| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
199,166 |
164,148 |
$36.18M |
| 00003 |
Internal/system code - not a standard HCPCS code |
5,918 |
4,466 |
$1.34M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
132,265 |
99,160 |
$319K |
| 90832 |
Psychotherapy, 30 minutes with patient |
7,961 |
2,677 |
$192K |
| 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 |
2,304 |
1,867 |
$170K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42,877 |
31,063 |
$156K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,847 |
3,336 |
$104K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
23,512 |
11,159 |
$89K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
47,876 |
34,121 |
$72K |
| 90837 |
Psychotherapy, 53 minutes with patient |
858 |
383 |
$53K |
| 90834 |
Psychotherapy, 45 minutes with patient |
602 |
369 |
$39K |
| 97810 |
|
7,714 |
3,988 |
$34K |
| 97813 |
|
7,503 |
2,968 |
$30K |
| 92250 |
|
1,906 |
1,583 |
$26K |
| 90791 |
Psychiatric diagnostic evaluation |
246 |
190 |
$14K |
| 90677 |
|
732 |
586 |
$13K |
| 90750 |
|
1,691 |
1,450 |
$12K |
| G9920 |
Screening performed and negative |
3,455 |
2,788 |
$12K |
| 90739 |
|
1,832 |
1,610 |
$12K |
| 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 |
141 |
133 |
$10K |
| 97802 |
|
1,485 |
1,450 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
389 |
327 |
$8K |
| 97811 |
|
7,040 |
3,848 |
$7K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
255 |
217 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13,467 |
11,776 |
$5K |
| 97814 |
|
6,814 |
2,869 |
$5K |
| 99215 |
Prolong outpt/office vis |
2,063 |
1,382 |
$4K |
| 92133 |
|
276 |
235 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
262 |
186 |
$3K |
| 0001A |
|
90 |
83 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
480 |
404 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
237 |
197 |
$3K |
| 0064A |
|
68 |
68 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
145 |
119 |
$3K |
| 90686 |
|
2,659 |
2,423 |
$3K |
| 90671 |
|
287 |
257 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
912 |
631 |
$2K |
| 92083 |
|
129 |
97 |
$2K |
| 0012A |
|
52 |
46 |
$2K |
| 97803 |
|
616 |
592 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,509 |
1,624 |
$2K |
| 0002A |
|
60 |
54 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
229 |
217 |
$2K |
| 90715 |
|
996 |
858 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
903 |
631 |
$2K |
| 99188 |
|
574 |
435 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
265 |
254 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
867 |
638 |
$1K |
| 0011A |
|
27 |
24 |
$1K |
| 90688 |
|
1,421 |
1,239 |
$1K |
| 90651 |
|
416 |
378 |
$1K |
| 92020 |
|
98 |
87 |
$1K |
| 0004A |
|
28 |
26 |
$867.00 |
| 95926 |
|
75 |
75 |
$812.82 |
| 98942 |
|
1,560 |
518 |
$769.12 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,872 |
1,650 |
$734.18 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
119 |
102 |
$708.00 |
| 90746 |
|
125 |
105 |
$661.24 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
197 |
156 |
$653.85 |
| 83026 |
|
2,185 |
1,953 |
$490.09 |
| 90656 |
|
964 |
839 |
$476.88 |
| 90619 |
|
299 |
270 |
$447.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,987 |
5,780 |
$444.88 |
| 96127 |
|
394 |
246 |
$368.53 |
| 90662 |
|
382 |
354 |
$360.00 |
| 90756 |
|
186 |
184 |
$324.00 |
| 90698 |
|
98 |
91 |
$278.76 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
99 |
96 |
$261.66 |
| 84703 |
|
259 |
221 |
$242.30 |
| 90633 |
|
204 |
196 |
$241.00 |
| 82962 |
|
1,290 |
1,212 |
$220.34 |
| 90680 |
|
98 |
86 |
$184.00 |
| 98940 |
|
267 |
130 |
$162.17 |
| 92015 |
Determination of refractive state |
6,334 |
4,890 |
$160.20 |
| 90744 |
|
88 |
83 |
$145.00 |
| 76514 |
|
26 |
26 |
$131.56 |
| 90732 |
|
110 |
89 |
$121.56 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
139 |
87 |
$100.80 |
| 81002 |
|
208 |
193 |
$53.69 |
| 90658 |
|
61 |
42 |
$52.50 |
| 90713 |
|
15 |
15 |
$47.00 |
| 90620 |
|
96 |
88 |
$46.00 |
| 99490 |
Ccm add 20min |
80 |
80 |
$45.11 |
| 90670 |
|
54 |
39 |
$39.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
183 |
175 |
$30.57 |
| 92551 |
|
16 |
16 |
$23.20 |
| 85018 |
|
61 |
54 |
$20.52 |
| 90710 |
|
28 |
26 |
$18.00 |
| 82947 |
|
102 |
56 |
$6.93 |
| 81003 |
|
93 |
66 |
$6.17 |
| 81025 |
|
13 |
13 |
$5.88 |
| 3078F |
|
1,572 |
1,457 |
$0.00 |
| V2020 |
Frames, purchases |
129 |
129 |
$0.00 |
| 3051F |
|
74 |
70 |
$0.00 |
| 90661 |
|
38 |
33 |
$0.00 |
| 3077F |
|
70 |
64 |
$0.00 |
| Z6304 |
|
55 |
55 |
$0.00 |
| 90611 |
|
25 |
24 |
$0.00 |
| 3046F |
|
71 |
68 |
$0.00 |
| 99173 |
|
41 |
41 |
$0.00 |
| Z6300 |
|
16 |
16 |
$0.00 |
| 92134 |
|
28 |
28 |
$0.00 |
| Z6400 |
|
79 |
64 |
$0.00 |
| 90461 |
|
14 |
14 |
$0.00 |
| 96160 |
|
12 |
12 |
$0.00 |
| Z6200 |
|
19 |
19 |
$0.00 |
| 91300 |
|
21 |
20 |
$0.00 |
| 3074F |
|
1,176 |
1,079 |
$0.00 |
| Z6204 |
|
60 |
59 |
$0.00 |
| 3044F |
|
288 |
265 |
$0.00 |
| Z6410 |
|
67 |
65 |
$0.00 |
| 92002 |
|
87 |
56 |
$0.00 |
| G9012 |
Other specified case management service not elsewhere classified |
891 |
224 |
$0.00 |
| Z6402 |
|
16 |
16 |
$0.00 |
| 97124 |
|
26 |
20 |
$0.00 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
22 |
19 |
$0.00 |
| 3079F |
|
93 |
92 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
81 |
81 |
$0.00 |
| 3075F |
|
37 |
37 |
$0.00 |
| 99383 |
|
13 |
13 |
$0.00 |