| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
61,958 |
53,404 |
$5.87M |
| G9012 |
Other specified case management service not elsewhere classified |
45,665 |
18,320 |
$5.16M |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
14,619 |
8,822 |
$2.22M |
| T2033 |
Residential care, not otherwise specified (nos), waiver; per diem |
10,196 |
802 |
$2.05M |
| H0043 |
Supported housing, per diem |
6,268 |
3,311 |
$1.42M |
| 90832 |
Psychotherapy, 30 minutes with patient |
13,088 |
9,056 |
$291K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
336,797 |
303,142 |
$246K |
| 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 |
14,310 |
11,690 |
$190K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
37,737 |
28,762 |
$171K |
| 59425 |
|
17,784 |
13,350 |
$169K |
| 90791 |
Psychiatric diagnostic evaluation |
2,881 |
2,547 |
$150K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,874 |
1,506 |
$107K |
| H0014 |
Alcohol and/or drug services; ambulatory detoxification |
641 |
204 |
$79K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
118,063 |
106,617 |
$60K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,877 |
2,857 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
86,383 |
80,702 |
$59K |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
5,479 |
5,454 |
$43K |
| 0502F |
|
39,425 |
29,706 |
$37K |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
817 |
720 |
$37K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
10,170 |
9,899 |
$36K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
18,189 |
13,569 |
$35K |
| 97810 |
|
4,127 |
2,384 |
$30K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20,720 |
19,950 |
$24K |
| 99215 |
Prolong outpt/office vis |
3,921 |
3,524 |
$16K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
966 |
962 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,586 |
8,505 |
$15K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
4,578 |
3,334 |
$13K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
11,003 |
10,412 |
$12K |
| 0012A |
|
1,234 |
1,028 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13,816 |
13,741 |
$12K |
| H2000 |
Comprehensive multidisciplinary evaluation |
3,884 |
3,374 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,903 |
2,849 |
$11K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
957 |
957 |
$11K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
20,080 |
11,407 |
$10K |
| 99401 |
|
4,021 |
3,601 |
$10K |
| 59430 |
|
1,927 |
1,762 |
$9K |
| H1000 |
Prenatal care, at-risk assessment |
1,920 |
1,915 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,949 |
1,917 |
$8K |
| 0011A |
|
1,286 |
1,130 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,493 |
8,444 |
$7K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
2,883 |
2,638 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,539 |
2,523 |
$6K |
| 99385 |
|
1,074 |
1,054 |
$5K |
| 0001A |
|
731 |
658 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,560 |
4,522 |
$5K |
| 0071A |
|
376 |
344 |
$5K |
| 0500F |
|
2,949 |
2,892 |
$5K |
| 98940 |
|
5,043 |
3,380 |
$4K |
| 92551 |
|
19,583 |
19,504 |
$4K |
| 0072A |
|
193 |
179 |
$4K |
| 90670 |
|
10,328 |
10,259 |
$4K |
| 99383 |
|
1,463 |
1,456 |
$4K |
| 90686 |
|
18,145 |
17,934 |
$4K |
| 99386 |
|
695 |
689 |
$4K |
| 97803 |
|
3,540 |
3,269 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
92 |
72 |
$3K |
| 87590 |
|
4,308 |
4,218 |
$3K |
| 81025 |
|
8,867 |
8,680 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,097 |
2,028 |
$3K |
| 0002A |
|
477 |
434 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
25,776 |
25,502 |
$2K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,717 |
1,318 |
$2K |
| 90633 |
|
8,407 |
8,368 |
$2K |
| 0064A |
|
121 |
110 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,720 |
4,557 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
956 |
948 |
$2K |
| 87490 |
|
4,311 |
4,220 |
$2K |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
31 |
28 |
$2K |
| 90680 |
|
3,032 |
3,007 |
$1K |
| 90715 |
|
2,612 |
2,470 |
$1K |
| 99384 |
|
666 |
660 |
$1K |
| 99173 |
|
20,470 |
20,391 |
$1K |
| 90674 |
|
4,390 |
4,282 |
$1K |
| 0013A |
|
56 |
46 |
$1K |
| 90723 |
|
4,615 |
4,576 |
$1K |
| 96156 |
|
5,682 |
5,165 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,069 |
5,735 |
$1K |
| 99000 |
|
2,995 |
2,964 |
$1K |
| 0503F |
|
1,288 |
1,243 |
$996.64 |
| 90651 |
|
4,136 |
4,120 |
$945.15 |
| 0081A |
|
14 |
14 |
$938.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
11,183 |
11,068 |
$935.20 |
| 90716 |
|
2,550 |
2,540 |
$924.03 |
| 0031A |
|
118 |
107 |
