| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
25,535 |
21,606 |
$1.32M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,829 |
20,754 |
$779K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,941 |
2,517 |
$116K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,724 |
3,518 |
$95K |
| 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 |
2,393 |
2,130 |
$59K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
401 |
249 |
$14K |
| 90686 |
|
2,083 |
1,340 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,019 |
526 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,507 |
904 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
920 |
608 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
500 |
273 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
308 |
192 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
310 |
175 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
212 |
112 |
$7K |
| 92551 |
|
1,506 |
925 |
$5K |
| 87428 |
|
248 |
124 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
85 |
40 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
85 |
56 |
$2K |
| 99173 |
|
1,185 |
691 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
56 |
31 |
$2K |
| 90656 |
|
89 |
89 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
168 |
46 |
$959.28 |
| 96127 |
|
373 |
217 |
$688.48 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
17 |
13 |
$490.35 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
61 |
41 |
$277.14 |
| 90651 |
|
39 |
29 |
$182.39 |
| 90633 |
|
134 |
117 |
$40.00 |
| 90670 |
|
53 |
49 |
$40.00 |
| 81002 |
|
27 |
12 |
$37.45 |
| 3048F |
|
4,762 |
2,780 |
$0.00 |
| 3079F |
|
3,600 |
1,978 |
$0.00 |
| 3074F |
|
9,034 |
4,950 |
$0.00 |
| 3008F |
|
8,145 |
4,367 |
$0.00 |
| 1036F |
|
23,136 |
13,493 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13,697 |
11,319 |
$0.00 |
| 4010F |
|
1,463 |
759 |
$0.00 |
| 1126F |
|
7,742 |
4,172 |
$0.00 |
| 3049F |
|
1,479 |
761 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
2,943 |
1,583 |
$0.00 |
| 3017F |
|
760 |
402 |
$0.00 |
| 3044F |
|
634 |
346 |
$0.00 |
| 3075F |
|
602 |
325 |
$0.00 |
| 3014F |
|
674 |
318 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,467 |
935 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
24 |
24 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
13 |
12 |
$0.00 |
| 1125F |
|
339 |
178 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
16,822 |
15,215 |
$0.00 |
| G8506 |
Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy |
3,297 |
1,963 |
$0.00 |
| 1159F |
|
9,651 |
5,205 |
$0.00 |
| 4004F |
|
12,644 |
7,219 |
$0.00 |
| 3078F |
|
6,261 |
3,502 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,566 |
1,016 |
$0.00 |
| 3077F |
|
30 |
15 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
4,513 |
2,547 |
$0.00 |
| 1160F |
|
9,664 |
5,214 |
$0.00 |
| 81025 |
|
14 |
12 |
$0.00 |
| 3050F |
|
228 |
112 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
25 |
25 |
$0.00 |
| 3015F |
|
41 |
27 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
118 |
81 |
$0.00 |
| 90734 |
|
22 |
15 |
$0.00 |
| 3046F |
|
22 |
15 |
$0.00 |