| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
80,936 |
66,587 |
$8.17M |
| 00003 |
Internal/system code - not a standard HCPCS code |
23,409 |
16,740 |
$3.74M |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
3,794 |
2,623 |
$1.03M |
| G9012 |
Other specified case management service not elsewhere classified |
3,095 |
1,811 |
$588K |
| 0012A |
|
1,110 |
915 |
$47K |
| 0011A |
|
1,391 |
1,035 |
$47K |
| 0064A |
|
869 |
641 |
$41K |
| 0004A |
|
713 |
521 |
$31K |
| 0002A |
|
677 |
549 |
$27K |
| 0001A |
|
669 |
530 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
89,453 |
73,280 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
55,768 |
44,287 |
$9K |
| 90686 |
|
6,243 |
6,239 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,741 |
14,642 |
$6K |
| 0071A |
|
101 |
71 |
$5K |
| 0072A |
|
49 |
34 |
$3K |
| 3725F |
|
48,636 |
44,693 |
$2K |
| 0124A |
|
34 |
34 |
$2K |
| 0134A |
|
29 |
29 |
$2K |
| 0031A |
|
50 |
36 |
$2K |
| D1120 |
Prophylaxis - child |
142 |
89 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
199 |
118 |
$2K |
| 90670 |
|
432 |
432 |
$2K |
| H0049 |
Alcohol and/or drug screening |
45,762 |
41,881 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,952 |
1,901 |
$1K |
| D1206 |
Topical application of fluoride varnish |
141 |
88 |
$1K |
| 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 |
80 |
68 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15,694 |
15,419 |
$989.41 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
36 |
13 |
$777.30 |
| D9430 |
|
240 |
123 |
$682.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
508 |
475 |
$531.33 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,380 |
1,336 |
$518.28 |
| 90732 |
|
81 |
81 |
$480.60 |
| 0003A |
|
25 |
21 |
$469.07 |
| 90832 |
Psychotherapy, 30 minutes with patient |
7,443 |
3,539 |
$366.38 |
| 11721 |
|
868 |
859 |
$346.34 |
| 0013A |
|
20 |
17 |
$335.06 |
| 99606 |
|
2,856 |
2,217 |
$304.62 |
| 90791 |
Psychiatric diagnostic evaluation |
1,715 |
1,295 |
$291.07 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,524 |
1,914 |
$287.04 |
| 90715 |
|
316 |
316 |
$250.99 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
30 |
17 |
$240.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
267 |
257 |
$227.23 |
| 97802 |
|
187 |
186 |
$225.25 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
44 |
44 |
$203.71 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
282 |
208 |
$202.65 |
| D0210 |
Intraoral - complete series of radiographic images |
19 |
12 |
$189.00 |
| 82962 |
|
9,535 |
8,836 |
$142.64 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,239 |
1,179 |
$130.23 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
571 |
492 |
$127.80 |
| 96127 |
|
6,475 |
6,403 |
$125.43 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,796 |
1,790 |
$122.47 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,492 |
1,491 |
$109.65 |
| 99607 |
|
2,747 |
2,202 |
$104.24 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
60 |
60 |
$102.62 |
| D0220 |
Intraoral - periapical first radiographic image |
49 |
30 |
$92.00 |
| 90707 |
|
28 |
28 |
$76.46 |
| 90633 |
|
122 |
122 |
$72.24 |
| 81002 |
|
7,490 |
5,799 |
$68.16 |
| 90746 |
|
443 |
443 |
$65.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
14 |
14 |
$58.95 |
| 80061 |
Lipid panel |
1,514 |
1,514 |
$56.48 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
648 |
629 |
$54.28 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,240 |
2,178 |
$51.98 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
696 |
696 |
$46.98 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,035 |
1,006 |
$45.60 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,163 |
1,132 |
$45.60 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
