| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
81,945 |
70,498 |
$13.12M |
| 00003 |
Internal/system code - not a standard HCPCS code |
6,180 |
3,712 |
$1.35M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,009 |
21,260 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,525 |
9,996 |
$27K |
| 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 |
503 |
442 |
$23K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
27 |
26 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,656 |
3,148 |
$9K |
| 0011A |
|
216 |
213 |
$6K |
| 0012A |
|
88 |
88 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
756 |
662 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
401 |
349 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
100 |
96 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
465 |
401 |
$3K |
| 90715 |
|
706 |
650 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,946 |
2,435 |
$3K |
| 81002 |
|
3,409 |
2,548 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
1,293 |
1,238 |
$2K |
| 90746 |
|
183 |
164 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
377 |
328 |
$2K |
| 90750 |
|
71 |
58 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
385 |
338 |
$1K |
| 90688 |
|
195 |
189 |
$1K |
| 11976 |
|
24 |
12 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
341 |
294 |
$1K |
| 90686 |
|
888 |
815 |
$1K |
| 81025 |
|
1,042 |
907 |
$904.23 |
| 11981 |
|
12 |
12 |
$731.01 |
| 90651 |
|
282 |
242 |
$688.54 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
446 |
384 |
$670.63 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
358 |
333 |
$614.28 |
| 0064A |
|
80 |
78 |
$536.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,637 |
3,441 |
$518.06 |
| 85018 |
|
401 |
351 |
$467.52 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
41 |
35 |
$442.72 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
86 |
71 |
$382.20 |
| 90732 |
|
29 |
28 |
$381.50 |
| 90707 |
|
149 |
128 |
$332.63 |
| 58301 |
|
20 |
14 |
$331.54 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
286 |
263 |
$190.43 |
| 93000 |
|
356 |
305 |
$162.17 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
35 |
30 |
$137.80 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
262 |
227 |
$133.40 |
| 90682 |
|
31 |
28 |
$124.46 |
| 3078F |
|
1,445 |
1,269 |
$76.15 |
| 92552 |
|
104 |
88 |
$63.82 |
| 99188 |
|
537 |
490 |
$63.00 |
| 82962 |
|
615 |
519 |
$55.33 |
| J3490 |
Unclassified drugs |
13 |
12 |
$45.00 |
| 90716 |
|
101 |
86 |
$36.00 |
| 90700 |
|
23 |
17 |
$27.00 |
| 3079F |
|
499 |
469 |
$24.04 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,531 |
1,504 |
$18.84 |
| 99173 |
|
375 |
320 |
$4.03 |
| 99383 |
|
19 |
13 |
$3.36 |
| 3074F |
|
1,725 |
1,536 |
$0.00 |
| Z1034 |
|
2,251 |
1,649 |
$0.00 |
| Z6410 |
|
671 |
624 |
$0.00 |
| Z6402 |
|
272 |
271 |
$0.00 |
| Z6204 |
|
312 |
309 |
$0.00 |
| 90744 |
|
107 |
103 |
$0.00 |
| 90680 |
|
124 |
123 |
$0.00 |
| 91301 |
|
122 |
122 |
$0.00 |
| 92551 |
|
80 |
66 |
$0.00 |
| Z6406 |
|
352 |
351 |
$0.00 |
| 90698 |
|
196 |
191 |
$0.00 |
| Z1032 |
|
15 |
15 |
$0.00 |
| 3075F |
|
206 |
193 |
$0.00 |
| 3080F |
|
15 |
14 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
14 |
13 |
$0.00 |
| 99381 |
|
44 |
43 |
$0.00 |
| 99385 |
|
12 |
12 |
$0.00 |
| 91306 |
|
73 |
73 |
$0.00 |
| 90620 |
|
14 |
14 |
$0.00 |
| 91305 |
|
12 |
12 |
$0.00 |
| Z6300 |
|
271 |
270 |
$0.00 |
| Z6304 |
|
338 |
337 |
$0.00 |
| 90670 |
|
375 |
348 |
$0.00 |
| Z6400 |
|
296 |
296 |
$0.00 |
| 3077F |
|
179 |
169 |
$0.00 |
| Z6200 |
|
193 |
192 |
$0.00 |
| 90734 |
|
125 |
112 |
$0.00 |
| Z6414 |
|
12 |
12 |
$0.00 |
| 90633 |
|
20 |
15 |
$0.00 |
| 91300 |
|
15 |
15 |
$0.00 |
| 99201 |
|
15 |
15 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$0.00 |