| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
392,987 |
354,424 |
$135.81M |
| 0510 |
|
297,972 |
280,974 |
$24.31M |
| 00003 |
Internal/system code - not a standard HCPCS code |
14,805 |
12,221 |
$6.32M |
| 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 |
11,283 |
10,440 |
$2.18M |
| 99078 |
|
11,331 |
3,967 |
$314K |
| 90832 |
Psychotherapy, 30 minutes with patient |
11,912 |
2,677 |
$285K |
| 0001A |
|
12,166 |
9,708 |
$276K |
| 0002A |
|
12,039 |
9,507 |
$263K |
| 96158 |
|
6,195 |
1,404 |
$145K |
| 90791 |
Psychiatric diagnostic evaluation |
4,622 |
1,425 |
$113K |
| 0011A |
|
3,271 |
2,535 |
$84K |
| 0054A |
|
2,080 |
2,080 |
$84K |
| 0012A |
|
3,035 |
2,443 |
$83K |
| 0004A |
|
2,065 |
2,064 |
$74K |
| 0124A |
|
1,313 |
1,279 |
$67K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
2,028 |
400 |
$56K |
| 0064A |
|
1,502 |
1,502 |
$55K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,352 |
325 |
$40K |
| 96153 |
|
1,065 |
242 |
$27K |
| 90834 |
Psychotherapy, 45 minutes with patient |
834 |
215 |
$24K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
455 |
396 |
$21K |
| 0134A |
|
377 |
377 |
$20K |
| 0071A |
|
432 |
429 |
$15K |
| 96152 |
|
369 |
80 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12,930 |
8,579 |
$13K |
| 0052A |
|
298 |
298 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
233,188 |
152,191 |
$11K |
| 0081A |
|
155 |
155 |
$10K |
| 97802 |
|
129 |
126 |
$10K |
| 0031A |
|
362 |
258 |
$8K |
| S0197 |
Prenatal vitamins, 30-day supply |
1,126 |
1,044 |
$7K |
| 0082A |
|
107 |
107 |
$7K |
| 0074A |
|
86 |
86 |
$6K |
| 0051A |
|
155 |
155 |
$6K |
| Z7500 |
|
198,288 |
186,993 |
$6K |
| 0154A |
|
88 |
88 |
$5K |
| 91322 |
|
33 |
33 |
$4K |
| 0003A |
|
91 |
91 |
$3K |
| 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 |
16 |
12 |
$3K |
| 0072A |
|
56 |
56 |
$3K |
| 90480 |
|
77 |
77 |
$2K |
| 0013A |
|
62 |
62 |
$2K |
| 99401 |
|
157 |
152 |
$2K |
| 0173A |
|
29 |
29 |
$2K |
| 96150 |
|
142 |
109 |
$2K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
15 |
14 |
$1K |
| 0112A |
|
16 |
16 |
$1K |
| 0111A |
|
14 |
14 |
$938.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
41,252 |
35,504 |
$849.02 |
| 36415 |
Collection of venous blood by venipuncture |
77,195 |
71,232 |
$709.72 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
5,545 |
5,038 |
$654.36 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
6,165 |
5,920 |
$532.59 |
| 84443 |
Thyroid stimulating hormone (TSH) |
8,380 |
8,075 |
$514.72 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
15,398 |
10,239 |
$456.34 |
| 80053 |
Comprehensive metabolic panel |
7,893 |
7,580 |
$454.89 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,055 |
780 |
$374.46 |
| 87536 |
|
132 |
129 |
$331.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,367 |
8,963 |
$328.60 |
| 86803 |
|
1,628 |
1,615 |
$266.40 |
| 83721 |
|
9,253 |
9,009 |
$264.24 |
| 85027 |
|
12,116 |
11,464 |
$248.13 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
946 |
529 |
$231.00 |
| 83718 |
|
4,699 |
4,530 |
$217.73 |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
526 |
516 |
$201.00 |
| 82465 |
|
4,682 |
4,513 |
$197.32 |
| 80076 |
|
3,767 |
3,688 |
$165.90 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
63,765 |
38,408 |
$164.08 |
| 82607 |
|
2,672 |
2,530 |
$161.50 |
| 82728 |
|
1,408 |
1,296 |
$144.08 |
| 59025 |
Fetal non-stress test |
1,145 |
596 |
$107.40 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,458 |
1,934 |
$106.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,500 |
1,961 |
$106.00 |
| 84466 |
|
1,173 |
1,074 |
$96.09 |
| 80061 |
Lipid panel |
2,340 |
2,250 |
