| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
312,259 |
273,498 |
$42.95M |
| 00003 |
Internal/system code - not a standard HCPCS code |
24,171 |
19,936 |
$4.39M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
287,063 |
232,075 |
$1.27M |
| 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 |
18,128 |
15,204 |
$793K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
21,228 |
16,498 |
$530K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
9,157 |
7,166 |
$306K |
| 90791 |
Psychiatric diagnostic evaluation |
7,147 |
6,043 |
$249K |
| V2020 |
Frames, purchases |
15,507 |
12,279 |
$213K |
| 90832 |
Psychotherapy, 30 minutes with patient |
14,050 |
11,260 |
$187K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
43,577 |
35,356 |
$186K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
13,000 |
10,291 |
$175K |
| 92015 |
Determination of refractive state |
32,895 |
25,618 |
$163K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
147,743 |
119,827 |
$153K |
| 90834 |
Psychotherapy, 45 minutes with patient |
8,704 |
6,844 |
$147K |
| 98940 |
|
23,659 |
11,955 |
$116K |
| 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 |
8,476 |
8,218 |
$107K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
6,636 |
5,704 |
$95K |
| 59425 |
|
2,019 |
1,379 |
$91K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
13,038 |
9,414 |
$72K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,191 |
4,327 |
$69K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
9,962 |
5,737 |
$61K |
| 92341 |
|
2,668 |
2,097 |
$55K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,224 |
3,867 |
$44K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
27,777 |
21,374 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,687 |
3,398 |
$30K |
| 92551 |
|
17,243 |
15,292 |
$25K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,648 |
1,514 |
$24K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
5,658 |
4,578 |
$24K |
| 99215 |
Prolong outpt/office vis |
1,827 |
1,489 |
$24K |
| 93000 |
|
4,334 |
3,815 |
$23K |
| 81000 |
|
23,307 |
20,033 |
$23K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,144 |
2,180 |
$21K |
| 0011A |
|
1,376 |
1,371 |
$21K |
| 82948 |
|
21,836 |
17,964 |
$20K |
| 92250 |
|
1,709 |
1,581 |
$20K |
| 81025 |
|
37,517 |
33,266 |
$20K |
| 0012A |
|
1,234 |
1,229 |
$19K |
| 59430 |
|
745 |
711 |
$17K |
| 0064A |
|
474 |
473 |
$16K |
| S9455 |
Diabetic management program, group session |
1,158 |
1,009 |
$15K |
| 0002A |
|
927 |
926 |
$15K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
4,568 |
4,037 |
$15K |
| 0001A |
|
921 |
921 |
$14K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
693 |
645 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
9,005 |
8,167 |
$14K |
| 90686 |
|
16,527 |
15,833 |
$14K |
| 0054A |
|
263 |
263 |
$12K |
| 85018 |
|
22,292 |
21,239 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,706 |
2,636 |
$11K |
| S9449 |
Weight management classes, non-physician provider, per session |
768 |
755 |
$10K |
| 99000 |
|
77,532 |
58,860 |
$8K |
| 99173 |
|
21,223 |
18,936 |
$7K |
| 99385 |
|
692 |
656 |
$7K |
| 0124A |
|
125 |
119 |
$6K |
| S9452 |
Nutrition classes, non-physician provider, per session |
633 |
606 |
$6K |
| 0052A |
|
137 |
137 |
$6K |
| H1000 |
Prenatal care, at-risk assessment |
859 |
851 |
$6K |
| 90837 |
Psychotherapy, 53 minutes with patient |
141 |
119 |
$5K |
| 90649 |
|
1,219 |
1,190 |
$5K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
1,038 |
927 |
$5K |
| 0134A |
|
95 |
93 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,102 |
1,053 |
$4K |
| 81002 |
|
38,303 |
33,790 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
7,966 |
6,713 |
$4K |
| 94010 |
|
220 |
185 |
$4K |
| 0051A |
|
86 |
86 |
$3K |
| 90715 |
|
4,027 |
3,825 |
$3K |
| 0004A |
|
118 |
118 |
$3K |
| 90734 |
|
908 |
894 |
$2K |
| 92002 |
|
757 |
582 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
700 |
615 |
$2K |
| J3490 |
Unclassified drugs |
71 |
65 |
$2K |
| 86580 |
|
1,654 |
1,556 |
$2K |
| 90677 |
|
416 |
338 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,281 |
1,112 |
$1K |
| 96127 |
|
24,159 |
20,203 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
145 |
115 |
$1K |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
167 |
167 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