259 |
254 |
$34.34 |
| 92552 |
|
2,530 |
2,528 |
$33.04 |
| 2028F |
|
1,781 |
1,714 |
$30.00 |
| 99215 |
Prolong outpt/office vis |
617 |
585 |
$23.49 |
| 82746 |
|
63 |
63 |
$23.49 |
| 99386 |
|
39 |
39 |
$23.49 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
459 |
458 |
$17.85 |
| 11720 |
|
167 |
165 |
$15.00 |
| 81001 |
|
1,825 |
1,810 |
$12.87 |
| 85018 |
|
564 |
549 |
$6.15 |
| 80053 |
Comprehensive metabolic panel |
1,774 |
1,773 |
$3.80 |
| 3078F |
|
10,298 |
9,970 |
$0.00 |
| 80074 |
|
329 |
329 |
$0.00 |
| 90461 |
|
1,014 |
1,001 |
$0.00 |
| 99173 |
|
3,733 |
3,732 |
$0.00 |
| 81025 |
|
931 |
927 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,076 |
2,043 |
$0.00 |
| 82274 |
|
113 |
113 |
$0.00 |
| 97803 |
|
21 |
16 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
85 |
85 |
$0.00 |
| 92134 |
|
958 |
958 |
$0.00 |
| 99442 |
|
5,159 |
3,090 |
$0.00 |
| 3077F |
|
1,210 |
1,174 |
$0.00 |
| 98968 |
|
532 |
347 |
$0.00 |
| 92015 |
Determination of refractive state |
1,232 |
1,232 |
$0.00 |
| 87660 |
|
145 |
145 |
$0.00 |
| 90734 |
|
69 |
68 |
$0.00 |
| 92083 |
|
25 |
25 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
185 |
183 |
$0.00 |
| 90750 |
|
235 |
234 |
$0.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
12 |
12 |
$0.00 |
| G0127 |
Trimming of dystrophic nails, any number |
76 |
75 |
$0.00 |
| 99605 |
|
255 |
198 |
$0.00 |
| 81003 |
|
137 |
137 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
56 |
56 |
$0.00 |
| 73630 |
|
56 |
55 |
$0.00 |
| 69209 |
|
16 |
15 |
$0.00 |
| 2026F |
|
38 |
38 |
$0.00 |
| 90649 |
|
137 |
137 |
$0.00 |
| 92133 |
|
111 |
111 |
$0.00 |
| 2022F |
|
41 |
41 |
$0.00 |
| 82570 |
|
64 |
64 |
$0.00 |
| 91300 |
|
270 |
259 |
$0.00 |
| D9993 |
|
54 |
34 |
$0.00 |
| 80305 |
|
13 |
13 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
17 |
17 |
$0.00 |
| 11056 |
|
20 |
20 |
$0.00 |
| 92250 |
|
1,275 |
1,273 |
$0.00 |
| 3074F |
|
10,222 |
9,902 |
$0.00 |
| D1310 |
|
496 |
297 |
$0.00 |
| 3075F |
|
1,680 |
1,663 |
$0.00 |
| 92551 |
|
965 |
965 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,262 |
1,259 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,022 |
2,021 |
$0.00 |
| 3079F |
|
2,930 |
2,886 |
$0.00 |
| 3080F |
|
125 |
123 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
194 |
193 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
14,195 |
6,356 |
$0.00 |
| 87510 |
|
145 |
145 |
$0.00 |
| D1330 |
|
681 |
396 |
$0.00 |
| 90744 |
|
24 |
24 |
$0.00 |
| 90698 |
|
73 |
73 |
$0.00 |
| 96150 |
|
12 |
12 |
$0.00 |
| 98967 |
|
166 |
117 |
$0.00 |
| 2023F |
|
199 |
199 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
63 |
61 |
$0.00 |
| 99443 |
|
1,270 |
710 |
$0.00 |
| 91306 |
|
141 |
141 |
$0.00 |
| 2033F |
|
218 |
218 |
$0.00 |
| 91301 |
|
463 |
463 |
$0.00 |
| 86803 |
|
31 |
31 |
$0.00 |
| 87070 |
|
39 |
39 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
208 |
145 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
542 |
520 |
$0.00 |
| 86592 |
|
333 |
333 |
$0.00 |
| 87480 |
|
145 |
145 |
$0.00 |
| 84436 |
|
12 |
12 |
$0.00 |
| 99385 |
|
147 |
147 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
140 |
138 |
$0.00 |
| 85652 |
|
12 |
12 |
$0.00 |
| 11055 |
|
37 |
25 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 86580 |
|
31 |
30 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
14 |
13 |
$0.00 |
| D1320 |
|
96 |
55 |
$0.00 |
| 93000 |
|
16 |
16 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
13 |
13 |
$0.00 |
| 90677 |
|
24 |
24 |
$0.00 |
| 91303 |
|
20 |
20 |
$0.00 |
| 87081 |
|
13 |
12 |
$0.00 |
| 84479 |
|
12 |
12 |
$0.00 |
| 82607 |
|
68 |
68 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
38 |
38 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |
| 91307 |
|
12 |
12 |
$0.00 |