| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00003 |
Internal/system code - not a standard HCPCS code |
99,115 |
47,012 |
$15.40M |
| T1015 |
Clinic visit/encounter, all-inclusive |
59,898 |
46,209 |
$6.70M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,597 |
20,375 |
$638K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40,050 |
26,573 |
$622K |
| 59425 |
|
2,328 |
1,530 |
$184K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,297 |
6,603 |
$130K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,710 |
1,268 |
$82K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,291 |
1,267 |
$80K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,107 |
1,270 |
$73K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,616 |
935 |
$68K |
| 0012A |
|
1,643 |
1,631 |
$65K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,226 |
713 |
$61K |
| 0011A |
|
1,722 |
1,700 |
$60K |
| 92551 |
|
5,570 |
3,379 |
$58K |
| 90686 |
|
4,516 |
3,254 |
$58K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
671 |
458 |
$47K |
| 90715 |
|
1,450 |
964 |
$31K |
| 90651 |
|
476 |
310 |
$24K |
| 90670 |
|
1,747 |
1,046 |
$17K |
| 0013A |
|
404 |
404 |
$16K |
| 90648 |
|
1,285 |
753 |
$12K |
| 99173 |
|
4,888 |
3,023 |
$12K |
| 85018 |
|
9,094 |
5,526 |
$11K |
| 90680 |
|
1,068 |
660 |
$10K |
| 90633 |
|
994 |
590 |
$10K |
| 0001A |
|
234 |
234 |
$9K |
| 90716 |
|
859 |
527 |
$9K |
| 90723 |
|
921 |
547 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
370 |
229 |
$8K |
| 0002A |
|
191 |
191 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,273 |
1,023 |
$7K |
| 0071A |
|
169 |
169 |
$7K |
| 92250 |
|
107 |
107 |
$7K |
| 90656 |
|
453 |
371 |
$7K |
| 99401 |
|
474 |
373 |
$6K |
| 90707 |
|
591 |
357 |
$6K |
| 99215 |
Prolong outpt/office vis |
173 |
120 |
$6K |
| J3490 |
Unclassified drugs |
185 |
146 |
$6K |
| 0072A |
|
143 |
143 |
$6K |
| 90750 |
|
35 |
28 |
$6K |
| 0064A |
|
134 |
134 |
$5K |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
1,446 |
1,240 |
$5K |
| 90677 |
|
216 |
162 |
$5K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
50 |
49 |
$5K |
| 81025 |
|
2,365 |
1,834 |
$5K |
| 81002 |
|
6,015 |
4,118 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
108 |
76 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
64 |
51 |
$3K |
| 90697 |
|
222 |
149 |
$2K |
| 90734 |
|
223 |
125 |
$2K |
| 92552 |
|
58 |
58 |
$2K |
| 90619 |
|
108 |
68 |
$2K |
| 99386 |
|
17 |
14 |
$2K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
116 |
102 |
$2K |
| 83655 |
|
327 |
183 |
$2K |
| 0003A |
|
38 |
38 |
$2K |
| 0052A |
|
37 |
37 |
$1K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
14 |
14 |
$1K |
| 90700 |
|
119 |
64 |
$1K |
| 97803 |
|
82 |
69 |
$1K |
| 96158 |
|
112 |
63 |
$1K |
| 99384 |
|
20 |
13 |
$1K |
| 0051A |
|
26 |
26 |
$1K |
| 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 |
76 |
70 |
$948.48 |
| 0054A |
|
22 |
22 |
$880.00 |
| 99383 |
|
21 |
13 |
$877.20 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
101 |
66 |
$730.97 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
81 |
77 |
$727.88 |
| 96156 |
|
48 |
48 |
$597.34 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
51 |
42 |
$261.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
42 |
39 |
$223.36 |
| 90620 |
|
22 |
12 |
$198.00 |
| 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 |
3,932 |
3,824 |
$169.18 |
| 87800 |
|
115 |
107 |
$160.18 |
| 86580 |
|
26 |
26 |
$44.59 |
| Z1034 |
|
2,684 |
1,830 |
$0.00 |
| 99443 |
|
77 |
71 |
$0.00 |
| Z1032 |
|
53 |
49 |
$0.00 |
| Z6204 |
|
177 |
150 |
$0.00 |
| Z6406 |
|
619 |
489 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
19 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
16 |
12 |
$0.00 |
| Z6400 |
|
280 |
249 |
$0.00 |
| Z6304 |
|
168 |
117 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
35 |
26 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
23 |
23 |
$0.00 |
| Z6300 |
|
13 |
13 |
$0.00 |