| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
293,423 |
226,074 |
$39.99M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
291,497 |
220,918 |
$4.44M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
99,952 |
85,622 |
$1.90M |
| 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 |
18,269 |
13,426 |
$1.88M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19,558 |
17,235 |
$277K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,130 |
2,105 |
$170K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,152 |
1,433 |
$168K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
4,274 |
4,150 |
$158K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,145 |
4,133 |
$123K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,433 |
3,429 |
$119K |
| 99215 |
Prolong outpt/office vis |
3,062 |
2,905 |
$111K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,190 |
2,183 |
$107K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,377 |
3,367 |
$93K |
| 59425 |
|
1,585 |
968 |
$77K |
| 90656 |
|
4,542 |
4,475 |
$67K |
| 90715 |
|
2,670 |
2,637 |
$49K |
| J3490 |
Unclassified drugs |
860 |
835 |
$49K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,308 |
1,271 |
$37K |
| 90686 |
|
6,191 |
6,037 |
$22K |
| 0270 |
|
2,281 |
2,129 |
$22K |
| 90732 |
|
184 |
181 |
$17K |
| 90649 |
|
2,674 |
2,606 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
338 |
337 |
$14K |
| 90834 |
Psychotherapy, 45 minutes with patient |
965 |
792 |
$13K |
| 90734 |
|
1,782 |
1,754 |
$10K |
| 81002 |
|
6,634 |
5,257 |
$9K |
| 90670 |
|
1,602 |
1,568 |
$9K |
| 92552 |
|
1,411 |
1,410 |
$9K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
4,008 |
3,432 |
$8K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
2,981 |
2,804 |
$8K |
| 93000 |
|
347 |
341 |
$7K |
| 90633 |
|
1,222 |
1,210 |
$7K |
| 90685 |
|
1,011 |
994 |
$6K |
| 90698 |
|
991 |
972 |
$5K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
502 |
475 |
$5K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
95 |
90 |
$4K |
| 94760 |
|
2,589 |
2,010 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
268 |
264 |
$3K |
| 90680 |
|
359 |
335 |
$3K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
249 |
209 |
$3K |
| 0250 |
|
462 |
446 |
$3K |
| H1000 |
Prenatal care, at-risk assessment |
12 |
12 |
$2K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
314 |
285 |
$2K |
| 90710 |
|
359 |
359 |
$2K |
| 90744 |
|
562 |
555 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
92 |
89 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
16 |
12 |
$2K |
| 99173 |
|
1,353 |
1,352 |
$1K |
| 90696 |
|
252 |
251 |
$1K |
| 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 |
12 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,374 |
7,275 |
$1K |
| 57454 |
|
16 |
16 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
280 |
219 |
$1K |
| 90700 |
|
138 |
138 |
$981.06 |
| 90716 |
|
154 |
154 |
$900.00 |
| 84703 |
|
675 |
652 |
$582.05 |
| 90647 |
|
84 |
84 |
$567.06 |
| 90707 |
|
63 |
63 |
$387.00 |
| 90619 |
|
272 |
227 |
$84.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
15 |
15 |
$69.94 |
| J1815 |
Injection, insulin, per 5 units |
13 |
13 |
$58.09 |
| 90620 |
|
116 |
116 |
$3.43 |
| 3074F |
|
1,699 |
1,465 |
$0.00 |
| Z1034 |
|
2,079 |
1,483 |
$0.00 |
| 3075F |
|
736 |
673 |
$0.00 |
| Z7610 |
|
325 |
312 |
$0.00 |
| 00001 |
|
90 |
77 |
$0.00 |
| 3079F |
|
125 |
119 |
$0.00 |
| 90677 |
|
26 |
20 |
$0.00 |
| 99001 |
|
5,609 |
4,879 |
$0.00 |
| 3078F |
|
696 |
635 |
$0.00 |
| T1101 |
|
313 |
304 |
$0.00 |
| 0900 |
|
62 |
56 |
$0.00 |
| 3077F |
|
43 |
41 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
106 |
106 |
$0.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
27 |
26 |
$0.00 |
| Z7500 |
|
15 |
15 |
$0.00 |