| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
134,862 |
116,706 |
$17.87M |
| 00003 |
Internal/system code - not a standard HCPCS code |
18,465 |
17,315 |
$3.16M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
8,629 |
750 |
$1.15M |
| G9012 |
Other specified case management service not elsewhere classified |
7,090 |
4,301 |
$296K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
614,980 |
531,757 |
$286K |
| 0001A |
|
11,608 |
9,921 |
$160K |
| H0032 |
Mental health service plan development by non-physician |
895 |
319 |
$158K |
| 0002A |
|
9,582 |
8,171 |
$150K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
5,103 |
2,994 |
$145K |
| H0031 |
Mental health assessment, by non-physician |
970 |
214 |
$142K |
| 90834 |
Psychotherapy, 45 minutes with patient |
5,694 |
3,464 |
$112K |
| H2012 |
Behavioral health day treatment, per hour |
653 |
182 |
$91K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
62,381 |
54,613 |
$81K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
8,938 |
8,256 |
$35K |
| 90670 |
|
5,993 |
5,299 |
$32K |
| 90837 |
Psychotherapy, 53 minutes with patient |
753 |
528 |
$30K |
| 90791 |
Psychiatric diagnostic evaluation |
855 |
544 |
$25K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,381 |
1,551 |
$25K |
| 0003A |
|
602 |
484 |
$17K |
| 0004A |
|
1,654 |
1,572 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13,522 |
12,631 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
83,853 |
77,905 |
$13K |
| 0064A |
|
536 |
489 |
$13K |
| 0072A |
|
891 |
795 |
$13K |
| 90651 |
|
3,554 |
3,161 |
$12K |
| 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 |
2,394 |
2,127 |
$12K |
| 92552 |
|
42,540 |
39,453 |
$11K |
| 90688 |
|
19,008 |
17,138 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16,601 |
15,432 |
$11K |
| 0071A |
|
746 |
666 |
$10K |
| 80053 |
Comprehensive metabolic panel |
141,126 |
132,978 |
$7K |
| J3490 |
Unclassified drugs |
530 |
505 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,171 |
5,721 |
$6K |
| 90734 |
|
2,699 |
2,463 |
$5K |
| H0043 |
Supported housing, per diem |
298 |
297 |
$5K |
| D1310 |
|
2,943 |
1,659 |
$4K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
25,782 |
18,661 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,187 |
4,599 |
$4K |
| G9920 |
Screening performed and negative |
46,513 |
44,412 |
$4K |
| 0519 |
|
38 |
35 |
$4K |
| 90723 |
|
2,515 |
2,101 |
$4K |
| 90686 |
|
20,355 |
19,431 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
67,249 |
58,636 |
$4K |
| 81025 |
|
14,434 |
13,088 |
$3K |
| 99215 |
Prolong outpt/office vis |
4,616 |
4,070 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13,489 |
13,250 |
$2K |
| 90633 |
|
5,235 |
4,800 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
62,120 |
58,789 |
$2K |
| 90715 |
|
5,125 |
4,907 |
$2K |
| 99173 |
|
52,975 |
49,550 |
$2K |
| 85018 |
|
39,468 |
37,050 |
$2K |
| 90647 |
|
3,023 |
2,573 |
$2K |
| 80061 |
Lipid panel |
61,080 |
58,843 |
$2K |
| 82947 |
|
30,335 |
29,202 |
$2K |
| 90710 |
|
619 |
578 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,565 |
4,405 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
453 |
270 |
$2K |
| D4341 |
|
262 |
140 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
62,688 |
59,707 |
$1K |
| 92081 |
|
972 |
956 |
$1K |
| 83655 |
|
7,739 |
7,033 |
$1K |
| 90716 |
|
1,216 |
1,111 |
$1K |
| 81001 |
|
49,898 |
35,693 |
$1K |
| 90707 |
|
1,012 |
957 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,149 |
1,114 |
$1K |
| 99188 |
|
2,471 |
2,462 |
$1K |
| 90649 |
|
1,221 |
1,220 |
$871.38 |
| 90681 |
|
498 |
431 |
$852.53 |
| H1000 |
Prenatal care, at-risk assessment |
1,174 |
1,132 |
$817.61 |
| 92551 |
|
750 |
734 |
$771.78 |
| D0220 |
Intraoral - periapical first radiographic image |
1,325 |