$94.50 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,498 |
2,187 |
$92.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
2,995 |
2,897 |
$91.40 |
| 81001 |
|
813 |
720 |
$85.00 |
| 83540 |
|
1,216 |
1,107 |
$79.94 |
| 87340 |
|
1,246 |
1,222 |
$74.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,586 |
1,587 |
$69.00 |
| 86850 |
|
2,023 |
1,961 |
$64.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,655 |
1,171 |
$59.90 |
| 84450 |
|
811 |
786 |
$55.96 |
| 82565 |
|
1,950 |
1,914 |
$49.80 |
| 84460 |
|
1,488 |
1,446 |
$48.10 |
| 85652 |
|
1,313 |
1,274 |
$40.20 |
| 90686 |
|
35,916 |
16,074 |
$38.10 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
278 |
216 |
$35.81 |
| 86901 |
|
2,023 |
1,961 |
$33.00 |
| 86900 |
|
2,023 |
1,961 |
$33.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
3,417 |
3,246 |
$32.76 |
| Q3014 |
Telehealth originating site facility fee |
97,543 |
52,276 |
$28.15 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
41,816 |
30,046 |
$26.13 |
| 86592 |
|
1,304 |
1,276 |
$22.00 |
| 86787 |
|
1,405 |
1,377 |
$22.00 |
| 86762 |
|
1,540 |
1,496 |
$20.00 |
| 83655 |
|
1,528 |
1,511 |
$14.50 |
| 86364 |
|
183 |
183 |
$11.53 |
| 82784 |
|
362 |
356 |
$6.08 |
| 90680 |
|
3,208 |
1,288 |
$0.00 |
| Z1034 |
|
10,285 |
8,432 |
$0.00 |
| Z7610 |
|
2,484 |
2,317 |
$0.00 |
| 88142 |
|
1,806 |
1,318 |
$0.00 |
| 90651 |
|
594 |
361 |
$0.00 |
| J3490 |
Unclassified drugs |
4,027 |
3,600 |
$0.00 |
| 85018 |
|
787 |
680 |
$0.00 |
| 90647 |
|
9,537 |
3,625 |
$0.00 |
| 0271 |
|
357 |
323 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
1,041 |
758 |
$0.00 |
| G0399 |
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation |
900 |
886 |
$0.00 |
| 88720 |
|
3,225 |
2,198 |
$0.00 |
| 90656 |
|
5,666 |
2,572 |
$0.00 |
| 84703 |
|
266 |
264 |
$0.00 |
| 82043 |
|
207 |
177 |
$0.00 |
| Z6406 |
|
42 |
42 |
$0.00 |
| 90677 |
|
2,572 |
1,619 |
$0.00 |
| 90739 |
|
2,398 |
1,757 |
$0.00 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
4,125 |
856 |
$0.00 |
| 86160 |
|
156 |
151 |
$0.00 |
| 90716 |
|
1,971 |
721 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,300 |
1,193 |
$0.00 |
| 86481 |
|
157 |
154 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
307 |
101 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
970 |
613 |
$0.00 |
| 86704 |
|
63 |
62 |
$0.00 |
| 92567 |
|
263 |
262 |
$0.00 |
| 90723 |
|
1,772 |
698 |
$0.00 |
| 86706 |
|
29 |
29 |
$0.00 |
| D1310 |
|
175 |
148 |
$0.00 |
| 90688 |
|
88 |
82 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,100 |
667 |
$0.00 |
| Z6402 |
|
61 |
60 |
$0.00 |
| H2000 |
Comprehensive multidisciplinary evaluation |
95 |
95 |
$0.00 |
| V5008 |
Hearing screening |
42 |
26 |
$0.00 |
| 87625 |
|
701 |
502 |
$0.00 |
| Z6404 |
|
1,064 |
1,037 |
$0.00 |
| Z6410 |
|
2,768 |
2,553 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
427 |
319 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
449 |
306 |
$0.00 |
| 20610 |
|
293 |
105 |
$0.00 |
| 90619 |
|
168 |
104 |
$0.00 |
| 92250 |
|
4,310 |
2,155 |
$0.00 |
| 99243 |
|
210 |
109 |
$0.00 |
| 86141 |
|
259 |
253 |
$0.00 |
| 86800 |
|
25 |
25 |
$0.00 |
| 84478 |
|
26 |
26 |
$0.00 |
| 82670 |
|
195 |
194 |
$0.00 |
| 97139 |
|
257 |
114 |
$0.00 |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
85 |
55 |
$0.00 |
| 83520 |
|
105 |
105 |
$0.00 |
| 82105 |
|
53 |
53 |
$0.00 |
| Z1032 |
|
119 |
112 |
$0.00 |
| 86355 |
|
64 |
64 |
$0.00 |
| 86225 |
|
65 |
62 |
$0.00 |
| 83735 |
|
190 |
186 |
$0.00 |
| 83921 |
|
31 |
31 |
$0.00 |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
197 |
139 |
$0.00 |
| 84132 |
|
93 |
91 |
$0.00 |
| 99024 |
|
84 |
45 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
