| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
11,966 |
9,505 |
$1.20M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,737 |
19,049 |
$889K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,815 |
13,324 |
$697K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,871 |
1,187 |
$98K |
| 87428 |
|
2,723 |
2,545 |
$71K |
| 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 |
7,682 |
6,140 |
$64K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,659 |
4,340 |
$53K |
| 36415 |
Collection of venous blood by venipuncture |
9,168 |
8,564 |
$45K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,146 |
1,002 |
$12K |
| 81002 |
|
895 |
833 |
$7K |
| D1110 |
Prophylaxis - adult |
204 |
200 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
620 |
278 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
216 |
202 |
$5K |
| D0330 |
Panoramic radiographic image |
101 |
88 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
172 |
157 |
$4K |
| 20553 |
|
186 |
172 |
$4K |
| 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 |
406 |
380 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
57 |
54 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
68 |
68 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,047 |
955 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
81 |
81 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
12 |
$1K |
| 96127 |
|
138 |
129 |
$441.61 |
| 90686 |
|
30 |
30 |
$412.86 |
| D0210 |
Intraoral - complete series of radiographic images |
24 |
24 |
$412.16 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
60 |
58 |
$305.87 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
276 |
245 |
$257.72 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
25 |
25 |
$196.81 |
| 3078F |
|
12 |
12 |
$150.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
46 |
41 |
$67.06 |
| 90674 |
|
12 |
12 |
$45.20 |
| G0008 |
Administration of influenza virus vaccine |
34 |
29 |
$23.97 |
| 90756 |
|
21 |
16 |
$0.84 |