804 |
$770.00 |
| 58300 |
|
30 |
13 |
$742.77 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
211 |
195 |
$696.71 |
| 3074F |
|
257,635 |
230,834 |
$653.31 |
| 0011A |
|
45 |
43 |
$643.00 |
| 57454 |
|
182 |
175 |
$632.44 |
| 97802 |
|
8,729 |
8,610 |
$623.44 |
| 90736 |
|
41 |
41 |
$609.16 |
| 99201 |
|
382 |
318 |
$593.54 |
| D0210 |
Intraoral - complete series of radiographic images |
161 |
87 |
$584.00 |
| 99000 |
|
20,488 |
18,346 |
$583.71 |
| 11976 |
|
24 |
12 |
$582.35 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,846 |
2,767 |
$528.77 |
| 90620 |
|
167 |
132 |
$518.16 |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,668 |
513 |
$497.40 |
| 3008F |
|
31,286 |
29,809 |
$491.52 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
129 |
68 |
$491.00 |
| 91307 |
|
2,202 |
2,001 |
$487.16 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,832 |
2,254 |
$463.19 |
| 90700 |
|
443 |
401 |
$456.58 |
| 4086F |
|
161 |
161 |
$438.80 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14,418 |
14,292 |
$422.17 |
| T2041 |
Supports brokerage, self-directed, waiver; per 15 minutes |
98 |
98 |
$420.15 |
| 97803 |
|
720 |
718 |
$387.75 |
| 92250 |
|
4,996 |
4,888 |
$375.39 |
| 90674 |
|
1,256 |
1,217 |
$356.20 |
| D0603 |
|
1,238 |
747 |
$289.00 |
| 86580 |
|
760 |
749 |
$280.76 |
| 91300 |
|
18,754 |
17,389 |
$266.19 |
| H0033 |
Oral medication administration, direct observation |
1,202 |
1,005 |
$236.08 |
| 90746 |
|
2,228 |
2,180 |
$229.75 |
| 1159F |
|
4,294 |
4,134 |
$219.40 |
| D9993 |
|
869 |
835 |
$210.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,536 |
2,062 |
$201.57 |
| 99442 |
|
16,877 |
13,619 |
$177.98 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,472 |
1,393 |
$170.35 |
| 82270 |
|
3,622 |
3,524 |
$168.42 |
| 90696 |
|
366 |
336 |
$155.73 |
| 59425 |
|
684 |
489 |
$138.56 |
| 0502F |
|
35,098 |
22,819 |
$137.37 |
| 93000 |
|
112 |
112 |
$113.64 |
| 3078F |
|
285,279 |
257,733 |
$87.26 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
3,508 |
3,354 |
$83.45 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
22,223 |
13,375 |
$78.65 |
| 82274 |
|
14,234 |
13,916 |
$70.28 |
| 69210 |
|
28 |
28 |
$60.44 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
82 |
81 |
$57.98 |
| 92015 |
Determination of refractive state |
170 |
170 |
$47.58 |
| D0140 |
Limited oral evaluation - problem focused |
16 |
12 |
$46.20 |
| G0403 |
Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report |
108 |
108 |
$42.00 |
| 91306 |
|
352 |
344 |
$40.00 |
| 90713 |
|
24 |
24 |
$35.33 |
| 96150 |
|
171 |
171 |
$33.64 |
| 3079F |
|
38,609 |
35,312 |
$27.63 |
| D1120 |
Prophylaxis - child |
15 |
12 |
$27.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
16 |
13 |
$27.00 |
| 90685 |
|
96 |
96 |
$26.01 |
| 1111F |
|
4,384 |
4,146 |
$23.49 |
| 0501F |
|
2,395 |
2,016 |
$23.49 |
| 1160F |
|
8,748 |
8,289 |
$22.30 |
| 86703 |
|
27 |
27 |
$22.30 |
| 99441 |
|
4,864 |
3,653 |
$20.32 |
| H2000 |
Comprehensive multidisciplinary evaluation |
4,441 |
2,999 |
$8.41 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
3,843 |
3,528 |
$5.89 |
| 3077F |
|
33,890 |
31,993 |
$0.00 |
| 82570 |
|
6,800 |
6,760 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
31,462 |
29,607 |
$0.00 |
| 81420 |
Fetal chromosomal aneuploidy genomic sequence analysis panel |
191 |
184 |
$0.00 |
| G0127 |
Trimming of dystrophic nails, any number |
257 |
256 |
$0.00 |
| J1380 |
Injection, estradiol valerate, up to 10 mg |
3,440 |
2,949 |
$0.00 |
| 3051F |
|
90 |
90 |
$0.00 |
| Z6414 |
|
471 |
312 |
$0.00 |
| Z6200 |
|
491 |
490 |
$0.00 |
| 81002 |
|
54 |
41 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
2,391 |
2,333 |
$0.00 |
| 99401 |
|
137 |
117 |
$0.00 |
| 2026F |
|
1,451 |
1,417 |
$0.00 |
| Z6202 |
|
894 |
