| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
136,807 |
122,778 |
$57.99M |
| 00003 |
Internal/system code - not a standard HCPCS code |
10,412 |
9,112 |
$5.47M |
| 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 |
3,197 |
2,729 |
$529K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
79,883 |
50,060 |
$219K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
761 |
488 |
$161K |
| G9012 |
Other specified case management service not elsewhere classified |
1,954 |
1,319 |
$117K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,960 |
17,568 |
$109K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28,282 |
16,404 |
$54K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
11,718 |
7,205 |
$54K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,804 |
3,541 |
$50K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,815 |
6,472 |
$49K |
| 81513 |
|
1,075 |
1,063 |
$35K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,478 |
3,335 |
$26K |
| 99215 |
Prolong outpt/office vis |
2,184 |
1,464 |
$26K |
| 91320 |
|
196 |
196 |
$22K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
3,011 |
2,960 |
$21K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,985 |
2,941 |
$21K |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
2,728 |
2,474 |
$19K |
| 87481 |
|
1,109 |
1,098 |
$17K |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,965 |
2,497 |
$16K |
| 0011A |
|
655 |
344 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,030 |
1,224 |
$11K |
| 90677 |
|
2,064 |
1,350 |
$10K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,126 |
1,114 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
8,172 |
8,144 |
$10K |
| 90686 |
|
12,427 |
8,740 |
$10K |
| 90750 |
|
516 |
394 |
$10K |
| 86481 |
|
710 |
709 |
$9K |
| 80061 |
Lipid panel |
5,431 |
5,422 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
639 |
617 |
$9K |
| 84443 |
Thyroid stimulating hormone (TSH) |
4,804 |
4,773 |
$9K |
| 99188 |
|
3,087 |
1,745 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
183 |
167 |
$7K |
| 85027 |
|
4,854 |
4,812 |
$6K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
1,988 |
1,949 |
$6K |
| 90480 |
|
195 |
195 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,317 |
6,542 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,619 |
4,534 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
502 |
289 |
$4K |
| 99401 |
|
410 |
385 |
$3K |
| 90715 |
|
990 |
753 |
$3K |
| 80053 |
Comprehensive metabolic panel |
1,803 |
1,798 |
$3K |
| 90670 |
|
6,327 |
4,347 |
$3K |
| 83655 |
|
1,207 |
1,204 |
$3K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
641 |
638 |
$2K |
| 99070 |
|
372 |
372 |
$2K |
| 92250 |
|
703 |
503 |
$2K |
| 86480 |
|
255 |
255 |
$2K |
| 90680 |
|
5,206 |
3,538 |
$2K |
| 90698 |
|
6,471 |
4,432 |
$2K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
194 |
193 |
$2K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
412 |
411 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
95 |
70 |
$2K |
| 92551 |
|
1,136 |
664 |
$2K |
| 91321 |
|
58 |
58 |
$2K |
| 86803 |
|
570 |
566 |
$1K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
110 |
110 |
$1K |
| 80076 |
|
1,753 |
1,728 |
$1K |
| 86780 |
|
497 |
495 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
201 |
167 |
$1K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
153 |
145 |
$1K |
| 85610 |
|
869 |
614 |
$1K |
| 90656 |
|
1,270 |
939 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
77 |
76 |
$999.06 |
| 99381 |
|
107 |
77 |
$894.84 |
| 82947 |
|
5,537 |
5,314 |
$881.50 |
| 82570 |
|
1,487 |
1,426 |
$878.12 |
| 90744 |
|
2,491 |
1,729 |
$859.08 |
| 82043 |
|
1,215 |
1,211 |
$798.55 |
| 90651 |
|
1,273 |
836 |
$739.74 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
287 |
278 |
$683.71 |
| 81025 |
|
1,206 |
978 |
$671.92 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
386 |
290 |
$641.54 |
| 90662 |
|
236 |
206 |
$585.44 |
| 99406 |
|
496 |
293 |
$557.15 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
510 |
485 |
$514.10 |
| 90834 |
Psychotherapy, 45 minutes with patient |
117 |
77 |
$492.60 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
95 |
95 |
$471.44 |
| 80051 |
|
3,901 |
3,826 |
