| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
69,067 |
63,054 |
$18.23M |
| 00003 |
Internal/system code - not a standard HCPCS code |
35,365 |
28,814 |
$10.81M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53,844 |
31,697 |
$63K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,560 |
1,672 |
$62K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33,732 |
20,265 |
$47K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
3,839 |
1,572 |
$42K |
| 90834 |
Psychotherapy, 45 minutes with patient |
644 |
319 |
$17K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,130 |
903 |
$13K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,920 |
1,248 |
$13K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,722 |
2,700 |
$12K |
| 90837 |
Psychotherapy, 53 minutes with patient |
238 |
101 |
$11K |
| 90686 |
|
1,438 |
990 |
$8K |
| 80305 |
|
1,614 |
802 |
$7K |
| 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 |
73 |
66 |
$5K |
| 90715 |
|
331 |
267 |
$4K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,163 |
4,010 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
379 |
227 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,374 |
1,401 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,295 |
716 |
$3K |
| 92551 |
|
4,051 |
2,318 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
710 |
384 |
$2K |
| 90656 |
|
216 |
130 |
$2K |
| 83068 |
|
398 |
237 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
106 |
60 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
272 |
165 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
229 |
159 |
$2K |
| 83655 |
|
260 |
137 |
$1K |
| 90677 |
|
164 |
95 |
$1K |
| J3490 |
Unclassified drugs |
12 |
12 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
669 |
413 |
$1K |
| 90670 |
|
151 |
113 |
$1K |
| 90651 |
|
92 |
59 |
$1K |
| 90756 |
|
37 |
37 |
$909.00 |
| 90710 |
|
99 |
75 |
$875.14 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
581 |
463 |
$865.24 |
| 87634 |
|
22 |
13 |
$660.00 |
| 81002 |
|
1,319 |
890 |
$561.78 |
| 90633 |
|
85 |
51 |
$477.00 |
| 90723 |
|
51 |
39 |
$351.00 |
| 90696 |
|
39 |
31 |
$270.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$225.00 |
| 81025 |
|
149 |
83 |
$204.40 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
24 |
12 |
$200.00 |
| 90697 |
|
48 |
28 |
$198.00 |
| 99335 |
|
19 |
12 |
$177.50 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
591 |
353 |
$153.78 |
| 97810 |
|
26 |
26 |
$138.96 |
| 90619 |
|
31 |
16 |
$135.00 |
| 90734 |
|
21 |
14 |
$126.00 |
| 90647 |
|
21 |
13 |
$117.00 |
| 99215 |
Prolong outpt/office vis |
99 |
59 |
$57.20 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
19 |
12 |
$53.28 |
| 88142 |
|
18 |
16 |
$32.40 |
| 99173 |
|
1,670 |
1,668 |
$0.00 |
| 4004F |
|
311 |
304 |
$0.00 |
| 99177 |
|
50 |
50 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
19 |
12 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
19 |
19 |
$0.00 |
| 87428 |
|
642 |
636 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
55 |
55 |
$0.00 |
| 90688 |
|
20 |
20 |
$0.00 |