| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
72,490 |
66,958 |
$9.94M |
| 00003 |
Internal/system code - not a standard HCPCS code |
23,466 |
18,051 |
$3.99M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
246 |
244 |
$161K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
117,602 |
108,586 |
$160K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33,676 |
31,419 |
$58K |
| 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 |
2,448 |
1,828 |
$46K |
| 90791 |
Psychiatric diagnostic evaluation |
1,412 |
1,224 |
$39K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42,144 |
38,878 |
$37K |
| 99460 |
|
537 |
529 |
$29K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,124 |
2,467 |
$28K |
| 99462 |
|
721 |
530 |
$21K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,932 |
1,909 |
$20K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
6,327 |
4,825 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,352 |
2,330 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,860 |
2,816 |
$18K |
| 0002A |
|
188 |
177 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29,147 |
28,537 |
$11K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
159 |
152 |
$7K |
| 90746 |
|
714 |
714 |
$6K |
| 0001A |
|
140 |
131 |
$6K |
| 0011A |
|
168 |
150 |
$6K |
| 0012A |
|
140 |
124 |
$6K |
| 90715 |
|
2,516 |
2,511 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,110 |
3,071 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,018 |
2,008 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
24 |
24 |
$2K |
| 90651 |
|
1,777 |
1,718 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
219 |
211 |
$2K |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
55 |
48 |
$2K |
| 11721 |
|
529 |
304 |
$2K |
| 99385 |
|
397 |
385 |
$2K |
| 81003 |
|
11,074 |
9,666 |
$2K |
| 99173 |
|
12,355 |
11,989 |
$1K |
| 81025 |
|
4,725 |
4,626 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,458 |
1,355 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,636 |
3,513 |
$1K |
| 90677 |
|
706 |
706 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,214 |
6,085 |
$1K |
| 20551 |
|
15 |
12 |
$1K |
| 99000 |
|
1,443 |
1,439 |
$1K |
| 85018 |
|
11,386 |
11,104 |
$1K |
| 90686 |
|
7,283 |
7,262 |
$986.09 |
| 92551 |
|
8,959 |
8,615 |
$796.24 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
261 |
255 |
$707.08 |
| 90656 |
|
1,500 |
1,328 |
$622.99 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12 |
12 |
$536.52 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,383 |
4,258 |
$483.12 |
| 99386 |
|
33 |
31 |
$454.92 |
| 90834 |
Psychotherapy, 45 minutes with patient |
37 |
30 |
$448.20 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,116 |
3,007 |
$211.69 |
| 92229 |
|
33 |
33 |
$176.40 |
| 99382 |
|
39 |
39 |
$141.39 |
| 99381 |
|
82 |
81 |
$130.85 |
| H1000 |
Prenatal care, at-risk assessment |
467 |
465 |
$126.31 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
7,716 |
7,506 |
$63.63 |
| 99383 |
|
87 |
84 |
$54.28 |
| 90670 |
|
2,125 |
2,030 |
$30.60 |
| 90647 |
|
1,762 |
1,697 |
$30.60 |
| 82962 |
|
211 |
209 |
$26.00 |
| 90723 |
|
1,777 |
1,704 |
$19.80 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
6,075 |
3,977 |
$16.72 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,528 |
1,447 |
$12.00 |
| 90734 |
|
633 |
596 |
$9.00 |
| 90474 |
|
228 |
214 |
$9.00 |
| 90680 |
|
41 |
40 |
$9.00 |
| 90633 |
|
1,840 |
1,786 |
$0.00 |
| 11057 |
|
23 |
12 |
$0.00 |
| 3725F |
|
10,137 |
10,061 |
$0.00 |
| 99188 |
|
154 |
154 |
$0.00 |
| 3078F |
|
1,851 |
1,839 |
$0.00 |
| 3077F |
|
2,111 |
2,066 |
$0.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
1,014 |
972 |
$0.00 |
| 2028F |
|
412 |
411 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
96 |
96 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,400 |
1,378 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
316 |
311 |
$0.00 |
| 90710 |
|
459 |
446 |
$0.00 |
| 90681 |
|
381 |
364 |
$0.00 |
| 98940 |
|
1,286 |
930 |
$0.00 |
| 99401 |
|
346 |
337 |
$0.00 |
| 99442 |
|
89 |
85 |
$0.00 |
| 90700 |
|
233 |
232 |
$0.00 |
| 11056 |
|
676 |
355 |
$0.00 |
| 11720 |
|
159 |
82 |
$0.00 |
| 0071A |
|
185 |
185 |
$0.00 |
| 90707 |
|
289 |
289 |
$0.00 |
| 90750 |
|
109 |
109 |
$0.00 |
| 83655 |
|
68 |
68 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
38 |
38 |
$0.00 |
| Z6400 |
|
33 |
32 |
$0.00 |
| 83037 |
|
60 |
59 |
$0.00 |
| 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 |
129 |
117 |
$0.00 |
| 97803 |
|
17 |
14 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
40 |
40 |
$0.00 |
| 59025 |
Fetal non-stress test |
177 |
64 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
6,652 |
6,620 |
$0.00 |
| 36416 |
|
7,203 |
7,177 |
$0.00 |
| 3074F |
|
1,113 |
1,108 |
$0.00 |
| 3079F |
|
1,475 |
1,464 |
$0.00 |
| 90620 |
|
72 |
68 |
$0.00 |
| 0072A |
|
164 |
164 |
$0.00 |
| 3075F |
|
782 |
781 |
$0.00 |
| 3080F |
|
842 |
833 |
$0.00 |
| 90716 |
|
403 |
396 |
$0.00 |
| 97802 |
|
317 |
314 |
$0.00 |
| 90619 |
|
398 |
398 |
$0.00 |
| 99384 |
|
53 |
53 |
$0.00 |
| 90696 |
|
385 |
373 |
$0.00 |
| 99402 |
|
86 |
86 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
558 |
497 |
$0.00 |
| 99443 |
|
33 |
32 |
$0.00 |
| 90688 |
|
150 |
150 |
$0.00 |
| 91301 |
|
32 |
32 |
$0.00 |
| J3490 |
Unclassified drugs |
70 |
70 |
$0.00 |
| 92567 |
|
30 |
30 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$0.00 |
| 11055 |
|
24 |
12 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
30 |
27 |
$0.00 |
| 59430 |
|
115 |
112 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
32 |
31 |
$0.00 |
| 86580 |
|
27 |
26 |
$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 |
12 |
12 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
37 |
37 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
14 |
12 |
$0.00 |
| Z1034 |
|
30 |
26 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |