| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
27,425 |
20,313 |
$3.62M |
| 00003 |
Internal/system code - not a standard HCPCS code |
6,138 |
5,057 |
$1.58M |
| G9012 |
Other specified case management service not elsewhere classified |
11,669 |
5,815 |
$341K |
| H0043 |
Supported housing, per diem |
730 |
435 |
$206K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,197 |
10,097 |
$18K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,668 |
1,305 |
$11K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,236 |
616 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,721 |
1,309 |
$3K |
| 92015 |
Determination of refractive state |
1,618 |
1,264 |
$2K |
| H2016 |
Comprehensive community support services, per diem |
2,572 |
1,269 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
147 |
146 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
325 |
289 |
$825.39 |
| 90832 |
Psychotherapy, 30 minutes with patient |
565 |
364 |
$610.47 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,993 |
1,832 |
$559.84 |
| 99000 |
|
185 |
172 |
$194.48 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
738 |
727 |
$161.88 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
16 |
12 |
$117.90 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,409 |
2,254 |
$85.97 |
| 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 |
15 |
15 |
$77.95 |
| 86803 |
|
444 |
437 |
$75.42 |
| 80053 |
Comprehensive metabolic panel |
1,410 |
1,392 |
$64.60 |
| 80061 |
Lipid panel |
861 |
855 |
$46.16 |
| 85027 |
|
1,136 |
1,124 |
$28.49 |
| 87806 |
|
33 |
30 |
$26.21 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
508 |
496 |
$26.15 |
| 90686 |
|
192 |
192 |
$25.98 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
184 |
175 |
$18.56 |
| 86592 |
|
637 |
611 |
$14.58 |
| 86780 |
|
19 |
16 |
$11.40 |
| 82962 |
|
1,807 |
1,636 |
$10.74 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
515 |
511 |
$8.54 |
| 87899 |
|
33 |
30 |
$4.87 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
471 |
464 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,819 |
1,776 |
$0.00 |
| 81001 |
|
196 |
191 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,335 |
691 |
$0.00 |
| 3008F |
|
2,217 |
2,126 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
117 |
113 |
$0.00 |
| D1330 |
|
240 |
238 |
$0.00 |
| 4000F |
|
548 |
524 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
373 |
371 |
$0.00 |
| D5899 |
|
173 |
160 |
$0.00 |
| 82043 |
|
55 |
54 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
434 |
222 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
102 |
101 |
$0.00 |
| 3044F |
|
82 |
80 |
$0.00 |
| D0603 |
|
145 |
145 |
$0.00 |
| G9007 |
Coordinated care fee, scheduled team conference |
383 |
237 |
$0.00 |
| 86704 |
|
16 |
16 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
93 |
93 |
$0.00 |
| 90656 |
|
29 |
29 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
19 |
12 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
13 |
12 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$0.00 |
| 86580 |
|
35 |
35 |
$0.00 |
| 93000 |
|
13 |
13 |
$0.00 |
| G0472 |
Hepatitis c antibody screening, for individual at high risk and other covered indication(s) |
32 |
29 |
$0.00 |
| 96127 |
|
14 |
14 |
$0.00 |
| 82570 |
|
54 |
53 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
1,160 |
1,120 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
120 |
120 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
451 |
450 |
$0.00 |
| D4341 |
|
261 |
107 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
117 |
116 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
30 |
24 |
$0.00 |
| 81025 |
|
12 |
12 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
32 |
30 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
84 |
42 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
60 |
57 |
$0.00 |
| 90715 |
|
21 |
21 |
$0.00 |
| 81003 |
|
41 |
40 |
$0.00 |
| 99408 |
|
32 |
30 |
$0.00 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$0.00 |
| 86708 |
|
14 |
14 |
$0.00 |