| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
105,538 |
91,709 |
$16.73M |
| 00003 |
Internal/system code - not a standard HCPCS code |
40,358 |
37,395 |
$8.84M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
96,953 |
55,915 |
$195K |
| 90834 |
Psychotherapy, 45 minutes with patient |
6,460 |
3,060 |
$108K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32,100 |
17,336 |
$90K |
| 90686 |
|
6,445 |
4,028 |
$54K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
3,465 |
3,327 |
$51K |
| 90677 |
|
674 |
444 |
$50K |
| 90791 |
Psychiatric diagnostic evaluation |
1,264 |
884 |
$43K |
| 90739 |
|
448 |
303 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,939 |
6,496 |
$38K |
| 59430 |
|
423 |
341 |
$25K |
| 0011A |
|
593 |
461 |
$20K |
| H1000 |
Prenatal care, at-risk assessment |
121 |
111 |
$16K |
| 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 |
652 |
594 |
$15K |
| 0012A |
|
387 |
320 |
$14K |
| 90715 |
|
599 |
395 |
$11K |
| 90656 |
|
938 |
630 |
$10K |
| 96156 |
|
528 |
398 |
$9K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
243 |
231 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
502 |
377 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,904 |
6,243 |
$8K |
| 99401 |
|
496 |
436 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,083 |
701 |
$7K |
| 90651 |
|
812 |
519 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
196 |
110 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,984 |
1,190 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,550 |
1,503 |
$4K |
| 90633 |
|
780 |
461 |
$4K |
| 97803 |
|
236 |
150 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,579 |
865 |
$3K |
| 90662 |
|
280 |
221 |
$3K |
| 83655 |
|
493 |
283 |
$3K |
| 90670 |
|
549 |
372 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,364 |
2,214 |
$3K |
| 59025 |
Fetal non-stress test |
167 |
65 |
$2K |
| H0049 |
Alcohol and/or drug screening |
144 |
144 |
$2K |
| 0072A |
|
48 |
48 |
$2K |
| 99188 |
|
199 |
116 |
$2K |
| 90671 |
|
416 |
265 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,920 |
2,592 |
$2K |
| H2000 |
Comprehensive multidisciplinary evaluation |
154 |
134 |
$2K |
| 90698 |
|
375 |
260 |
$2K |
| 90744 |
|
360 |
251 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
55 |
34 |
$1K |
| 0004A |
|
69 |
69 |
$1K |
| 90697 |
|
352 |
235 |
$1K |
| 92551 |
|
1,621 |
1,268 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
114 |
63 |
$1K |
| 76801 |
|
30 |
26 |
$1K |
| 90734 |
|
226 |
149 |
$1K |
| 0071A |
|
33 |
33 |
$1K |
| S9452 |
Nutrition classes, non-physician provider, per session |
67 |
61 |
$1K |
| 90688 |
|
67 |
67 |
$1K |
| 81025 |
|
607 |
384 |
$983.50 |
| 99383 |
|
168 |
94 |
$765.47 |
| 90681 |
|
153 |
116 |
$639.00 |
| 0031A |
|
12 |
12 |
$480.00 |
| 90716 |
|
92 |
59 |
$459.00 |
| 99382 |
|
19 |
16 |
$434.34 |
| 85018 |
|
4,860 |
4,696 |
$407.33 |
| 99384 |
|
103 |
63 |
$404.16 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,187 |
2,098 |
$362.83 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,187 |
1,181 |
$348.46 |
| 99215 |
Prolong outpt/office vis |
169 |
100 |
$292.85 |
| 90707 |
|
51 |
34 |
$243.00 |
| 90648 |
|
48 |
28 |
$234.00 |
| 90619 |
|
49 |
27 |
$234.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
23 |
15 |
$210.74 |
| 99381 |
|
16 |
14 |
$139.26 |
| 90700 |
|
21 |
12 |
$117.00 |
| 90710 |
|
12 |
12 |
$99.00 |
| 86580 |
|
191 |
189 |
$84.00 |
| 81002 |
|
254 |
227 |
$83.22 |
| 92015 |
Determination of refractive state |
1,182 |
1,175 |
$72.09 |
| 88720 |
|
21 |
15 |
$25.80 |
| Z6400 |
|
606 |
603 |
$0.00 |
| 99173 |
|
379 |
379 |
$0.00 |
| Z6304 |
|
122 |
113 |
$0.00 |
| Z6300 |
|
149 |
148 |
$0.00 |
| 2022F |
|
161 |
161 |
$0.00 |
| 91300 |
|
26 |
26 |
$0.00 |
| Z6308 |
|
12 |
12 |
$0.00 |
| Z6302 |
|
105 |
104 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
14 |
14 |
$0.00 |
| Z6208 |
|
38 |
38 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
65 |
41 |
$0.00 |
| Z6414 |
|
12 |
12 |
$0.00 |
| 3072F |
|
124 |
124 |
$0.00 |
| Z6406 |
|
558 |
537 |
$0.00 |
| Z1032 |
|
329 |
327 |
$0.00 |
| Z6204 |
|
506 |
380 |
$0.00 |
| 92250 |
|
50 |
50 |
$0.00 |
| Z1038 |
|
128 |
124 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
28 |
28 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
139 |
139 |
$0.00 |