| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
110,140 |
97,441 |
$10.89M |
| 00003 |
Internal/system code - not a standard HCPCS code |
465 |
465 |
$72K |
| 0002A |
|
1,032 |
546 |
$57K |
| 0001A |
|
758 |
405 |
$41K |
| 90834 |
Psychotherapy, 45 minutes with patient |
5,933 |
3,808 |
$20K |
| 0072A |
|
113 |
113 |
$7K |
| 90832 |
Psychotherapy, 30 minutes with patient |
6,003 |
3,758 |
$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 |
432 |
364 |
$6K |
| 0071A |
|
71 |
70 |
$5K |
| 0004A |
|
59 |
59 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
91,342 |
77,458 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
700 |
525 |
$2K |
| 0011A |
|
33 |
27 |
$1K |
| 90688 |
|
3,869 |
3,307 |
$1K |
| 0124A |
|
117 |
117 |
$1K |
| 0082A |
|
12 |
12 |
$753.75 |
| 0074A |
|
13 |
13 |
$753.75 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,818 |
2,569 |
$171.70 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
32,515 |
26,816 |
$110.42 |
| 99215 |
Prolong outpt/office vis |
134 |
103 |
$57.20 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,392 |
7,672 |
$43.41 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,411 |
10,118 |
$31.88 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
8,688 |
5,500 |
$29.68 |
| G9920 |
Screening performed and negative |
8,509 |
7,435 |
$29.00 |
| 90686 |
|
3,908 |
3,481 |
$9.00 |
| 92551 |
|
17,604 |
15,702 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
6,471 |
5,780 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
822 |
815 |
$0.00 |
| 99000 |
|
16,886 |
15,655 |
$0.00 |
| 90660 |
|
805 |
599 |
$0.00 |
| 96156 |
|
14,303 |
12,253 |
$0.00 |
| 85018 |
|
12,625 |
10,846 |
$0.00 |
| 96127 |
|
1,981 |
1,964 |
$0.00 |
| 90620 |
|
730 |
568 |
$0.00 |
| 3074F |
|
607 |
592 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,269 |
1,269 |
$0.00 |
| 90656 |
|
700 |
573 |
$0.00 |
| 87430 |
|
705 |
589 |
$0.00 |
| 81005 |
|
1,513 |
1,080 |
$0.00 |
| 90744 |
|
306 |
278 |
$0.00 |
| 90480 |
|
485 |
429 |
$0.00 |
| 90674 |
|
17 |
17 |
$0.00 |
| 90698 |
|
832 |
730 |
$0.00 |
| 90697 |
|
353 |
300 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
139 |
139 |
$0.00 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
1,218 |
413 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
103 |
65 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
61 |
61 |
$0.00 |
| 90696 |
|
68 |
56 |
$0.00 |
| 3079F |
|
78 |
76 |
$0.00 |
| 90677 |
|
603 |
509 |
$0.00 |
| 99441 |
|
201 |
188 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
52 |
52 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
166 |
138 |
$0.00 |
| 99381 |
|
25 |
24 |
$0.00 |
| 3008F |
|
16 |
16 |
$0.00 |
| 99385 |
|
12 |
12 |
$0.00 |
| 3075F |
|
27 |
27 |
$0.00 |
| 91317 |
|
12 |
12 |
$0.00 |
| 90716 |
|
16 |
15 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
8,798 |
7,836 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,466 |
5,747 |
$0.00 |
| 90734 |
|
1,097 |
864 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16,612 |
13,870 |
$0.00 |
| 90461 |
|
5,278 |
4,545 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,930 |
5,967 |
$0.00 |
| 99173 |
|
18,316 |
16,223 |
$0.00 |
| 91320 |
|
55 |
36 |
$0.00 |
| 90671 |
|
362 |
288 |
$0.00 |
| 90672 |
|
1,809 |
1,614 |
$0.00 |
| 90633 |
|
837 |
688 |
$0.00 |
| 81002 |
|
1,814 |
1,442 |
$0.00 |
| 3078F |
|
693 |
673 |
$0.00 |
| 59425 |
|
410 |
299 |
$0.00 |
| 90649 |
|
1,401 |
1,124 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
64 |
64 |
$0.00 |
| 97810 |
|
1,386 |
529 |
$0.00 |
| 98940 |
|
946 |
315 |
$0.00 |
| 90670 |
|
531 |
489 |
$0.00 |
| 90785 |
|
105 |
74 |
$0.00 |
| 96160 |
|
96 |
96 |
$0.00 |
| 91308 |
|
50 |
42 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
131 |
116 |
$0.00 |
| 92015 |
Determination of refractive state |
12 |
12 |
$0.00 |
| 82948 |
|
195 |
188 |
$0.00 |
| 90707 |
|
172 |
135 |
$0.00 |
| G0397 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
33 |
33 |
$0.00 |
| 90710 |
|
365 |
295 |
$0.00 |
| 90715 |
|
140 |
103 |
$0.00 |
| 81025 |
|
207 |
142 |
$0.00 |
| 91312 |
|
94 |
83 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
112 |
39 |
$0.00 |
| 90681 |
|
207 |
183 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
25 |
25 |
$0.00 |
| 99442 |
|
38 |
36 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |
| 3077F |
|
17 |
16 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
53 |
53 |
$0.00 |