| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
71,777 |
51,345 |
$10.29M |
| 00003 |
Internal/system code - not a standard HCPCS code |
63,414 |
28,478 |
$8.64M |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
6,056 |
2,197 |
$813K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,166 |
21,004 |
$279K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
411 |
345 |
$154K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,820 |
1,324 |
$143K |
| 98940 |
|
685 |
267 |
$90K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
540 |
490 |
$58K |
| 98942 |
|
263 |
116 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
807 |
616 |
$21K |
| 92552 |
|
1,885 |
1,531 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,078 |
2,462 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
466 |
348 |
$12K |
| 59425 |
|
187 |
130 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
335 |
238 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
427 |
311 |
$8K |
| 90686 |
|
1,867 |
1,271 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
134 |
113 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
922 |
772 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,743 |
1,284 |
$4K |
| 85018 |
|
3,784 |
3,155 |
$4K |
| 90670 |
|
531 |
401 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
69 |
43 |
$3K |
| 90648 |
|
452 |
316 |
$2K |
| 90633 |
|
416 |
308 |
$2K |
| 90715 |
|
146 |
131 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
144 |
71 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
456 |
350 |
$2K |
| 90658 |
|
198 |
198 |
$1K |
| 82962 |
|
980 |
840 |
$1K |
| 99215 |
Prolong outpt/office vis |
24 |
24 |
$1K |
| 90651 |
|
174 |
145 |
$1K |
| 90656 |
|
48 |
48 |
$953.34 |
| 90746 |
|
15 |
15 |
$924.26 |
| J3490 |
Unclassified drugs |
13 |
13 |
$921.83 |
| 99383 |
|
26 |
26 |
$785.85 |
| 90723 |
|
260 |
172 |
$783.68 |
| 90680 |
|
227 |
150 |
$714.24 |
| 90710 |
|
180 |
117 |
$644.80 |
| 81025 |
|
402 |
362 |
$588.98 |
| 90734 |
|
117 |
101 |
$560.92 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,726 |
887 |
$455.18 |
| 84443 |
Thyroid stimulating hormone (TSH) |
210 |
156 |
$427.60 |
| 90657 |
|
56 |
56 |
$416.64 |
| 90688 |
|
21 |
19 |
$391.00 |
| 90649 |
|
47 |
47 |
$367.04 |
| 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 |
12 |
12 |
$297.12 |
| 99384 |
|
20 |
20 |
$290.08 |
| 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 |
473 |
375 |
$277.74 |
| 87806 |
|
18 |
13 |
$262.20 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
484 |
357 |
$250.25 |
| 90655 |
|
25 |
25 |
$238.08 |
| 99401 |
|
28 |
25 |
$225.73 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
783 |
670 |
$210.62 |
| 90647 |
|
12 |
12 |
$119.04 |
| 86580 |
|
80 |
75 |
$116.34 |
| 97803 |
|
14 |
13 |
$100.25 |
| 90696 |
|
24 |
13 |
$79.36 |
| 81002 |
|
163 |
145 |
$64.84 |
| 90674 |
|
20 |
12 |
$49.60 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
13 |
$46.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
14 |
12 |
$22.91 |
| V2020 |
Frames, purchases |
42 |
42 |
$0.00 |
| 99173 |
|
1,188 |
1,017 |
$0.00 |
| Z6304 |
|
32 |
30 |
$0.00 |
| 99442 |
|
139 |
114 |
$0.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
27 |
27 |
$0.00 |
| 92015 |
Determination of refractive state |
792 |
792 |
$0.00 |
| Z6500 |
|
14 |
14 |
$0.00 |
| Z6400 |
|
19 |
16 |
$0.00 |
| 99201 |
|
18 |
18 |
$0.00 |
| Z6406 |
|
28 |
26 |
$0.00 |
| 97010 |
|
76 |
58 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
67 |
52 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
153 |
128 |
$0.00 |
| Z1034 |
|
109 |
82 |
$0.00 |
| Z6204 |
|
35 |
33 |
$0.00 |
| Z1032 |
|
31 |
29 |
$0.00 |
| 97014 |
|
94 |
79 |
$0.00 |