| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
246,140 |
209,346 |
$65.37M |
| 00003 |
Internal/system code - not a standard HCPCS code |
16,682 |
14,178 |
$5.28M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
119,032 |
87,633 |
$370K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25,495 |
19,091 |
$110K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,230 |
7,871 |
$67K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24,710 |
19,243 |
$63K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,887 |
6,146 |
$46K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,274 |
6,319 |
$43K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,906 |
3,890 |
$43K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
679 |
485 |
$33K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,177 |
4,506 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,829 |
2,407 |
$27K |
| G9012 |
Other specified case management service not elsewhere classified |
308 |
186 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,586 |
3,491 |
$21K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,057 |
1,062 |
$16K |
| 59425 |
|
340 |
212 |
$13K |
| 90686 |
|
9,474 |
7,909 |
$12K |
| 92551 |
|
18,211 |
14,594 |
$10K |
| 90670 |
|
5,047 |
4,550 |
$10K |
| 90648 |
|
5,401 |
4,833 |
$9K |
| 81025 |
|
5,489 |
4,343 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
321 |
292 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,319 |
1,275 |
$5K |
| 17110 |
|
475 |
316 |
$5K |
| 90723 |
|
3,302 |
2,999 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,428 |
9,432 |
$4K |
| 90837 |
Psychotherapy, 53 minutes with patient |
911 |
462 |
$4K |
| G9920 |
Screening performed and negative |
3,359 |
2,423 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,199 |
1,574 |
$3K |
| 90651 |
|
1,274 |
1,075 |
$3K |
| 90633 |
|
1,613 |
1,417 |
$3K |
| 81002 |
|
13,129 |
8,436 |
$2K |
| 85018 |
|
6,516 |
5,330 |
$2K |
| 96127 |
|
6,899 |
5,244 |
$1K |
| 99173 |
|
18,466 |
16,070 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
273 |
210 |
$1K |
| 92552 |
|
143 |
142 |
$1K |
| 90746 |
|
92 |
89 |
$1K |
| 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 |
94 |
89 |
$1K |
| J3490 |
Unclassified drugs |
36 |
36 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
243 |
152 |
$961.00 |
| 90681 |
|
1,033 |
955 |
$945.00 |
| 0011A |
|
17 |
14 |
$938.00 |
| 92081 |
|
1,152 |
1,149 |
$788.09 |
| 90707 |
|
227 |
208 |
$765.00 |
| 0502F |
|
9,148 |
5,556 |
$723.16 |
| 90677 |
|
525 |
456 |
$711.12 |
| 11102 |
|
48 |
37 |
$692.45 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
72 |
60 |
$648.20 |
| 99215 |
Prolong outpt/office vis |
158 |
135 |
$594.33 |
| 90716 |
|
262 |
228 |
$585.00 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
60 |
32 |
$580.86 |
| 90700 |
|
287 |
257 |
$576.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
63 |
37 |
$542.00 |
| 99385 |
|
28 |
25 |
$361.22 |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,380 |
202 |
$325.95 |
| D0220 |
Intraoral - periapical first radiographic image |
588 |
381 |
$316.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
198 |
139 |
$290.00 |
| 90715 |
|
163 |
127 |
$273.76 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
63 |
51 |
$237.20 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
63 |
54 |
$235.77 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
561 |
484 |
$182.14 |
| 90461 |
|
5,423 |
4,619 |
$174.34 |
| D0274 |
Bitewings - four radiographic images |
81 |
40 |
$172.80 |
| 90734 |
|
470 |
389 |
$171.00 |
| D0330 |
Panoramic radiographic image |
55 |
28 |
$167.00 |
| 99000 |
|
2,935 |
2,396 |
$153.21 |
| 1159F |
|
5,721 |
3,962 |
$144.24 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
87 |
72 |
$129.28 |
| 90656 |
|
1,044 |
962 |
$115.43 |
| D1110 |
Prophylaxis - adult |
19 |
12 |
$105.00 |
| 90710 |
|
104 |
82 |
$81.00 |
| D1206 |
Topical application of fluoride varnish |
70 |
38 |
$78.00 |
| 99381 |
|
116 |
103 |
$45.33 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
63 |
59 |
$37.15 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
14 |
12 |
$33.64 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
265 |
245 |
$27.96 |
| 92015 |
Determination of refractive state |
467 |
451 |
$23.95 |
| 11900 |
|
38 |
27 |
$20.16 |
| 90619 |
|
45 |
31 |
$18.00 |
| 87400 |
|
88 |
75 |
$11.58 |
| 90696 |
|
70 |
57 |
$9.00 |
| 90620 |
|
152 |
140 |
$9.00 |
| 82962 |
|
91 |
87 |
$8.00 |
| Z6400 |
|
2,724 |
2,559 |
$0.00 |
| 3078F |
|
8,334 |
6,148 |
$0.00 |
| 3725F |
|
8,882 |
6,217 |
$0.00 |
| 1160F |
|
4,565 |
3,133 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
18 |
16 |
$0.00 |
| Z6304 |
|
826 |
800 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
34 |
34 |
$0.00 |
| Z6500 |
|
622 |
620 |
$0.00 |
| 90661 |
|
331 |
302 |
$0.00 |
| Z6414 |
|
306 |
260 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
19 |
12 |
$0.00 |
| 90678 |
|
15 |
13 |
$0.00 |
| Z6208 |
|
142 |
141 |
$0.00 |
| Z6308 |
|
128 |
128 |
$0.00 |
| 99401 |
|
12 |
12 |
$0.00 |
| 1036F |
|
2,236 |
1,638 |
$0.00 |
| Z1034 |
|
11,227 |
8,073 |
$0.00 |
| 3074F |
|
8,945 |
6,613 |
$0.00 |
| 3008F |
|
16,177 |
11,890 |
$0.00 |
| Z6204 |
|
885 |
876 |
$0.00 |
| 0500F |
|
307 |
254 |
$0.00 |
| Z6406 |
|
1,711 |
1,459 |
$0.00 |
| Z6410 |
|
1,032 |
758 |
$0.00 |
| Z1032 |
|
424 |
419 |
$0.00 |
| 0501F |
|
898 |
674 |
$0.00 |
| 3079F |
|
613 |
458 |
$0.00 |
| D1330 |
|
256 |
183 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
218 |
172 |
$0.00 |
| 3075F |
|
162 |
117 |
$0.00 |
| 92250 |
|
40 |
40 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
122 |
104 |
$0.00 |
| 2023F |
|
29 |
29 |
$0.00 |
| 0503F |
|
42 |
39 |
$0.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
20 |
13 |
$0.00 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
30 |
30 |
$0.00 |
| Z1038 |
|
54 |
51 |
$0.00 |
| Z6404 |
|
41 |
40 |
$0.00 |
| 92567 |
|
13 |
13 |
$0.00 |
| 17000 |
|
16 |
12 |
$0.00 |
| 90674 |
|
14 |
14 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |