| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
166,840 |
126,796 |
$30.35M |
| 00003 |
Internal/system code - not a standard HCPCS code |
15,257 |
10,632 |
$3.46M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
93,230 |
73,560 |
$2.97M |
| G9012 |
Other specified case management service not elsewhere classified |
4,118 |
4,117 |
$2.44M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40,927 |
35,326 |
$1.23M |
| 90834 |
Psychotherapy, 45 minutes with patient |
21,038 |
9,018 |
$467K |
| 97811 |
|
18,427 |
9,500 |
$455K |
| H2016 |
Comprehensive community support services, per diem |
902 |
902 |
$405K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,219 |
4,152 |
$327K |
| 97810 |
|
18,440 |
9,506 |
$326K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,603 |
3,511 |
$148K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
15,830 |
7,888 |
$83K |
| 0002A |
|
1,471 |
816 |
$75K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,715 |
2,480 |
$70K |
| 96156 |
|
3,302 |
2,403 |
$63K |
| 99215 |
Prolong outpt/office vis |
713 |
698 |
$40K |
| 0001A |
|
968 |
832 |
$32K |
| 97814 |
|
606 |
338 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,246 |
2,111 |
$16K |
| G9920 |
Screening performed and negative |
2,273 |
1,624 |
$16K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
104 |
103 |
$14K |
| 97813 |
|
606 |
338 |
$10K |
| 92551 |
|
1,931 |
1,438 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,057 |
758 |
$8K |
| 80305 |
|
3,623 |
3,170 |
$8K |
| 98940 |
|
1,269 |
615 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,907 |
1,569 |
$6K |
| 99000 |
|
2,082 |
2,000 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
719 |
708 |
$5K |
| 99201 |
|
913 |
904 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
31 |
30 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
476 |
299 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
392 |
243 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
290 |
183 |
$4K |
| 90686 |
|
898 |
725 |
$3K |
| 0012A |
|
103 |
53 |
$3K |
| 0004A |
|
66 |
65 |
$3K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
222 |
219 |
$2K |
| 99384 |
|
154 |
100 |
$2K |
| 0011A |
|
100 |
55 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
57 |
57 |
$2K |
| H0049 |
Alcohol and/or drug screening |
767 |
735 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
270 |
195 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
753 |
606 |
$1K |
| 99383 |
|
104 |
69 |
$1K |
| 90651 |
|
405 |
258 |
$1K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
60 |
29 |
$858.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25 |
15 |
$767.83 |
| 96127 |
|
724 |
527 |
$648.85 |
| 0064A |
|
13 |
13 |
$547.00 |
| 99173 |
|
1,223 |
1,114 |
$495.00 |
| 83655 |
|
246 |
158 |
$490.19 |
| 90619 |
|
184 |
111 |
$414.00 |
| 85018 |
|
487 |
329 |
$224.78 |
| 99205 |
Prolong outpt/office vis |
109 |
108 |
$150.00 |
| 90661 |
|
368 |
282 |
$99.00 |
| 90474 |
|
266 |
237 |
$90.00 |
| 90744 |
|
28 |
17 |
$81.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
108 |
68 |
$77.00 |
| 99188 |
|
21 |
12 |
$69.66 |
| H0001 |
Alcohol and/or drug assessment |
640 |
616 |
$64.15 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
913 |
895 |
$55.40 |
| 90677 |
|
31 |
16 |
$54.00 |
| 90715 |
|
27 |
16 |
$45.00 |
| 90656 |
|
20 |
20 |
$38.00 |
| 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 |
108 |
93 |
$37.00 |
| 86580 |
|
37 |
24 |
$25.98 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
79 |
40 |
$24.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
37 |
27 |
$19.45 |
| 90633 |
|
23 |
14 |
$18.00 |
| 90734 |
|
32 |
28 |
$18.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
3,261 |
1,522 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
954 |
954 |
$0.00 |
| 90688 |
|
54 |
54 |
$0.00 |
| D1351 |
Sealant - per tooth |
148 |
46 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
632 |
632 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
1,020 |
1,020 |
$0.00 |
| D0999 |
Unspecified diagnostic procedure, by report |
202 |
200 |
$0.00 |
| 3074F |
|
99 |
87 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
258 |
258 |
$0.00 |
| D1330 |
|
42 |
42 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
33 |
33 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
143 |
143 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
14 |
12 |
$0.00 |
| 3008F |
|
120 |
103 |
$0.00 |
| D1310 |
|
13 |
13 |
$0.00 |
| D4342 |
|
66 |
58 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
14 |
13 |
$0.00 |
| D3999 |
|
22 |
14 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
2,396 |
2,180 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
1,066 |
1,064 |
$0.00 |
| D4910 |
|
1,787 |
1,787 |
$0.00 |
| D2954 |
|
122 |
56 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
81 |
80 |
$0.00 |
| D2799 |
|
330 |
177 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
161 |
102 |
$0.00 |
| D2751 |
Crown - porcelain fused to predominantly base metal |
300 |
160 |
$0.00 |
| 90461 |
|
13 |
13 |
$0.00 |
| 90670 |
|
29 |
25 |
$0.00 |
| D9110 |
|
223 |
216 |
$0.00 |
| D4341 |
|
45 |
12 |
$0.00 |
| D1120 |
Prophylaxis - child |
272 |
272 |
$0.00 |
| D0270 |
|
178 |
130 |
$0.00 |
| 3078F |
|
97 |
86 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
59 |
58 |
$0.00 |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
19 |
13 |
$0.00 |
| D1110 |
Prophylaxis - adult |
165 |
165 |
$0.00 |
| D2950 |
|
40 |
29 |
$0.00 |
| D9430 |
|
12 |
12 |
$0.00 |
| 1160F |
|
12 |
12 |
$0.00 |