647 |
634 |
$1K |
| 90656 |
|
1,227 |
1,062 |
$985.65 |
| 11976 |
|
80 |
44 |
$883.57 |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
19 |
17 |
$848.60 |
| G9920 |
Screening performed and negative |
235 |
220 |
$754.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
365 |
333 |
$682.23 |
| 90662 |
|
185 |
172 |
$653.96 |
| 11981 |
|
34 |
34 |
$626.58 |
| 82962 |
|
31,046 |
25,442 |
$564.13 |
| 90670 |
|
1,078 |
1,054 |
$504.00 |
| 0071A |
|
33 |
33 |
$480.00 |
| 96150 |
|
37 |
32 |
$448.24 |
| 90633 |
|
567 |
553 |
$432.00 |
| 96156 |
|
16,478 |
16,020 |
$418.96 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,372 |
9,128 |
$346.12 |
| 0072A |
|
20 |
20 |
$285.00 |
| 90716 |
|
42 |
28 |
$252.00 |
| 1036F |
|
106,370 |
71,133 |
$219.05 |
| 90707 |
|
37 |
25 |
$189.00 |
| 99386 |
|
194 |
194 |
$178.30 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,611 |
1,806 |
$171.04 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
126 |
93 |
$165.79 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
498 |
361 |
$137.80 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
223 |
219 |
$131.91 |
| 57454 |
|
53 |
53 |
$114.87 |
| 81003 |
|
4,698 |
3,746 |
$113.74 |
| 3074F |
|
161,512 |
127,667 |
$111.32 |
| 90620 |
|
353 |
349 |
$108.00 |
| 90746 |
|
99 |
95 |
$98.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
58 |
41 |
$87.00 |
| 3077F |
|
14,157 |
10,903 |
$57.62 |
| H0049 |
Alcohol and/or drug screening |
1,905 |
1,702 |
$57.40 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,102 |
1,101 |
$55.22 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,212 |
1,038 |
$39.31 |
| 71046 |
Radiologic examination, chest; 2 views |
24 |
16 |
$24.72 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
7,255 |
4,077 |
$19.99 |
| 97803 |
|
348 |
324 |
$15.90 |
| 85013 |
|
14,068 |
13,626 |
$4.02 |
| 3078F |
|
158,001 |
125,158 |
$0.09 |
| 1159F |
|
89,141 |
59,701 |
$0.06 |
| 1160F |
|
89,200 |
59,737 |
$0.06 |
| 3079F |
|
34,361 |
27,029 |
$0.03 |
| 3075F |
|
19,180 |
14,952 |
$0.03 |
| 3080F |
|
3,810 |
2,892 |
$0.01 |
| 59025 |
Fetal non-stress test |
104 |
72 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,924 |
1,848 |
$0.00 |
| 3046F |
|
2,847 |
2,269 |
$0.00 |
| 99401 |
|
495 |
494 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
657 |
642 |
$0.00 |
| Z6400 |
|
240 |
238 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
3,635 |
3,611 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
1,280 |
1,275 |
$0.00 |
| 90461 |
|
434 |
422 |
$0.00 |
| 83026 |
|
9,971 |
9,795 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
736 |
693 |
$0.00 |
| Z6304 |
|
169 |
167 |
$0.00 |
| 90710 |
|
154 |
154 |
$0.00 |
| 3725F |
|
5,212 |
3,506 |
$0.00 |
| Z6300 |
|
149 |
148 |
$0.00 |
| Z6200 |
|
63 |
63 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
461 |
460 |
$0.00 |
| 99201 |
|
289 |
223 |
$0.00 |
| 83655 |
|
47 |
47 |
$0.00 |
| 3051F |
|
53 |
45 |
$0.00 |
| 99382 |
|
12 |
12 |
$0.00 |
| 2028F |
|
59 |
41 |
$0.00 |
| Z6414 |
|
31 |
27 |
$0.00 |
| 90700 |
|
41 |
41 |
$0.00 |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
28 |
28 |
$0.00 |
| 69210 |
|
13 |
13 |
$0.00 |
| 3052F |
|
793 |
781 |
$0.00 |
| 1035F |
|
326 |
200 |
$0.00 |
| Z1034 |
|
4,380 |
3,525 |
$0.00 |
| H2000 |
Comprehensive multidisciplinary evaluation |
85 |
77 |
$0.00 |
| 1034F |
|
8,495 |
5,300 |
$0.00 |
| 3044F |
|
3,544 |
2,895 |
$0.00 |
| 90651 |
|
661 |
661 |
$0.00 |
| 97802 |
|
166 |
166 |
$0.00 |
| 90732 |
|
496 |
486 |
$0.00 |
| Z6410 |
|
1,569 |
1,329 |
$0.00 |
| 90619 |
|
19 |
17 |
$0.00 |
| 1125F |
|
168 |
142 |
$0.00 |
| 90723 |
|
282 |
282 |
$0.00 |
| 1126F |
|
274 |
249 |
$0.00 |
| 90647 |
|
378 |
364 |
$0.00 |
| Z1038 |
|
106 |
101 |
$0.00 |
| 90674 |
|
602 |
570 |
$0.00 |
| 1170F |
|
27 |
24 |
$0.00 |
| Z1032 |
|
298 |
298 |
$0.00 |
| 99050 |
|
59 |
59 |
$0.00 |
| 90657 |
|
377 |
376 |
$0.00 |
| 90660 |
|
14 |
14 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
229 |
228 |
$0.00 |
| 90696 |
|
42 |
42 |
$0.00 |
| 99383 |
|
123 |
123 |
$0.00 |
| 99384 |
|
185 |
184 |
$0.00 |
| 80050 |
General health panel |
12 |
12 |
$0.00 |
| Z6204 |
|
177 |
163 |
$0.00 |
| 80047 |
|
104 |
47 |
$0.00 |
| 91301 |
|
44 |
44 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
19 |
12 |
$0.00 |
| 2023F |
|
12 |
12 |
$0.00 |