| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
117,605 |
101,386 |
$22.87M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,902 |
2,868 |
$100K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,824 |
32,633 |
$45K |
| 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 |
1,380 |
1,260 |
$40K |
| V2020 |
Frames, purchases |
2,332 |
2,332 |
$36K |
| 0012A |
|
560 |
559 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,748 |
8,405 |
$33K |
| 0011A |
|
702 |
699 |
$32K |
| 92015 |
Determination of refractive state |
3,247 |
3,219 |
$23K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,595 |
1,593 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13,827 |
11,809 |
$14K |
| 0002A |
|
180 |
180 |
$12K |
| 0064A |
|
191 |
190 |
$11K |
| 0001A |
|
134 |
134 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,279 |
1,127 |
$6K |
| 92341 |
|
362 |
362 |
$6K |
| 0004A |
|
89 |
88 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,253 |
1,926 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
442 |
380 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
94 |
93 |
$3K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
192 |
135 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
686 |
621 |
$3K |
| 0072A |
|
42 |
42 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,140 |
1,049 |
$2K |
| 0054A |
|
27 |
27 |
$2K |
| 0071A |
|
27 |
27 |
$2K |
| 90750 |
|
159 |
146 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,087 |
1,033 |
$1K |
| 90688 |
|
281 |
264 |
$1K |
| 99201 |
|
661 |
603 |
$967.70 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
906 |
830 |
$930.44 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
717 |
695 |
$895.20 |
| 90677 |
|
15 |
12 |
$872.46 |
| 90739 |
|
15 |
12 |
$757.73 |
| 90837 |
Psychotherapy, 53 minutes with patient |
106 |
90 |
$659.85 |
| 90686 |
|
849 |
800 |
$588.21 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
494 |
459 |
$566.44 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
326 |
305 |
$549.45 |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,136 |
1,628 |
$481.68 |
| 90791 |
Psychiatric diagnostic evaluation |
708 |
647 |
$481.02 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,317 |
1,137 |
$262.50 |
| 99205 |
Prolong outpt/office vis |
18 |
15 |
$248.10 |
| 81002 |
|
7,318 |
6,269 |
$237.36 |
| 82962 |
|
1,035 |
882 |
$195.04 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
157 |
145 |
$148.75 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,950 |
4,809 |
$140.65 |
| 90698 |
|
718 |
696 |
$108.00 |
| 81025 |
|
2,510 |
2,210 |
$96.15 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
109 |
101 |
$94.48 |
| 90696 |
|
26 |
24 |
$93.70 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,130 |
2,115 |
$90.60 |
| 99188 |
|
52 |
44 |
$89.16 |
| 90651 |
|
163 |
153 |
$63.00 |
| 90744 |
|
586 |
562 |
$54.00 |
| 90700 |
|
35 |
30 |
$54.00 |
| 85018 |
|
499 |
471 |
$53.10 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
994 |
936 |
$48.93 |
| 2022F |
|
167 |
128 |
$42.44 |
| 92134 |
|
16 |
12 |
$31.93 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
278 |
267 |
$31.04 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
59 |
51 |
$30.95 |
| 90657 |
|
29 |
25 |
$27.00 |
| 90734 |
|
73 |
72 |
$18.00 |
| 90633 |
|
281 |
258 |
$9.00 |
| 99173 |
|
154 |
141 |
$4.03 |
| 3078F |
|
1,236 |
1,160 |
$0.01 |
| Z6410 |
|
1,729 |
1,543 |
$0.00 |
| Z6204 |
|
1,294 |
1,292 |
$0.00 |
| 90732 |
|
25 |
25 |
$0.00 |
| 91301 |
|
213 |
213 |
$0.00 |
| Z1034 |
|
4,604 |
3,847 |
$0.00 |
| 91306 |
|
15 |
15 |
$0.00 |
| Z6404 |
|
48 |
46 |
$0.00 |
| 3074F |
|
1,428 |
1,336 |
$0.00 |
| Z6406 |
|
1,705 |
1,582 |
$0.00 |
| 90680 |
|
487 |
479 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
270 |
264 |
$0.00 |
| Z1032 |
|
353 |
352 |
$0.00 |
| 3075F |
|
32 |
32 |
$0.00 |
| 3079F |
|
248 |
242 |
$0.00 |
| 93000 |
|
80 |
64 |
$0.00 |
| 90716 |
|
248 |
233 |
$0.00 |
| 99381 |
|
275 |
275 |
$0.00 |
| 99384 |
|
68 |
68 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| Z6402 |
|
1,176 |
1,174 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
17 |
12 |
$0.00 |
| 92551 |
|
118 |
105 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
15 |
14 |
$0.00 |
| 99385 |
|
13 |
13 |
$0.00 |
| 99460 |
|
75 |
75 |
$0.00 |
| Z1038 |
|
110 |
109 |
$0.00 |
| 99383 |
|
149 |
149 |
$0.00 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
15 |
12 |
$0.00 |
| 3080F |
|
14 |
13 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
33 |
33 |
$0.00 |
| J3490 |
Unclassified drugs |
20 |
18 |
$0.00 |
| Z7610 |
|
13 |
12 |
$0.00 |
| 3072F |
|
19 |
12 |
$0.00 |
| A9150 |
Non-prescription drugs |
12 |
12 |
$0.00 |
| 90707 |
|
247 |
233 |
$0.00 |
| Z6414 |
|
624 |
622 |
$0.00 |
| 90670 |
|
944 |
904 |
$0.00 |
| 90715 |
|
232 |
231 |
$0.00 |
| Z6208 |
|
624 |
620 |
$0.00 |
| Z6400 |
|
1,291 |
1,283 |
$0.00 |
| Z6300 |
|
1,185 |
1,183 |
$0.00 |
| Z6308 |
|
618 |
616 |
$0.00 |
| Z6304 |
|
1,369 |
1,368 |
$0.00 |
| Z6200 |
|
1,325 |
1,319 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
307 |
304 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
182 |
182 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
117 |
111 |
$0.00 |
| Z6302 |
|
29 |
28 |
$0.00 |
| 91300 |
|
12 |
12 |
$0.00 |
| 90746 |
|
29 |
29 |
$0.00 |
| 3077F |
|
51 |
49 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
25 |
24 |
$0.00 |
| 99382 |
|
33 |
33 |
$0.00 |
| 90736 |
|
14 |
14 |
$0.00 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
12 |
12 |
$0.00 |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
13 |
13 |
$0.00 |