| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
141,124 |
119,038 |
$38.13M |
| 00003 |
Internal/system code - not a standard HCPCS code |
19,597 |
16,505 |
$6.52M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
96,384 |
74,521 |
$309K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,423 |
3,036 |
$125K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,468 |
5,339 |
$110K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,289 |
1,982 |
$56K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,452 |
989 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,141 |
15,411 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,221 |
2,769 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,174 |
2,638 |
$20K |
| 90837 |
Psychotherapy, 53 minutes with patient |
431 |
177 |
$20K |
| 92551 |
|
11,749 |
10,232 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,175 |
1,736 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,322 |
4,727 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,342 |
7,647 |
$9K |
| 92015 |
Determination of refractive state |
4,192 |
3,180 |
$8K |
| 90686 |
|
3,351 |
2,887 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,744 |
2,264 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,453 |
2,005 |
$6K |
| 90832 |
Psychotherapy, 30 minutes with patient |
737 |
393 |
$5K |
| D4910 |
|
239 |
163 |
$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 |
204 |
202 |
$5K |
| 99406 |
|
4,846 |
4,210 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
944 |
798 |
$2K |
| 83655 |
|
989 |
707 |
$2K |
| 99173 |
|
19,420 |
16,843 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
84 |
60 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
355 |
262 |
$1K |
| D1206 |
Topical application of fluoride varnish |
216 |
151 |
$1K |
| 85018 |
|
4,582 |
3,759 |
$1K |
| D4341 |
|
74 |
14 |
$1K |
| G9012 |
Other specified case management service not elsewhere classified |
43 |
38 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
107 |
83 |
$841.32 |
| 81025 |
|
1,536 |
1,378 |
$778.19 |
| D0220 |
Intraoral - periapical first radiographic image |
335 |
211 |
$735.00 |
| 0012A |
|
62 |
56 |
$730.39 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,424 |
2,040 |
$697.00 |
| D0120 |
Periodic oral evaluation - established patient |
74 |
56 |
$693.00 |
| 90677 |
|
398 |
364 |
$658.24 |
| 82962 |
|
6,780 |
5,517 |
$626.01 |
| 99384 |
|
133 |
122 |
$599.59 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,649 |
1,456 |
$531.86 |
| 90651 |
|
556 |
472 |
$530.25 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
46 |
24 |
$520.12 |
| 90633 |
|
581 |
460 |
$486.00 |
| 90670 |
|
679 |
541 |
$461.84 |
| 90734 |
|
310 |
260 |
$423.60 |
| 90715 |
|
373 |
329 |
$395.32 |
| 3008F |
|
53,095 |
39,819 |
$369.68 |
| 90710 |
|
173 |
126 |
$288.00 |
| 0011A |
|
66 |
64 |
$218.94 |
| 3074F |
|
21,889 |
17,722 |
$152.37 |
| 90680 |
|
423 |
376 |
$142.24 |
| 90656 |
|
125 |
117 |
$105.65 |
| 81002 |
|
3,201 |
2,331 |
$94.39 |
| 90700 |
|
143 |
103 |
$90.00 |
| 99381 |
|
124 |
120 |
$89.76 |
| 90713 |
|
152 |
117 |
$72.00 |
| D9430 |
|
20 |
13 |
$66.00 |
| 90685 |
|
74 |
55 |
$63.00 |
| 90716 |
|
17 |
12 |
$54.00 |
| 99383 |
|
80 |
79 |
$49.01 |
| 3075F |
|
4,026 |
3,321 |
$40.08 |
| 3079F |
|
9,034 |
7,406 |
$40.06 |
| 3077F |
|
4,502 |
3,572 |
$30.07 |
| 90697 |
|
383 |
358 |
$27.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
20 |
12 |
$21.60 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
48 |
40 |
$20.76 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
6,619 |
5,283 |
$15.01 |
| 36415 |
Collection of venous blood by venipuncture |
1,030 |
1,013 |
$12.60 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
5,663 |
4,566 |
$10.09 |
| 90723 |
|
83 |
64 |
$9.00 |
| 90696 |
|
18 |
12 |
$9.00 |
| 99000 |
|
707 |
698 |
$6.90 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
120 |
110 |
$6.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
31 |
27 |
$3.00 |
| 3078F |
|
19,496 |
15,891 |
$0.11 |
| 3080F |
|
2,014 |
1,599 |
$0.03 |
| 3046F |
|
64 |
62 |
$0.02 |
| Z6304 |
|
209 |
198 |
$0.00 |
| Z6400 |
|
158 |
145 |
$0.00 |
| 99001 |
|
367 |
231 |
$0.00 |
| 0502F |
|
461 |
313 |
$0.00 |
| 90750 |
|
27 |
24 |
$0.00 |
| 90648 |
|
62 |
43 |
$0.00 |
| D0191 |
|
45 |
44 |
$0.00 |
| D9993 |
|
12 |
12 |
$0.00 |
| 99382 |
|
31 |
31 |
$0.00 |
| Z6500 |
|
116 |
107 |
$0.00 |
| Z1034 |
|
3,630 |
2,313 |
$0.00 |
| 91301 |
|
131 |
123 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,601 |
1,277 |
$0.00 |
| Z6406 |
|
209 |
198 |
$0.00 |
| D0603 |
|
62 |
57 |
$0.00 |
| 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 |
1,978 |
1,727 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$0.00 |
| 3044F |
|
148 |
118 |
$0.00 |
| Z6204 |
|
208 |
197 |
$0.00 |
| 88150 |
|
626 |
554 |
$0.00 |
| D1330 |
|
321 |
226 |
$0.00 |
| 94760 |
|
51 |
42 |
$0.00 |
| Z1032 |
|
296 |
290 |
$0.00 |
| Z6410 |
|
258 |
242 |
$0.00 |
| 0500F |
|
28 |
28 |
$0.00 |
| D0601 |
|
13 |
13 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
164 |
93 |
$0.00 |
| D9999 |
Unspecified adjunctive procedure, by report |
13 |
13 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
50 |
50 |
$0.00 |
| 3052F |
|
14 |
14 |
$0.00 |
| D1310 |
|
14 |
13 |
$0.00 |