| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
251,131 |
204,633 |
$24.71M |
| 00003 |
Internal/system code - not a standard HCPCS code |
53,882 |
35,598 |
$8.74M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
272,210 |
181,432 |
$1.35M |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
17,604 |
12,655 |
$639K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
65,869 |
41,158 |
$637K |
| 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 |
27,763 |
18,656 |
$318K |
| G9012 |
Other specified case management service not elsewhere classified |
1,943 |
879 |
$247K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
80,529 |
53,123 |
$223K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,728 |
2,569 |
$51K |
| J3490 |
Unclassified drugs |
1,877 |
1,684 |
$44K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,952 |
2,158 |
$35K |
| 87428 |
|
2,464 |
1,630 |
$34K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
130 |
94 |
$31K |
| 81025 |
|
33,026 |
21,917 |
$20K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
91 |
91 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,536 |
5,533 |
$16K |
| 81002 |
|
64,546 |
35,184 |
$14K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
6,419 |
4,533 |
$13K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
571 |
462 |
$13K |
| 59425 |
|
5,308 |
3,627 |
$11K |
| 99243 |
|
672 |
405 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,185 |
3,176 |
$8K |
| 59430 |
|
130 |
128 |
$8K |
| 99215 |
Prolong outpt/office vis |
1,039 |
600 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,897 |
4,896 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,027 |
2,023 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
389 |
362 |
$6K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
1,182 |
1,181 |
$5K |
| 90671 |
|
35 |
35 |
$5K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,936 |
1,888 |
$4K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
5,654 |
3,903 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
257 |
175 |
$4K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
307 |
272 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,702 |
1,700 |
$3K |
| 90656 |
|
396 |
368 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14,380 |
11,692 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
63 |
60 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,526 |
1,965 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
737 |
577 |
$2K |
| 90686 |
|
5,162 |
4,745 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
9,357 |
8,062 |
$2K |
| 58300 |
|
30 |
16 |
$2K |
| H1000 |
Prenatal care, at-risk assessment |
26 |
26 |
$1K |
| 85018 |
|
19,476 |
17,597 |
$1K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
3,001 |
2,558 |
$999.31 |
| 0001A |
|
14 |
14 |
$938.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,204 |
4,803 |
$922.62 |
| 99233 |
Prolong inpt eval add15 m |
28 |
25 |
$870.20 |
| 11982 |
|
43 |
27 |
$809.49 |
| 90619 |
|
696 |
692 |
$783.00 |
| 99000 |
|
831 |
511 |
$675.18 |
| 90697 |
|
714 |
711 |
$675.00 |
| 11981 |
|
19 |
12 |
$608.27 |
| 99188 |
|
2,230 |
2,230 |
$522.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,642 |
1,762 |
$513.45 |
| 92551 |
|
9,148 |
9,084 |
$478.59 |
| A4550 |
Surgical trays |
148 |
94 |
$438.91 |
| 90715 |
|
285 |
199 |
$401.50 |
| 99174 |
|
3,396 |
3,391 |
$280.50 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
69 |
46 |
$277.13 |
| 90662 |
|
185 |
163 |
$262.00 |
| 83655 |
|
2,121 |
2,121 |
$233.75 |
| 82947 |
|
797 |
564 |
$204.60 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
194 |
190 |
$164.89 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
285 |
247 |
$128.23 |
| 99173 |
|
6,679 |
6,593 |
$120.90 |
| 90680 |
|
57 |
57 |
$108.00 |
| 86580 |
|
2,275 |
1,987 |
$94.93 |
| 93000 |
|
293 |
197 |
$87.54 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
567 |
512 |
$83.43 |
| 87420 |
|
742 |
720 |
$80.26 |
| 90381 |
|
15 |
15 |
$72.00 |
| 90620 |
|
32 |
25 |
$54.00 |
| J1750 |
Injection, iron dextran, 50 mg |
145 |
106 |
$51.84 |
| 90633 |
|
319 |
317 |
$36.00 |
| 92227 |
|
116 |
97 |
$27.82 |
| 90688 |
|
712 |
511 |
$13.76 |
| 90651 |
|
165 |
165 |
$9.00 |
| G0008 |
Administration of influenza virus vaccine |
197 |
159 |
$6.00 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
44 |
43 |
$3.96 |
| 3077F |
|
5,266 |
3,691 |
$0.00 |
| 3078F |
|
33,587 |
21,174 |
$0.00 |
| 98940 |
|
12 |
12 |
$0.00 |
| 90670 |
|
322 |
319 |
$0.00 |
| Z6400 |
|
523 |
523 |
$0.00 |
| 90734 |
|
25 |
25 |
$0.00 |
| 86703 |
|
37 |
22 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 3079F |
|
9,623 |
6,562 |
$0.00 |
| 3074F |
|
34,169 |
21,382 |
$0.00 |
| 3075F |
|
6,283 |
4,424 |
$0.00 |
| Z1034 |
|
23,077 |
16,556 |
$0.00 |
| 88720 |
|
20 |
12 |
$0.00 |
| 99024 |
|
17 |
14 |
$0.00 |
| 3080F |
|
2,945 |
2,084 |
$0.00 |
| Z1032 |
|
445 |
441 |
$0.00 |
| 90723 |
|
84 |
83 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
299 |
243 |
$0.00 |
| Z1038 |
|
128 |
123 |
$0.00 |
| 90647 |
|
126 |
126 |
$0.00 |
| 88142 |
|
16 |
16 |
$0.00 |
| 86780 |
|
44 |
24 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
33 |
28 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |