| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
113,858 |
97,282 |
$14.75M |
| 00003 |
Internal/system code - not a standard HCPCS code |
61,954 |
45,251 |
$9.74M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
82,091 |
51,971 |
$132K |
| 98940 |
|
612 |
289 |
$92K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29,507 |
20,500 |
$84K |
| 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 |
2,576 |
2,071 |
$65K |
| 90791 |
Psychiatric diagnostic evaluation |
337 |
255 |
$18K |
| 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 |
1,299 |
1,299 |
$14K |
| 90832 |
Psychotherapy, 30 minutes with patient |
404 |
287 |
$12K |
| G9920 |
Screening performed and negative |
4,107 |
2,870 |
$8K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
46 |
26 |
$7K |
| 90834 |
Psychotherapy, 45 minutes with patient |
97 |
74 |
$3K |
| J3490 |
Unclassified drugs |
360 |
258 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,531 |
1,956 |
$2K |
| 81025 |
|
5,973 |
4,401 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,860 |
3,223 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,205 |
1,399 |
$1K |
| 59425 |
|
295 |
223 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,276 |
2,161 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,905 |
1,187 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
779 |
521 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
653 |
446 |
$903.72 |
| 92551 |
|
5,613 |
3,687 |
$513.82 |
| 90686 |
|
5,020 |
3,769 |
$481.59 |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
25 |
25 |
$407.49 |
| 90651 |
|
666 |
429 |
$352.00 |
| 90680 |
|
1,298 |
1,016 |
$171.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,066 |
1,868 |
$164.41 |
| 99173 |
|
6,356 |
4,150 |
$162.19 |
| 90670 |
|
1,423 |
1,123 |
$162.00 |
| 90633 |
|
905 |
585 |
$144.00 |
| 90697 |
|
585 |
410 |
$144.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,612 |
2,590 |
$141.89 |
| 83655 |
|
681 |
433 |
$116.05 |
| 85018 |
|
6,249 |
3,842 |
$107.98 |
| 90677 |
|
582 |
394 |
$107.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,430 |
1,003 |
$102.14 |
| 81002 |
|
7,041 |
4,836 |
$72.64 |
| 90698 |
|
797 |
668 |
$72.00 |
| 90734 |
|
470 |
303 |
$70.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
31 |
27 |
$68.60 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
416 |
317 |
$60.48 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
166 |
166 |
$50.38 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,460 |
1,893 |
$48.53 |
| 90716 |
|
142 |
93 |
$45.00 |
| 96156 |
|
221 |
221 |
$38.69 |
| 90707 |
|
102 |
63 |
$36.00 |
| 99401 |
|
100 |
100 |
$31.12 |
| 97803 |
|
100 |
100 |
$31.12 |
| 90700 |
|
634 |
389 |
$27.00 |
| 90744 |
|
406 |
346 |
$27.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
34,719 |
20,619 |
$22.67 |
| 88720 |
|
72 |
64 |
$17.04 |
| 90621 |
|
27 |
14 |
$9.00 |
| 90713 |
|
115 |
76 |
$9.00 |
| 90715 |
|
455 |
352 |
$9.00 |
| 86580 |
|
185 |
124 |
$3.33 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
864 |
576 |
$0.18 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
614 |
425 |
$0.01 |
| 3077F |
|
1,942 |
1,208 |
$0.00 |
| 3078F |
|
8,499 |
5,361 |
$0.00 |
| Z6304 |
|
224 |
224 |
$0.00 |
| Z6500 |
|
164 |
164 |
$0.00 |
| Z6400 |
|
403 |
403 |
$0.00 |
| G9357 |
Post-partum screenings, evaluations and education performed |
32 |
31 |
$0.00 |
| 3051F |
|
16 |
12 |
$0.00 |
| 3046F |
|
45 |
41 |
$0.00 |
| 90710 |
|
55 |
31 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
19 |
12 |
$0.00 |
| 3074F |
|
6,474 |
4,104 |
$0.00 |
| 3075F |
|
2,420 |
1,556 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
2,157 |
2,069 |
$0.00 |
| Z1038 |
|
31 |
31 |
$0.00 |
| 3044F |
|
534 |
365 |
$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) |
1,620 |
1,133 |
$0.00 |
| 3079F |
|
2,655 |
1,660 |
$0.00 |
| Z6406 |
|
224 |
224 |
$0.00 |
| Z1034 |
|
2,169 |
1,661 |
$0.00 |
| Z1032 |
|
234 |
234 |
$0.00 |
| Z6204 |
|
224 |
224 |
$0.00 |
| 82962 |
|
635 |
527 |
$0.00 |
| 90688 |
|
1,287 |
732 |
$0.00 |
| 3080F |
|
23 |
13 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
99 |
70 |
$0.00 |
| Z6410 |
|
32 |
30 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
14 |
13 |
$0.00 |