| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
104,901 |
75,812 |
$13.02M |
| 00003 |
Internal/system code - not a standard HCPCS code |
7,947 |
6,869 |
$1.41M |
| G9012 |
Other specified case management service not elsewhere classified |
10,359 |
5,442 |
$235K |
| 90834 |
Psychotherapy, 45 minutes with patient |
5,731 |
2,528 |
$153K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,885 |
1,240 |
$128K |
| H0043 |
Supported housing, per diem |
213 |
169 |
$95K |
| 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 |
1,508 |
1,193 |
$30K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
2,206 |
1,085 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
98,095 |
75,982 |
$26K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,897 |
2,355 |
$19K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,093 |
552 |
$18K |
| 90791 |
Psychiatric diagnostic evaluation |
284 |
194 |
$12K |
| 90686 |
|
2,703 |
2,559 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
668 |
610 |
$5K |
| 92015 |
Determination of refractive state |
3,345 |
2,829 |
$5K |
| 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 |
980 |
941 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26,126 |
21,052 |
$4K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
193 |
141 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,655 |
6,974 |
$2K |
| 0011A |
|
403 |
335 |
$819.71 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
190 |
189 |
$782.96 |
| H2016 |
Comprehensive community support services, per diem |
600 |
398 |
$752.57 |
| D5899 |
|
932 |
853 |
$594.02 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,220 |
5,850 |
$514.33 |
| 99409 |
|
14 |
12 |
$500.00 |
| G0472 |
Hepatitis c antibody screening, for individual at high risk and other covered indication(s) |
1,337 |
1,244 |
$491.05 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
237 |
236 |
$414.31 |
| 80053 |
Comprehensive metabolic panel |
9,548 |
8,619 |
$401.85 |
| 87806 |
|
1,096 |
1,029 |
$392.16 |
| 86803 |
|
3,674 |
3,364 |
$344.29 |
| 82962 |
|
18,281 |
14,963 |
$323.12 |
| 99000 |
|
3,230 |
2,679 |
$304.70 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
3,167 |
2,626 |
$300.46 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
882 |
856 |
$284.86 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,182 |
2,634 |
$247.55 |
| 0012A |
|
329 |
283 |
$240.00 |
| 86780 |
|
585 |
546 |
$224.16 |
| 80061 |
Lipid panel |
4,979 |
4,723 |
$200.63 |
| 92552 |
|
1,179 |
1,171 |
$195.06 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,671 |
4,436 |
$191.45 |
| 36415 |
Collection of venous blood by venipuncture |
15,356 |
13,579 |
$179.69 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
392 |
337 |
$154.20 |
| 3008F |
|
14,958 |
13,250 |
$144.60 |
| 85027 |
|
5,701 |
5,280 |
$143.75 |
| 0064A |
|
258 |
254 |
$134.00 |
| 4000F |
|
3,682 |
3,129 |
$99.51 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
2,429 |
2,292 |
$90.97 |
| 87899 |
|
1,369 |
1,238 |
$90.12 |
| G9920 |
Screening performed and negative |
280 |
276 |
$90.06 |
| D0140 |
Limited oral evaluation - problem focused |
626 |
608 |
$76.20 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,028 |
998 |
$74.30 |
| D1330 |
|
640 |
630 |
$57.60 |
| D0274 |
Bitewings - four radiographic images |
1,374 |
1,365 |
$55.80 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,056 |
1,053 |
$54.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
1,544 |
818 |
$49.80 |
| D1110 |
Prophylaxis - adult |
211 |
211 |
$37.50 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
