| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
176,595 |
131,963 |
$34.69M |
| 00003 |
Internal/system code - not a standard HCPCS code |
12,859 |
7,449 |
$2.97M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46,160 |
38,858 |
$175K |
| 90832 |
Psychotherapy, 30 minutes with patient |
23,175 |
9,225 |
$106K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
53,975 |
46,384 |
$61K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,686 |
1,620 |
$27K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
18,458 |
18,334 |
$16K |
| 90791 |
Psychiatric diagnostic evaluation |
836 |
750 |
$10K |
| 90834 |
Psychotherapy, 45 minutes with patient |
918 |
580 |
$8K |
| 0004A |
|
321 |
320 |
$3K |
| 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 |
2,148 |
1,617 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
79 |
60 |
$2K |
| 0064A |
|
382 |
378 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
736 |
692 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
318 |
274 |
$1K |
| 93000 |
|
588 |
529 |
$824.46 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
340 |
298 |
$637.50 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
46 |
46 |
$585.12 |
| 81025 |
|
636 |
588 |
$547.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,618 |
1,489 |
$529.99 |
| 90649 |
|
430 |
397 |
$356.44 |
| 90656 |
|
177 |
129 |
$177.23 |
| 92551 |
|
853 |
787 |
$149.55 |
| 90677 |
|
73 |
57 |
$81.00 |
| 0002A |
|
980 |
972 |
$80.00 |
| 0011A |
|
1,579 |
1,574 |
$80.00 |
| 90633 |
|
385 |
359 |
$77.62 |
| 99384 |
|
142 |
130 |
$65.78 |
| 90619 |
|
224 |
200 |
$54.00 |
| 81002 |
|
588 |
546 |
$47.30 |
| 90620 |
|
118 |
99 |
$45.00 |
| 0001A |
|
1,049 |
1,042 |
$40.00 |
| 90710 |
|
106 |
98 |
$36.00 |
| 90696 |
|
17 |
13 |
$27.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
3,028 |
1,327 |
$26.56 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,345 |
1,463 |
$21.92 |
| 92552 |
|
876 |
790 |
$16.69 |
| 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 |
214 |
209 |
$15.59 |
| 97032 |
|
1,826 |
673 |
$8.66 |
| 82948 |
|
1,850 |
1,631 |
$5.15 |
| 99173 |
|
2,165 |
2,010 |
$4.03 |
| 3078F |
|
5,914 |
5,181 |
$0.00 |
| 90661 |
|
354 |
266 |
$0.00 |
| 92015 |
Determination of refractive state |
880 |
866 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
140 |
138 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
445 |
444 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
258 |
256 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
423 |
367 |
$0.00 |
| 83026 |
|
380 |
379 |
$0.00 |
| 90756 |
|
770 |
765 |
$0.00 |
| 90715 |
|
208 |
203 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
227 |
193 |
$0.00 |
| 97161 |
|
622 |
603 |
$0.00 |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
384 |
178 |
$0.00 |
| 90670 |
|
124 |
123 |
$0.00 |
| 1159F |
|
761 |
683 |
$0.00 |
| 86328 |
|
294 |
285 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
316 |
262 |
$0.00 |
| 3077F |
|
443 |
387 |
$0.00 |
| 0013A |
|
104 |
104 |
$0.00 |
| 98940 |
|
495 |
395 |
$0.00 |
| Z6400 |
|
59 |
43 |
$0.00 |
| 1160F |
|
747 |
672 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
118 |
101 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
313 |
277 |
$0.00 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
221 |
189 |
$0.00 |
| 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 |
12 |
12 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
104 |
86 |
$0.00 |
| D4341 |
|
137 |
56 |
$0.00 |
| 0071A |
|
17 |
17 |
$0.00 |
| 99442 |
|
19 |
17 |
$0.00 |
| 0003A |
|
36 |
36 |
$0.00 |
| 90653 |
|
14 |
13 |
$0.00 |
| 97803 |
|
13 |
13 |
$0.00 |
| 3050F |
|
187 |
146 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
42 |
38 |
$0.00 |
| 4013F |
|
23 |
19 |
$0.00 |
| 83655 |
|
12 |
12 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$0.00 |
| 90713 |
|
25 |
25 |
$0.00 |
| 90734 |
|
16 |
16 |
$0.00 |
| 0124A |
|
17 |
17 |
$0.00 |
| 3051F |
|
35 |
21 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
14 |
$0.00 |
| 99382 |
|
12 |
12 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
13 |
13 |
$0.00 |
| G8940 |
Screening for depression documented as positive, a follow-up plan not completed, documented reason |
18 |
18 |
$0.00 |
| 3008F |
|
3,142 |
2,967 |
$0.00 |
| 99000 |
|
24,346 |
23,072 |
$0.00 |
| 3074F |
|
6,402 |
5,662 |
$0.00 |
| 3080F |
|
143 |
120 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
822 |
632 |
$0.00 |
| 97014 |
|
1,105 |
597 |
$0.00 |
| 3079F |
|
1,463 |
1,311 |
$0.00 |
| 3049F |
|
247 |
182 |
$0.00 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
466 |
282 |
$0.00 |
| 99441 |
|
598 |
558 |
$0.00 |
| 1036F |
|
1,185 |
1,010 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
452 |
375 |
$0.00 |
| 88142 |
|
188 |
160 |
$0.00 |
| 3044F |
|
693 |
519 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
837 |
758 |
$0.00 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
544 |
338 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
328 |
289 |
$0.00 |
| 1000F |
|
1,352 |
1,155 |
$0.00 |
| 97802 |
|
982 |
870 |
$0.00 |
| 1125F |
|
173 |
158 |
$0.00 |
| 97010 |
|
2,238 |
905 |
$0.00 |
| 3075F |
|
754 |
655 |
$0.00 |
| 0012A |
|
1,407 |
1,401 |
$0.00 |
| 90686 |
|
731 |
720 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
56 |
56 |
$0.00 |
| 86580 |
|
70 |
69 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
293 |
267 |
$0.00 |
| 90697 |
|
24 |
24 |
$0.00 |
| 3048F |
|
100 |
69 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
157 |
146 |
$0.00 |
| 99383 |
|
76 |
76 |
$0.00 |
| 86769 |
|
98 |
96 |
$0.00 |
| 85018 |
|
145 |
144 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
71 |
71 |
$0.00 |
| Z1034 |
|
122 |
77 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
98 |
96 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
14 |
13 |
$0.00 |
| 1126F |
|
32 |
23 |
$0.00 |
| 1111F |
|
20 |
13 |
$0.00 |
| 90744 |
|
26 |
26 |
$0.00 |
| 97035 |
|
95 |
39 |
$0.00 |
| 90674 |
|
24 |
24 |
$0.00 |
| 90716 |
|
26 |
26 |
$0.00 |
| 90694 |
|
43 |
43 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
29 |
26 |
$0.00 |
| 99385 |
|
14 |
14 |
$0.00 |