| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
429,030 |
370,711 |
$54.87M |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
8,282 |
5,402 |
$679K |
| 98940 |
|
6,766 |
4,699 |
$613K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
256,341 |
169,592 |
$300K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
109,449 |
78,538 |
$293K |
| 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 |
10,416 |
9,003 |
$213K |
| G9012 |
Other specified case management service not elsewhere classified |
930 |
872 |
$175K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
242 |
237 |
$98K |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,191 |
2,742 |
$80K |
| 90791 |
Psychiatric diagnostic evaluation |
1,793 |
1,407 |
$71K |
| G9920 |
Screening performed and negative |
19,806 |
13,178 |
$34K |
| J3490 |
Unclassified drugs |
3,269 |
2,581 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,921 |
12,402 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
11,343 |
9,113 |
$19K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
852 |
792 |
$14K |
| 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 |
1,139 |
1,139 |
$13K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,286 |
853 |
$13K |
| 99460 |
|
921 |
730 |
$13K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
136 |
108 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
703 |
521 |
$11K |
| 81025 |
|
27,729 |
20,599 |
$10K |
| 0002A |
|
123 |
113 |
$8K |
| 0001A |
|
166 |
128 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
5,820 |
3,844 |
$7K |
| 99381 |
|
820 |
726 |
$7K |
| 11976 |
|
220 |
132 |
$5K |
| 99243 |
|
1,432 |
1,319 |
$5K |
| 90834 |
Psychotherapy, 45 minutes with patient |
201 |
118 |
$4K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
4,415 |
3,361 |
$3K |
| 11981 |
|
142 |
108 |
$3K |
| 0072A |
|
43 |
43 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,574 |
2,434 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,467 |
6,536 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
246 |
212 |
$3K |
| 0071A |
|
38 |
38 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12,520 |
9,117 |
$2K |
| 59425 |
|
4,622 |
3,473 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,464 |
3,737 |
$2K |
| 0004A |
|
21 |
21 |
$1K |
| H1000 |
Prenatal care, at-risk assessment |
341 |
339 |
$1K |
| 99462 |
|
135 |
78 |
$816.60 |
| 90715 |
|
2,708 |
1,945 |
$732.68 |
| 92551 |
|
19,693 |
13,971 |
$694.05 |
| 90686 |
|
15,445 |
12,714 |
$640.05 |
| 81002 |
|
45,601 |
29,030 |
$620.81 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,080 |
3,679 |
$618.60 |
| 85018 |
|
40,766 |
29,196 |
$570.68 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
11,505 |
7,065 |
$552.72 |
| 99174 |
|
12,284 |
10,301 |
$541.20 |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
284 |
284 |
$513.89 |
| 90680 |
|
5,838 |
4,740 |
$477.25 |
| 88720 |
|
793 |
610 |
$466.85 |
| 90670 |
|
7,217 |
5,960 |
$456.75 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
1,841 |
1,780 |
$442.10 |
| 90677 |
|
2,152 |
1,498 |
$371.85 |
| 58301 |
|
46 |
24 |
$336.54 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,592 |
6,586 |
$276.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,406 |
2,374 |
$258.98 |
| 99173 |
|
15,347 |
9,883 |
$228.60 |
| 90697 |
|
2,301 |
1,650 |
$226.95 |
| 90723 |
|
4,200 |
3,568 |
$200.25 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,147 |
2,925 |
$195.12 |
| 90647 |
|
4,642 |
3,859 |
$191.50 |
| 90633 |
|
4,115 |
2,999 |
$165.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
38 |
25 |
$162.44 |
| 93000 |
|
936 |
668 |
$160.06 |
| 99215 |
Prolong outpt/office vis |
269 |
269 |
$126.31 |
| 59430 |
|
560 |
554 |
$120.96 |
| 90651 |
|
1,946 |
1,409 |
$118.44 |
| 99201 |
|
23 |
15 |
$116.20 |
| 90734 |
|
1,399 |
964 |
$113.00 |
| 20552 |
|
380 |
219 |
$104.98 |
| 90700 |
|
2,676 |
1,924 |
$101.50 |
| 83655 |
|
3,831 |
2,807 |
$95.45 |
| 82962 |
|
5,554 |
3,868 |
$57.14 |
| 99401 |
|
1,055 |
997 |
$48.07 |
| 11721 |
|
314 |
209 |
$40.71 |
| 97803 |
|
933 |
899 |
$39.74 |
| 90716 |
|
659 |
481 |
$34.00 |
| 90707 |
|
556 |
393 |
$34.00 |
| 90785 |
|
20 |
18 |
$31.04 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,109 |
719 |
$30.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
40 |
32 |
$29.00 |
| 90648 |
|
49 |
49 |
$27.00 |
| H2000 |
Comprehensive multidisciplinary evaluation |
287 |
287 |
$25.23 |
| 96156 |
|
1,068 |
1,068 |
$24.60 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
153 |
129 |
$17.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
689 |
584 |
$14.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
210 |
194 |
$13.44 |
| 86580 |
|
469 |
376 |
$10.70 |
| 90688 |
|
3,094 |
1,726 |
$9.00 |
| 90713 |
|
277 |
188 |
$9.00 |
| 90710 |
|
114 |
74 |
$9.00 |
| 98943 |
|
145 |
119 |
$8.40 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
84 |
80 |
$6.25 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
90,126 |
51,906 |
$5.62 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
2,185 |
1,475 |
$0.50 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
10,204 |
9,982 |
$0.03 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
5,094 |
3,571 |
$0.00 |
| 3074F |
|
15,287 |
9,488 |
$0.00 |
| 3075F |
|
7,882 |
4,900 |
$0.00 |
| 3079F |
|
10,750 |
6,615 |
$0.00 |
| Z1032 |
|
1,653 |
1,646 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
69 |
42 |
$0.00 |
| Z6204 |
|
1,339 |
1,272 |
$0.00 |
| Z1034 |
|
12,836 |
9,840 |
$0.00 |
| 3080F |
|
1,119 |
673 |
$0.00 |
| Z1038 |
|
526 |
518 |
$0.00 |
| Z6406 |
|
1,601 |
1,477 |
$0.00 |
| Z6410 |
|
179 |
156 |
$0.00 |
| 3044F |
|
749 |
496 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
28 |
28 |
$0.00 |
| 90732 |
|
60 |
60 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
42 |
37 |
$0.00 |
| 20550 |
|
107 |
64 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
135 |
135 |
$0.00 |
| 3052F |
|
21 |
14 |
$0.00 |
| 99406 |
|
16 |
12 |
$0.00 |
| 3078F |
|
18,312 |
11,312 |
$0.00 |
| Z6500 |
|
1,611 |
1,608 |
$0.00 |
| 99242 |
|
2,652 |
1,593 |
$0.00 |
| 3046F |
|
387 |
266 |
$0.00 |
| 3077F |
|
6,734 |
4,131 |
$0.00 |
| G9357 |
Post-partum screenings, evaluations and education performed |
1,141 |
781 |
$0.00 |
| Z6400 |
|
2,404 |
2,394 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
66 |
66 |
$0.00 |
| Z6304 |
|
1,149 |
1,144 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
336 |
198 |
$0.00 |
| 3051F |
|
123 |
91 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
133 |
133 |
$0.00 |
| Z6414 |
|
26 |
26 |
$0.00 |
| Z6308 |
|
26 |
26 |
$0.00 |
| 90685 |
|
18 |
14 |
$0.00 |
| 11750 |
|
37 |
28 |
$0.00 |
| Z6208 |
|
12 |
12 |
$0.00 |
| 90621 |
|
12 |
12 |
$0.00 |