881 |
$0.00 |
| Z6300 |
|
24 |
24 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
248 |
175 |
$0.00 |
| 99499 |
|
1,089 |
1,052 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90756 |
|
38 |
37 |
$0.00 |
| 3046F |
|
566 |
544 |
$0.00 |
| 91308 |
|
40 |
38 |
$0.00 |
| 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 |
13 |
13 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
270 |
270 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
14 |
13 |
$0.00 |
| 91312 |
|
266 |
234 |
$0.00 |
| 90644 |
|
165 |
165 |
$0.00 |
| Z6302 |
|
189 |
189 |
$0.00 |
| Z6400 |
|
1,075 |
1,070 |
$0.00 |
| 90611 |
|
131 |
129 |
$0.00 |
| 85049 |
|
546 |
536 |
$0.00 |
| 3015F |
|
111 |
110 |
$0.00 |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
188 |
187 |
$0.00 |
| Z6500 |
|
104 |
104 |
$0.00 |
| V2020 |
Frames, purchases |
29 |
29 |
$0.00 |
| 90687 |
|
195 |
195 |
$0.00 |
| H2014 |
Skills training and development, per 15 minutes |
339 |
106 |
$0.00 |
| Z6208 |
|
35 |
31 |
$0.00 |
| 92133 |
|
29 |
29 |
$0.00 |
| 4013F |
|
70 |
70 |
$0.00 |
| 91320 |
|
13 |
13 |
$0.00 |
| 90396 |
|
16 |
16 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$0.00 |
| 2022F |
|
38 |
38 |
$0.00 |
| D9430 |
|
14 |
12 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
23 |
13 |
$0.00 |
| 3075F |
|
30,360 |
28,850 |
$0.00 |
| 82043 |
|
6,799 |
6,759 |
$0.00 |
| Z1032 |
|
630 |
605 |
$0.00 |
| 3014F |
|
150 |
149 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,137 |
2,793 |
$0.00 |
| D1330 |
|
2,351 |
1,435 |
$0.00 |
| 3080F |
|
2,815 |
2,753 |
$0.00 |
| 90677 |
|
936 |
919 |
$0.00 |
| 59430 |
|
718 |
697 |
$0.00 |
| 90656 |
|
2,143 |
2,143 |
$0.00 |
| 11055 |
|
12 |
12 |
$0.00 |
| Z6404 |
|
173 |
173 |
$0.00 |
| Z1034 |
|
5,174 |
3,724 |
$0.00 |
| 96156 |
|
3,872 |
3,855 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
75 |
75 |
$0.00 |
| 3044F |
|
758 |
730 |
$0.00 |
| 11730 |
|
144 |
141 |
$0.00 |
| 2033F |
|
3,407 |
3,333 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
347 |
342 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
876 |
862 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
547 |
378 |
$0.00 |
| 0503F |
|
833 |
766 |
$0.00 |
| Z6410 |
|
4,045 |
2,539 |
$0.00 |
| 0031A |
|
181 |
179 |
$0.00 |
| 57452 |
|
176 |
173 |
$0.00 |
| 96127 |
|
983 |
913 |
$0.00 |
| 3048F |
|
12 |
12 |
$0.00 |
| 20551 |
|
66 |
65 |
$0.00 |
| 0500F |
|
256 |
249 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
509 |
488 |
$0.00 |
| 99403 |
|
1,120 |
1,118 |
$0.00 |
| 90654 |
|
81 |
81 |
$0.00 |
| 4010F |
|
50 |
49 |
$0.00 |
| 3017F |
|
276 |
272 |
$0.00 |
| 91301 |
|
92 |
90 |
$0.00 |
| S8110 |
Peak expiratory flow rate (physician services) |
570 |
429 |
$0.00 |
| 91303 |
|
210 |
201 |
$0.00 |
| 90697 |
|
479 |
441 |
$0.00 |
| 87807 |
|
14 |
14 |
$0.00 |
| 99495 |
|
29 |
29 |
$0.00 |
| 0082A |
|
29 |
29 |
$0.00 |
| 91317 |
|
70 |
62 |
$0.00 |
| 3052F |
|
61 |
60 |
$0.00 |
| 99383 |
|
37 |
29 |
$0.00 |
| 97804 |
|
14 |
12 |
$0.00 |
| 99384 |
|
80 |
76 |
$0.00 |
| 90739 |
|
81 |
81 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
16 |
16 |
$0.00 |
| 87529 |
|
257 |
241 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
58 |
57 |
$0.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
115 |
86 |
$0.00 |
| 94760 |
|
29 |
29 |
$0.00 |
| 96161 |
|
60 |
60 |
$0.00 |
| 82105 |
|
64 |
64 |
$0.00 |
| 91315 |
|
99 |
86 |
$0.00 |
| 99443 |
|
91 |
80 |
$0.00 |
| 2023F |
|
58 |
58 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
13 |
13 |
$0.00 |
| 0081A |
|
31 |
30 |
$0.00 |
| 91318 |
|
50 |
50 |
$0.00 |
| 99381 |
|
14 |
13 |
$0.00 |
| Z6402 |
|
14 |
14 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
14 |
14 |
$0.00 |
| 91319 |
|
13 |
13 |
$0.00 |
| Z1038 |
|
12 |
12 |
$0.00 |
| 3061F |
|
12 |
12 |
$0.00 |