$804.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
23,106 |
22,422 |
$798.32 |
| 99382 |
|
378 |
376 |
$709.43 |
| 90700 |
|
2,437 |
2,422 |
$706.09 |
| 80305 |
|
2,055 |
1,475 |
$679.15 |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
27 |
24 |
$664.07 |
| S9452 |
Nutrition classes, non-physician provider, per session |
1,255 |
914 |
$655.07 |
| 90710 |
|
2,887 |
2,878 |
$655.06 |
| 90734 |
|
1,861 |
1,848 |
$592.47 |
| 90837 |
Psychotherapy, 53 minutes with patient |
14 |
13 |
$588.12 |
| 85018 |
|
13,181 |
13,131 |
$586.80 |
| 90707 |
|
1,405 |
1,399 |
$584.03 |
| 96151 |
|
1,171 |
822 |
$496.19 |
| 0004A |
|
14 |
13 |
$467.00 |
| 59514 |
|
12 |
12 |
$381.52 |
| 90696 |
|
1,339 |
1,334 |
$311.21 |
| 99381 |
|
101 |
101 |
$265.77 |
| 90648 |
|
1,644 |
1,634 |
$263.50 |
| 3074F |
|
225,671 |
203,459 |
$194.21 |
| 90647 |
|
4,132 |
4,095 |
$175.91 |
| 11721 |
|
77 |
77 |
$127.34 |
| 90688 |
|
1,994 |
1,833 |
$120.00 |
| 82948 |
|
3,031 |
2,390 |
$106.02 |
| 90713 |
|
692 |
687 |
$104.00 |
| 20610 |
|
18 |
18 |
$91.58 |
| 20550 |
|
12 |
12 |
$91.58 |
| 99205 |
Prolong outpt/office vis |
65 |
56 |
$82.70 |
| 90685 |
|
447 |
438 |
$72.00 |
| 96150 |
|
133 |
133 |
$69.32 |
| 93000 |
|
26 |
26 |
$53.70 |
| 3078F |
|
212,071 |
191,677 |
$49.90 |
| 81001 |
|
7,217 |
7,065 |
$49.64 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,090 |
2,067 |
$47.79 |
| 83655 |
|
157 |
154 |
$42.80 |
| 90744 |
|
173 |
173 |
$36.00 |
| 2001F |
|
330,213 |
295,896 |
$24.00 |
| 90677 |
|
189 |
189 |
$18.00 |
| 90620 |
|
895 |
891 |
$14.00 |
| 86580 |
|
198 |
187 |
$13.44 |
| 90698 |
|
13 |
13 |
$9.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
288,994 |
258,944 |
$4.03 |
| 81003 |
|
129 |
128 |
$1.07 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
187 |
141 |
$1.00 |
| 3052F |
|
594 |
568 |
$0.00 |
| 3049F |
|
36,312 |
32,531 |
$0.00 |
| 3048F |
|
56,882 |
51,171 |
$0.00 |
| 3079F |
|
82,922 |
75,354 |
$0.00 |
| 3080F |
|
20,705 |
18,852 |
$0.00 |
| 3044F |
|
4,036 |
3,801 |
$0.00 |
| 90697 |
|
2,156 |
2,147 |
$0.00 |
| 3008F |
|
330,013 |
295,718 |
$0.00 |
| 3075F |
|
40,636 |
37,036 |
$0.00 |
| 1036F |
|
221,825 |
197,593 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
24,813 |
22,576 |
$0.00 |
| 1034F |
|
2,759 |
2,620 |
$0.00 |
| 91301 |
|
2,552 |
2,401 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
121 |
95 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
181 |
122 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
216 |
189 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
196 |
194 |
$0.00 |
| 86403 |
|
65 |
65 |
$0.00 |
| 91303 |
|
129 |
129 |
$0.00 |
| 1111F |
|
316 |
316 |
$0.00 |
| 99422 |
|
157 |
152 |
$0.00 |
| J3490 |
Unclassified drugs |
50 |
37 |
$0.00 |
| 91307 |
|
171 |
163 |
$0.00 |
| 90619 |
|
388 |
387 |
$0.00 |
| 99441 |
|
51 |
50 |
$0.00 |
| Z1034 |
|
628 |
457 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
35 |
15 |
$0.00 |
| Z6410 |
|
69 |
42 |
$0.00 |
| Z1032 |
|
16 |
13 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
28 |
28 |
$0.00 |
| D1310 |
|
64 |
45 |
$0.00 |
| D0603 |
|
17 |
17 |
$0.00 |
| 90474 |
|
52 |
51 |
$0.00 |
| 1035F |
|
29 |
28 |
$0.00 |
| 90656 |
|
39 |
39 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
54 |
13 |
$0.00 |
| D1330 |
|
53 |
36 |
$0.00 |
| 0134A |
|
27 |
27 |
$0.00 |
| 11055 |
|
12 |
12 |
$0.00 |
| 91305 |
|
23 |
22 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
264,785 |
237,550 |
$0.00 |
| 3077F |
|
49,927 |
45,336 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
49,402 |
44,836 |
$0.00 |
| 3046F |
|
4,163 |
3,836 |
$0.00 |
| 91300 |
|
401 |
380 |
$0.00 |
| 3050F |
|
26,293 |
23,577 |
$0.00 |
| 90661 |
|
29 |
29 |
$0.00 |
| 90461 |
|
12,860 |
12,795 |
$0.00 |
| 4004F |
|
215 |
212 |
$0.00 |
| 3051F |
|
1,213 |
1,179 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,453 |
1,441 |
$0.00 |
| 91312 |
|
110 |
110 |
$0.00 |
| Z6400 |
|
52 |
50 |
$0.00 |
| 91308 |
|
127 |
126 |
$0.00 |
| 80101 |
|
785 |
648 |
$0.00 |
| 96152 |
|
108 |
107 |
$0.00 |
| A4550 |
Surgical trays |
99 |
96 |
$0.00 |
| 0124A |
|
54 |
54 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
74 |
74 |
$0.00 |
| 3045F |
|
144 |
124 |
$0.00 |
| Z6500 |
|
52 |
50 |
$0.00 |
| 99201 |
|
75 |
75 |
$0.00 |
| 59426 |
|
60 |
48 |
$0.00 |
| G0124 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician |
77 |
73 |
$0.00 |
| J3300 |
Injection, triamcinolone acetonide, preservative free, 1 mg |
12 |
12 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
20 |
13 |
$0.00 |
| 90681 |
|
29 |
29 |
$0.00 |
| 99442 |
|
18 |
18 |
$0.00 |
| 11719 |
|
12 |
12 |
$0.00 |
| 91313 |
|
17 |
17 |
$0.00 |