| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
213,623 |
165,551 |
$25.02M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
97,334 |
80,913 |
$83K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14,405 |
12,994 |
$14K |
| 90674 |
|
910 |
872 |
$11K |
| 90670 |
|
1,294 |
1,094 |
$8K |
| 90686 |
|
1,004 |
955 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13,896 |
12,739 |
$7K |
| 90658 |
|
768 |
740 |
$6K |
| 90651 |
|
764 |
693 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,050 |
5,645 |
$4K |
| 90661 |
|
322 |
304 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40,437 |
34,237 |
$3K |
| 90680 |
|
425 |
373 |
$3K |
| 90633 |
|
445 |
380 |
$3K |
| 90734 |
|
360 |
332 |
$3K |
| 90647 |
|
339 |
313 |
$2K |
| 90723 |
|
202 |
193 |
$2K |
| 90671 |
|
198 |
188 |
$1K |
| 90648 |
|
225 |
192 |
$1K |
| 90620 |
|
180 |
160 |
$1K |
| 92551 |
|
5,239 |
4,896 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
62 |
60 |
$1K |
| 90657 |
|
160 |
155 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
94 |
55 |
$950.94 |
| 90710 |
|
116 |
103 |
$792.00 |
| 90688 |
|
59 |
59 |
$481.84 |
| 90697 |
|
76 |
51 |
$328.00 |
| 90715 |
|
52 |
44 |
$320.00 |
| 99173 |
|
5,546 |
4,998 |
$221.66 |
| 90677 |
|
12 |
12 |
$88.00 |
| 87807 |
|
1,396 |
1,297 |
$77.84 |
| 94761 |
|
1,342 |
1,186 |
$33.29 |
| 99000 |
|
14,340 |
12,947 |
$6.49 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,416 |
4,043 |
$0.00 |
| 99307 |
|
7,041 |
4,039 |
$0.00 |
| 1159F |
|
3,450 |
2,929 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
903 |
705 |
$0.00 |
| 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 |
2,777 |
2,684 |
$0.00 |
| 3077F |
|
4,631 |
4,079 |
$0.00 |
| 3078F |
|
62,731 |
53,957 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,222 |
3,532 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,375 |
1,206 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,946 |
3,474 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
603 |
533 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,391 |
2,136 |
$0.00 |
| 90756 |
|
58 |
46 |
$0.00 |
| 81003 |
|
1,116 |
937 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
33 |
26 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
14 |
12 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
124 |
100 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
237 |
177 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
317 |
198 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
105 |
80 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
107 |
61 |
$0.00 |
| 82570 |
|
37 |
33 |
$0.00 |
| 1160F |
|
41 |
37 |
$0.00 |
| 74018 |
|
13 |
12 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
14 |
14 |
$0.00 |
| 3008F |
|
104,802 |
89,280 |
$0.00 |
| 3074F |
|
65,893 |
56,702 |
$0.00 |
| G8478 |
Blood pressure measurement not performed or documented, reason not given |
11,343 |
9,500 |
$0.00 |
| 3079F |
|
10,298 |
9,025 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,049 |
1,897 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,893 |
1,638 |
$0.00 |
| 0011A |
|
78 |
73 |
$0.00 |
| 1126F |
|
1,871 |
1,716 |
$0.00 |
| 1125F |
|
671 |
616 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,255 |
1,012 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
207 |
142 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
372 |
255 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
464 |
406 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
636 |
458 |
$0.00 |
| 96127 |
|
195 |
163 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
103 |
85 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
25 |
13 |
$0.00 |
| 3044F |
|
118 |
80 |
$0.00 |
| 82043 |
|
105 |
95 |
$0.00 |
| 2000F |
|
468 |
419 |
$0.00 |
| 82044 |
|
94 |
82 |
$0.00 |
| 81005 |
|
12 |
12 |
$0.00 |
| 85027 |
|
47 |
44 |
$0.00 |
| 0012A |
|
59 |
59 |
$0.00 |
| 36416 |
|
83 |
66 |
$0.00 |
| 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 |
26 |
26 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
40 |
27 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
13 |
12 |
$0.00 |
| 94760 |
|
96 |
83 |
$0.00 |
| 92228 |
|
22 |
22 |
$0.00 |