| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
78,922 |
67,950 |
$12.15M |
| 00003 |
Internal/system code - not a standard HCPCS code |
3,697 |
1,708 |
$633K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,780 |
1,234 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,093 |
11,124 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35,551 |
32,256 |
$28K |
| 90791 |
Psychiatric diagnostic evaluation |
503 |
393 |
$16K |
| 96156 |
|
4,952 |
4,869 |
$14K |
| 99215 |
Prolong outpt/office vis |
588 |
473 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,935 |
2,666 |
$10K |
| 97802 |
|
572 |
499 |
$8K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
3,933 |
2,332 |
$7K |
| 95251 |
|
494 |
361 |
$7K |
| 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 |
962 |
866 |
$7K |
| 0003A |
|
72 |
71 |
$3K |
| 0013A |
|
65 |
65 |
$3K |
| 97803 |
|
245 |
198 |
$2K |
| 90682 |
|
30 |
30 |
$2K |
| 0072A |
|
30 |
30 |
$1K |
| 92552 |
|
3,264 |
3,256 |
$1K |
| 90686 |
|
1,612 |
1,612 |
$907.56 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
204 |
201 |
$902.26 |
| 0002A |
|
17 |
12 |
$700.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,543 |
3,523 |
$698.12 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
719 |
706 |
$676.05 |
| 92551 |
|
3,260 |
3,213 |
$670.43 |
| 90837 |
Psychotherapy, 53 minutes with patient |
581 |
451 |
$604.16 |
| 0071A |
|
15 |
15 |
$600.00 |
| 0004A |
|
13 |
13 |
$520.00 |
| 88142 |
|
712 |
702 |
$507.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
942 |
938 |
$501.34 |
| 0064A |
|
12 |
12 |
$480.00 |
| 99386 |
|
215 |
212 |
$432.00 |
| 57410 |
|
542 |
535 |
$269.96 |
| 99385 |
|
599 |
588 |
$205.38 |
| 80061 |
Lipid panel |
223 |
205 |
$202.83 |
| 81025 |
|
709 |
682 |
$146.30 |
| 90656 |
|
198 |
198 |
$103.44 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
927 |
909 |
$83.43 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
60 |
47 |
$75.99 |
| 86704 |
|
26 |
26 |
$60.80 |
| 96160 |
|
4,384 |
4,316 |
$55.18 |
| 84436 |
|
60 |
46 |
$41.66 |
| 84479 |
|
60 |
46 |
$40.30 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,165 |
804 |
$39.36 |
| 86706 |
|
25 |
25 |
$38.00 |
| 80053 |
Comprehensive metabolic panel |
251 |
234 |
$34.69 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
273 |
254 |
$24.66 |
| 87623 |
|
342 |
337 |
$20.51 |
| 99173 |
|
4,398 |
4,371 |
$18.51 |
| 97124 |
|
710 |
546 |
$13.43 |
| 80076 |
|
42 |
32 |
$10.22 |
| 85018 |
|
2,421 |
2,415 |
$8.20 |
| 81001 |
|
614 |
603 |
$1.29 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,442 |
2,294 |
$0.10 |
| 81528 |
Oncology (colorectal) screening, quantitative real-time target and signal amplification |
16 |
16 |
$0.10 |
| 3078F |
|
2,888 |
2,629 |
$0.07 |
| 3008F |
|
8,703 |
7,784 |
$0.05 |
| 3074F |
|
3,141 |
2,867 |
$0.03 |
| 3725F |
|
3,926 |
3,535 |
$0.01 |
| 3079F |
|
1,173 |
1,106 |
$0.01 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
490 |
490 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
4,892 |
4,594 |
$0.00 |
| 1159F |
|
2,783 |
2,517 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
233 |
230 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
565 |
565 |
$0.00 |
| 90461 |
|
571 |
420 |
$0.00 |
| 1160F |
|
3,272 |
2,963 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
331 |
330 |
$0.00 |
| 97810 |
|
481 |
387 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
993 |
979 |
$0.00 |
| G9920 |
Screening performed and negative |
274 |
273 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
337 |
330 |
$0.00 |
| 3016F |
|
912 |
831 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
96 |
96 |
$0.00 |
| 3077F |
|
513 |
480 |
$0.00 |
| 99401 |
|
12 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
375 |
356 |
$0.00 |
| 90633 |
|
53 |
53 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
782 |
780 |
$0.00 |
| 90715 |
|
96 |
96 |
$0.00 |
| 97811 |
|
482 |
388 |
$0.00 |
| 4551F |
|
306 |
300 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
78 |
78 |
$0.00 |
| 97813 |
|
166 |
134 |
$0.00 |
| S0316 |
Disease management program, follow-up/reassessment |
550 |
507 |
$0.00 |
| 3015F |
|
188 |
175 |
$0.00 |
| 90670 |
|
118 |
118 |
$0.00 |
| 90734 |
|
164 |
164 |
$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) |
87 |
87 |
$0.00 |
| 86480 |
|
79 |
78 |
$0.00 |
| G0127 |
Trimming of dystrophic nails, any number |
120 |
119 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
31 |
31 |
$0.00 |
| 99397 |
|
51 |
51 |
$0.00 |
| 90662 |
|
87 |
87 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
55 |
53 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
138 |
136 |
$0.00 |
| 90710 |
|
36 |
36 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
53 |
52 |
$0.00 |
| 99442 |
|
40 |
39 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
16 |
16 |
$0.00 |
| 99201 |
|
28 |
28 |
$0.00 |
| 4004F |
|
27 |
27 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$0.00 |
| 3046F |
|
17 |
13 |
$0.00 |
| 90671 |
|
12 |
12 |
$0.00 |
| 2000F |
|
4,327 |
3,820 |
$0.00 |
| 3352F |
|
2,239 |
2,011 |
$0.00 |
| 1000F |
|
5,743 |
5,107 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
425 |
402 |
$0.00 |
| 3075F |
|
457 |
448 |
$0.00 |
| 3017F |
|
131 |
130 |
$0.00 |
| 1036F |
|
5,116 |
4,684 |
$0.00 |
| 90651 |
|
173 |
173 |
$0.00 |
| 93000 |
|
43 |
43 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
207 |
205 |
$0.00 |
| 86317 |
|
98 |
98 |
$0.00 |
| 91301 |
|
189 |
184 |
$0.00 |
| 3080F |
|
109 |
104 |
$0.00 |
| 0011A |
|
89 |
89 |
$0.00 |
| 1126F |
|
129 |
122 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
30 |
30 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
258 |
251 |
$0.00 |
| Z1034 |
|
405 |
303 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$0.00 |
| 0012A |
|
82 |
82 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
515 |
316 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
57 |
57 |
$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) |
49 |
37 |
$0.00 |
| 90674 |
|
28 |
28 |
$0.00 |
| 90677 |
|
38 |
38 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
254 |
249 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |
| 3014F |
|
125 |
117 |
$0.00 |
| 97814 |
|
166 |
134 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
198 |
198 |
$0.00 |
| 3011F |
|
43 |
43 |
$0.00 |
| 90744 |
|
24 |
24 |
$0.00 |
| 99406 |
|
28 |
28 |
$0.00 |
| 99000 |
|
229 |
228 |
$0.00 |
| 2001F |
|
57 |
51 |
$0.00 |
| 90620 |
|
29 |
29 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
25 |
25 |
$0.00 |
| 81000 |
|
42 |
41 |
$0.00 |
| 87340 |
|
28 |
28 |
$0.00 |
| 90698 |
|
24 |
24 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
22 |
21 |
$0.00 |
| 3044F |
|
126 |
122 |
$0.00 |
| 2023F |
|
24 |
24 |
$0.00 |
| 4037F |
|
15 |
15 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
15 |
15 |
$0.00 |