41 |
38 |
$0.00 |
| 86376 |
|
37 |
37 |
$0.00 |
| 82746 |
|
16 |
16 |
$0.00 |
| 83519 |
|
56 |
54 |
$0.00 |
| 92002 |
|
73 |
50 |
$0.00 |
| 92082 |
|
100 |
50 |
$0.00 |
| 82950 |
|
16 |
13 |
$0.00 |
| Z6204 |
|
29 |
29 |
$0.00 |
| 90674 |
|
218 |
215 |
$0.00 |
| 83880 |
|
12 |
12 |
$0.00 |
| 84153 |
|
17 |
12 |
$0.00 |
| 82040 |
|
17 |
16 |
$0.00 |
| 90381 |
|
23 |
12 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
79,721 |
42,736 |
$0.00 |
| 81002 |
|
13,018 |
6,725 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,095 |
5,360 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
6,575 |
3,780 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14,991 |
8,981 |
$0.00 |
| Z6400 |
|
1,743 |
1,735 |
$0.00 |
| 95801 |
|
873 |
871 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
11,016 |
7,688 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22,134 |
12,755 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,456 |
983 |
$0.00 |
| 99188 |
|
150 |
87 |
$0.00 |
| 90633 |
|
5,593 |
2,054 |
$0.00 |
| 90750 |
|
1,397 |
899 |
$0.00 |
| 90670 |
|
7,051 |
3,030 |
$0.00 |
| 84155 |
|
257 |
249 |
$0.00 |
| 59425 |
|
1,391 |
1,083 |
$0.00 |
| 90649 |
|
1,568 |
959 |
$0.00 |
| 84520 |
|
176 |
171 |
$0.00 |
| 83013 |
|
174 |
172 |
$0.00 |
| 90707 |
|
1,372 |
488 |
$0.00 |
| 84165 |
|
257 |
249 |
$0.00 |
| Z6302 |
|
926 |
922 |
$0.00 |
| Z6304 |
|
105 |
94 |
$0.00 |
| 97810 |
|
6,424 |
1,445 |
$0.00 |
| Z6500 |
|
898 |
853 |
$0.00 |
| 85014 |
|
498 |
448 |
$0.00 |
| 81025 |
|
1,105 |
848 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,735 |
1,235 |
$0.00 |
| 90756 |
|
15 |
15 |
$0.00 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
48 |
24 |
$0.00 |
| 82947 |
|
222 |
214 |
$0.00 |
| Z6202 |
|
980 |
974 |
$0.00 |
| S4993 |
Contraceptive pills for birth control |
353 |
337 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,347 |
2,467 |
$0.00 |
| 92133 |
|
128 |
89 |
$0.00 |
| 92557 |
|
320 |
319 |
$0.00 |
| 99201 |
|
1,141 |
929 |
$0.00 |
| 90700 |
|
2,527 |
870 |
$0.00 |
| 99173 |
|
65 |
38 |
$0.00 |
| 90715 |
|
998 |
599 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
694 |
360 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
437 |
421 |
$0.00 |
| 81329 |
|
376 |
376 |
$0.00 |
| 86708 |
|
66 |
65 |
$0.00 |
| 81510 |
|
193 |
181 |
$0.00 |
| 0272 |
|
702 |
695 |
$0.00 |
| 90662 |
|
305 |
259 |
$0.00 |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
245 |
242 |
$0.00 |
| 83068 |
|
313 |
310 |
$0.00 |
| 86038 |
|
285 |
283 |
$0.00 |
| 81420 |
Fetal chromosomal aneuploidy genomic sequence analysis panel |
230 |
227 |
$0.00 |
| Z6300 |
|
29 |
29 |
$0.00 |
| 92588 |
|
13 |
12 |
$0.00 |
| 90648 |
|
775 |
509 |
$0.00 |
| 81003 |
|
816 |
775 |
$0.00 |
| 84425 |
|
147 |
146 |
$0.00 |
| Z6414 |
|
89 |
79 |
$0.00 |
| 90671 |
|
353 |
232 |
$0.00 |
| 86359 |
|
64 |
64 |
$0.00 |
| 98940 |
|
1,437 |
268 |
$0.00 |
| 86480 |
|
308 |
300 |
$0.00 |
| 82274 |
|
51 |
50 |
$0.00 |
| 82570 |
|
282 |
246 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
34 |
25 |
$0.00 |
| 97811 |
|
520 |
93 |
$0.00 |
| 86360 |
|
26 |
26 |
$0.00 |
| 86431 |
|
188 |
188 |
$0.00 |
| 90713 |
|
600 |
228 |
$0.00 |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
93 |
52 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
54 |
26 |
$0.00 |
| 85610 |
|
90 |
86 |
$0.00 |
| 84439 |
|
19 |
19 |
$0.00 |
| 84100 |
|
39 |
38 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
34 |
25 |
$0.00 |
| Z6200 |
|
49 |
49 |
$0.00 |
| 86200 |
|
41 |
41 |
$0.00 |
| 92582 |
|
13 |
12 |
$0.00 |
| 97813 |
|
374 |
91 |
$0.00 |
| 87210 |
|
13 |
12 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 86235 |
|
14 |
13 |
$0.00 |