27 |
27 |
$29.68 |
| D0220 |
Intraoral - periapical first radiographic image |
2,667 |
2,532 |
$29.40 |
| D0603 |
|
657 |
656 |
$26.70 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
597 |
585 |
$24.44 |
| D0120 |
Periodic oral evaluation - established patient |
197 |
196 |
$24.00 |
| 81003 |
|
1,015 |
959 |
$23.49 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
481 |
475 |
$23.49 |
| D0230 |
Intraoral - periapical each additional radiographic image |
3,207 |
1,808 |
$23.10 |
| 86592 |
|
1,349 |
1,297 |
$23.04 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
12 |
12 |
$16.34 |
| 82274 |
|
290 |
266 |
$12.22 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
322 |
279 |
$12.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,297 |
1,247 |
$7.86 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
102 |
100 |
$3.91 |
| 86580 |
|
1,055 |
989 |
$3.33 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
3,754 |
2,301 |
$2.61 |
| 85018 |
|
1,080 |
1,035 |
$2.05 |
| 90656 |
|
215 |
215 |
$0.01 |
| D0601 |
|
79 |
79 |
$0.00 |
| 3017F |
|
160 |
146 |
$0.00 |
| 3072F |
|
156 |
146 |
$0.00 |
| 36416 |
|
418 |
398 |
$0.00 |
| 3074F |
|
444 |
428 |
$0.00 |
| 3044F |
|
1,230 |
1,211 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
595 |
544 |
$0.00 |
| 82043 |
|
469 |
465 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
481 |
447 |
$0.00 |
| 86706 |
|
71 |
70 |
$0.00 |
| 97802 |
|
93 |
89 |
$0.00 |
| 90674 |
|
12 |
12 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
12 |
12 |
$0.00 |
| 81001 |
|
328 |
310 |
$0.00 |
| D0602 |
|
168 |
168 |
$0.00 |
| 3079F |
|
42 |
42 |
$0.00 |
| 00000 |
|
12 |
12 |
$0.00 |
| 96127 |
|
38 |
36 |
$0.00 |
| 0031A |
|
85 |
59 |
$0.00 |
| 93000 |
|
450 |
440 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
31 |
31 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
64 |
63 |
$0.00 |
| 2023F |
|
44 |
34 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
16 |
16 |
$0.00 |
| 86704 |
|
79 |
78 |
$0.00 |
| 92551 |
|
17 |
17 |
$0.00 |
| 0134A |
|
38 |
38 |
$0.00 |
| D2330 |
|
19 |
14 |
$0.00 |
| 87340 |
|
53 |
52 |
$0.00 |
| 87070 |
|
39 |
39 |
$0.00 |
| 90688 |
|
31 |
31 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
22 |
20 |
$0.00 |
| 84153 |
|
30 |
29 |
$0.00 |
| 99385 |
|
14 |
14 |
$0.00 |
| 90677 |
|
13 |
13 |
$0.00 |
| 3046F |
|
396 |
392 |
$0.00 |
| 82570 |
|
462 |
458 |
$0.00 |
| 3077F |
|
51 |
51 |
$0.00 |
| 81025 |
|
293 |
286 |
$0.00 |
| D4341 |
|
916 |
400 |
$0.00 |
| 99173 |
|
1,346 |
1,334 |
$0.00 |
| 86708 |
|
57 |
56 |
$0.00 |
| 3045F |
|
180 |
180 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
19 |
12 |
$0.00 |
| 99408 |
|
366 |
350 |
$0.00 |
| 99201 |
|
270 |
253 |
$0.00 |
| 90715 |
|
144 |
140 |
$0.00 |
| 2022F |
|
260 |
244 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
465 |
346 |
$0.00 |
| 90746 |
|
62 |
62 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
85 |
81 |
$0.00 |
| 86703 |
|
265 |
261 |
$0.00 |
| 82947 |
|
30 |
30 |
$0.00 |
| 3078F |
|
490 |
473 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
102 |
101 |
$0.00 |
| 80305 |
|
316 |
186 |
$0.00 |
| 86480 |
|
187 |
186 |
$0.00 |
| 80301 |
|
14 |
13 |
$0.00 |
| 3051F |
|
39 |
39 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27 |
27 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
100 |
100 |
$0.00 |
| 3015F |
|
26 |
26 |
$0.00 |
| 90750 |
|
40 |
40 |
$0.00 |
| 90611 |
|
67 |
66 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
15 |
15 |
$0.00 |
| 90649 |
|
53 |
53 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |