| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
50,811 |
39,185 |
$6.35M |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
8,197 |
7,215 |
$219K |
| 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 |
4,390 |
3,812 |
$118K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
837 |
674 |
$57K |
| G0008 |
Administration of influenza virus vaccine |
4,487 |
4,210 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,841 |
17,863 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,898 |
18,619 |
$19K |
| G0009 |
Administration of pneumococcal vaccine |
1,304 |
1,180 |
$13K |
| 90686 |
|
4,292 |
4,018 |
$11K |
| 90677 |
|
273 |
241 |
$9K |
| 0011A |
|
461 |
271 |
$9K |
| 0012A |
|
391 |
237 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,363 |
3,840 |
$8K |
| 90715 |
|
1,858 |
1,659 |
$8K |
| 0001A |
|
294 |
223 |
$8K |
| 0002A |
|
218 |
175 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
452 |
423 |
$6K |
| 90651 |
|
613 |
538 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
161 |
157 |
$4K |
| 0071A |
|
110 |
108 |
$4K |
| 90707 |
|
512 |
443 |
$4K |
| 0072A |
|
99 |
98 |
$3K |
| 0031A |
|
162 |
82 |
$3K |
| 0004A |
|
78 |
78 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
39 |
37 |
$2K |
| 90716 |
|
125 |
111 |
$2K |
| 90746 |
|
82 |
68 |
$1K |
| 81025 |
|
629 |
576 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,022 |
876 |
$794.56 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,319 |
1,158 |
$639.95 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,497 |
1,285 |
$498.91 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
844 |
731 |
$477.20 |
| 99406 |
|
198 |
158 |
$473.43 |
| 99215 |
Prolong outpt/office vis |
211 |
170 |
$384.23 |
| 90670 |
|
384 |
365 |
$379.90 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,585 |
1,389 |
$356.69 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
196 |
166 |
$355.25 |
| 0051A |
|
31 |
30 |
$332.82 |
| 90713 |
|
300 |
292 |
$303.45 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,079 |
1,788 |
$245.78 |
| 90732 |
|
86 |
81 |
$213.10 |
| 90662 |
|
13 |
13 |
$175.63 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,241 |
3,765 |
$175.33 |
| 90750 |
|
15 |
12 |
$169.52 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
534 |
481 |
$160.22 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
24 |
$103.73 |
| 90633 |
|
283 |
258 |
$93.12 |
| 90734 |
|
144 |
114 |
$93.01 |
| 90671 |
|
167 |
153 |
$91.10 |
| 90697 |
|
27 |
27 |
$89.34 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
145 |
108 |
$55.43 |
| 0054A |
|
23 |
22 |
$36.98 |
| 90744 |
|
58 |
54 |
$19.91 |
| 90710 |
|
51 |
51 |
$0.30 |
| 90700 |
|
12 |
12 |
$0.08 |
| 90619 |
|
17 |
14 |
$0.08 |
| 3078F |
|
931 |
816 |
$0.00 |
| 3077F |
|
525 |
423 |
$0.00 |
| 81002 |
|
147 |
138 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
52 |
51 |
$0.00 |
| 91300 |
|
561 |
420 |
$0.00 |
| 90661 |
|
128 |
128 |
$0.00 |
| 3046F |
|
144 |
129 |
$0.00 |
| 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 |
24 |
24 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
149 |
141 |
$0.00 |
| 90714 |
|
12 |
12 |
$0.00 |
| 99442 |
|
96 |
92 |
$0.00 |
| 3079F |
|
584 |
483 |
$0.00 |
| 3080F |
|
310 |
248 |
$0.00 |
| 3075F |
|
309 |
256 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
695 |
614 |
$0.00 |
| 3044F |
|
115 |
110 |
$0.00 |
| 91301 |
|
868 |
481 |
$0.00 |
| 99443 |
|
49 |
45 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
38 |
38 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
307 |
287 |
$0.00 |
| 90656 |
|
221 |
221 |
$0.00 |
| 91307 |
|
127 |
125 |
$0.00 |
| 3074F |
|
1,015 |
875 |
$0.00 |
| 90698 |
|
15 |
15 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$0.00 |
| 91303 |
|
162 |
82 |
$0.00 |
| G0010 |
Administration of hepatitis b vaccine |
34 |
33 |
$0.00 |
| 99441 |
|
12 |
12 |
$0.00 |
| 0052A |
|
14 |
14 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
26 |
12 |
$0.00 |