,966 |
$104K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,233 |
643 |
$56K |
| 90791 |
Psychiatric diagnostic evaluation |
735 |
557 |
$51K |
| 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 |
816 |
719 |
$42K |
| G9920 |
Screening performed and negative |
5,390 |
3,866 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,584 |
6,619 |
$21K |
| 0002A |
|
127 |
127 |
$9K |
| J3490 |
Unclassified drugs |
98 |
66 |
$8K |
| 0001A |
|
116 |
116 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,624 |
1,239 |
$7K |
| 0071A |
|
54 |
54 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,988 |
1,805 |
$4K |
| 0072A |
|
42 |
42 |
$3K |
| 90739 |
|
180 |
148 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,793 |
2,314 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,452 |
2,158 |
$2K |
| 81025 |
|
2,014 |
1,561 |
$2K |
| 90677 |
|
242 |
165 |
$2K |
| 90750 |
|
110 |
80 |
$2K |
| 0124A |
|
78 |
67 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
515 |
336 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
218 |
136 |
$1K |
| 90686 |
|
6,084 |
4,146 |
$1K |
| 0004A |
|
15 |
15 |
$1K |
| 99403 |
|
18 |
18 |
$801.18 |
| 90715 |
|
549 |
375 |
$746.14 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
162 |
100 |
$727.79 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,233 |
2,393 |
$498.89 |
| 99215 |
Prolong outpt/office vis |
455 |
262 |
$442.69 |
| 99205 |
Prolong outpt/office vis |
62 |
39 |
$439.35 |
| 90480 |
|
142 |
132 |
$408.00 |
| 90651 |
|
1,783 |
1,143 |
$364.00 |
| 99384 |
|
87 |
65 |
$319.05 |
| 90723 |
|
858 |
604 |
$288.00 |
| 81003 |
|
2,907 |
2,026 |
$252.00 |
| 92551 |
|
950 |
944 |
$251.49 |
| 90633 |
|
1,323 |
866 |
$233.00 |
| 0081A |
|
15 |
12 |
$201.00 |
| 90670 |
|
1,066 |
755 |
$190.00 |
| 90619 |
|
390 |
227 |
$182.00 |
| 90647 |
|
930 |
648 |
$170.00 |
| 90620 |
|
262 |
159 |
$150.00 |
| 90662 |
|
44 |
42 |
$148.00 |
| 81002 |
|
586 |
436 |
$115.28 |
| 99383 |
|
93 |
69 |
$115.14 |
| 85018 |
|
3,619 |
2,314 |
$102.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,593 |
6,640 |
$89.10 |
| 90681 |
|
188 |
133 |
$70.00 |
| 0054A |
|
14 |
12 |
$67.00 |
| 99381 |
|
158 |
139 |
$49.86 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
78 |
61 |
$47.72 |
| 90656 |
|
589 |
395 |
$36.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
38 |
38 |
$33.64 |
| 90710 |
|
260 |
157 |
$20.00 |
| 90734 |
|
593 |
357 |
$19.00 |
| 92552 |
|
45 |
45 |
$18.36 |
| 82962 |
|
335 |
333 |
$17.27 |
| 87428 |
|
21 |
13 |
$14.00 |
| 82947 |
|
323 |
230 |
$10.00 |
| 90716 |
|
102 |
81 |
$10.00 |
| 90744 |
|
13 |
12 |
$10.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,437 |
1,117 |
$5.00 |
| 99173 |
|
1,057 |
1,053 |
$2.30 |
| Z6302 |
|
60 |
60 |
$0.00 |
| 90461 |
|
3,281 |
2,889 |
$0.00 |
| 90707 |
|
46 |
37 |
$0.00 |
| Z6400 |
|
25 |
25 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
214 |
120 |
$0.00 |
| 91312 |
|
53 |
44 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
37 |
27 |
$0.00 |
| Z6304 |
|
46 |
45 |
$0.00 |
| 90473 |
|
58 |
56 |
$0.00 |
| 99401 |
|
30 |
30 |
$0.00 |
| Z6200 |
|
12 |
12 |
$0.00 |
| Z1034 |
|
1,980 |
1,486 |
$0.00 |
| Z1032 |
|
55 |
55 |
$0.00 |
| Z6406 |
|
96 |
93 |
$0.00 |
| 91305 |
|
32 |
26 |
$0.00 |
| Z6404 |
|
44 |
44 |
$0.00 |
| G9012 |
Other specified case management service not elsewhere classified |
78 |
27 |
$0.00 |
| 88720 |
|
114 |
79 |
$0.00 |
| Z6204 |
|
64 |
64 |
$0.00 |
| 96150 |
|
12 |
12 |
$0.00 |
| 91319 |
|
13 |
12 |
$0.00 |
| 90696 |
|
50 |
26 |
$0.00 |
| 91307 |
|
15 |
13 |
$0.00 |
| 97802 |
|
14 |
12 |
$0.00 |