$448.81 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
104 |
104 |
$377.22 |
| 91322 |
|
14 |
14 |
$364.42 |
| 99173 |
|
1,423 |
1,212 |
$348.92 |
| 81001 |
|
721 |
698 |
$347.05 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,948 |
1,420 |
$344.61 |
| 82565 |
|
4,099 |
4,021 |
$344.39 |
| 87905 |
|
91 |
90 |
$296.09 |
| 84460 |
|
728 |
728 |
$289.25 |
| 90697 |
|
1,266 |
765 |
$282.16 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
98 |
98 |
$274.65 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
213 |
212 |
$254.21 |
| 84520 |
|
3,902 |
3,827 |
$231.16 |
| 87808 |
|
80 |
79 |
$225.04 |
| 83550 |
|
241 |
235 |
$208.66 |
| 87631 |
|
13 |
12 |
$197.88 |
| 92015 |
Determination of refractive state |
2,661 |
2,344 |
$191.10 |
| 87340 |
|
161 |
161 |
$178.71 |
| 83540 |
|
241 |
235 |
$173.33 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
20 |
13 |
$156.26 |
| 87088 |
|
150 |
146 |
$151.86 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
40 |
39 |
$149.60 |
| 88142 |
|
46 |
46 |
$145.12 |
| 90633 |
|
2,831 |
1,752 |
$138.54 |
| 99201 |
|
37 |
37 |
$134.90 |
| 90732 |
|
12 |
12 |
$134.65 |
| 82274 |
|
109 |
109 |
$132.34 |
| 90678 |
|
96 |
78 |
$120.46 |
| 76830 |
Ultrasound, transvaginal |
54 |
54 |
$113.64 |
| 82728 |
|
268 |
267 |
$113.43 |
| 0038U |
|
406 |
403 |
$108.92 |
| 90707 |
|
932 |
553 |
$104.88 |
| 90716 |
|
979 |
585 |
$88.41 |
| 96156 |
|
27 |
26 |
$75.23 |
| 92020 |
|
17 |
16 |
$72.60 |
| 82962 |
|
304 |
280 |
$67.22 |
| 86703 |
|
25 |
25 |
$57.40 |
| 87077 |
|
38 |
36 |
$55.72 |
| 87102 |
|
37 |
37 |
$52.24 |
| 99443 |
|
148 |
142 |
$45.76 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
88 |
64 |
$42.35 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$28.28 |
| 87081 |
|
53 |
52 |
$27.25 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
119 |
92 |
$27.15 |
| 90734 |
|
122 |
90 |
$26.39 |
| 90380 |
|
17 |
12 |
$26.39 |
| 86762 |
|
12 |
12 |
$22.34 |
| 84153 |
|
13 |
13 |
$21.26 |
| 86704 |
|
12 |
12 |
$20.78 |
| 84439 |
|
12 |
12 |
$20.52 |
| 86850 |
|
25 |
25 |
$18.47 |
| 86706 |
|
12 |
12 |
$18.26 |
| 90381 |
|
44 |
28 |
$16.47 |
| 90688 |
|
535 |
534 |
$15.30 |
| 90685 |
|
231 |
229 |
$15.30 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
12 |
$11.24 |
| 96127 |
|
24 |
12 |
$10.38 |
| 84550 |
|
12 |
12 |
$9.09 |
| 90655 |
|
122 |
73 |
$9.00 |
| 81002 |
|
204 |
131 |
$7.69 |
| 84450 |
|
229 |
229 |
$5.73 |
| 86901 |
|
13 |
13 |
$4.26 |
| 86900 |
|
13 |
13 |
$4.10 |
| 3074F |
|
30,586 |
21,397 |
$0.00 |
| 3044F |
|
4,601 |
3,813 |
$0.00 |
| 3079F |
|
3,589 |
2,538 |
$0.00 |
| 3075F |
|
4,235 |
3,134 |
$0.00 |
| 99441 |
|
763 |
724 |
$0.00 |
| 3080F |
|
494 |
318 |
$0.00 |
| 3048F |
|
353 |
249 |
$0.00 |
| 4086F |
|
267 |
235 |
$0.00 |
| 1126F |
|
7,880 |
6,832 |
$0.00 |
| 1125F |
|
1,932 |
1,737 |
$0.00 |
| J3490 |
Unclassified drugs |
1,534 |
1,463 |
$0.00 |
| Z6406 |
|
195 |
183 |
$0.00 |
| 99000 |
|
32 |
32 |
$0.00 |
| 90619 |
|
241 |
154 |
$0.00 |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
45 |
39 |
$0.00 |
| 90696 |
|
107 |
67 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
89 |
83 |
$0.00 |
| 96380 |
|
47 |
41 |
$0.00 |
| 82607 |
|
74 |
74 |
$0.00 |
| 3049F |
|
196 |
139 |
$0.00 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
24 |
24 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
87 |
81 |
$0.00 |
| 1111F |
|
25 |
16 |
$0.00 |
| 3052F |
|
61 |
46 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
19 |
19 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
14 |
12 |
$0.00 |
| 1159F |
|
20,182 |
12,277 |
$0.00 |
| G8935 |
Clinician prescribed angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy |
227 |
213 |
$0.00 |
| Z6400 |
|
500 |
499 |
$0.00 |
| 3078F |
|
33,550 |
23,723 |
$0.00 |
| 99442 |
|
800 |
731 |
$0.00 |
| 1160F |
|
7,613 |
4,864 |
$0.00 |
| 3077F |
|
2,914 |
2,093 |
$0.00 |
| 0502F |
|
2,690 |
1,392 |
$0.00 |
| 3050F |
|
74 |
57 |
$0.00 |
| 3046F |
|
113 |
89 |
$0.00 |
| Z6414 |
|
89 |
81 |
$0.00 |
| Z6300 |
|
25 |
25 |
$0.00 |
| 90461 |
|
353 |
337 |
$0.00 |
| 90710 |
|
140 |
90 |
$0.00 |
| Z6200 |
|
14 |
14 |
$0.00 |
| 3051F |
|
37 |
30 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
71 |
68 |
$0.00 |