| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,535 |
11,781 |
$1.17M |
| 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 |
2,119 |
1,719 |
$77K |
| 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 |
1,181 |
807 |
$44K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
768 |
744 |
$38K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,357 |
975 |
$28K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
140 |
140 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,338 |
1,195 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,298 |
1,172 |
$17K |
| 90677 |
|
112 |
96 |
$11K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
388 |
345 |
$11K |
| 90686 |
|
1,040 |
1,030 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
254 |
249 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
128 |
125 |
$9K |
| 96127 |
|
897 |
839 |
$8K |
| 99050 |
|
411 |
398 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
141 |
140 |
$7K |
| 92015 |
Determination of refractive state |
619 |
607 |
$7K |
| 90715 |
|
458 |
455 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
997 |
965 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
149 |
146 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
120 |
120 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
602 |
552 |
$6K |
| 81025 |
|
770 |
656 |
$6K |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
86 |
75 |
$5K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
372 |
360 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
535 |
520 |
$4K |
| 99173 |
|
555 |
543 |
$3K |
| 81002 |
|
1,141 |
1,093 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
141 |
141 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,147 |
1,115 |
$3K |
| 99188 |
|
82 |
80 |
$2K |
| 92551 |
|
219 |
212 |
$2K |
| 90750 |
|
18 |
13 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
127 |
127 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
146 |
142 |
$2K |
| 99384 |
|
20 |
20 |
$1K |
| 97802 |
|
12 |
12 |
$1K |
| 87807 |
|
72 |
71 |
$739.20 |
| 99383 |
|
16 |
15 |
$666.00 |
| 99401 |
|
78 |
78 |
$339.92 |
| 81003 |
|
174 |
169 |
$324.72 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
232 |
222 |
$185.43 |
| 85018 |
|
72 |
72 |
$150.48 |
| 99408 |
|
59 |
56 |
$139.74 |
| 83655 |
|
12 |
12 |
$117.48 |
| D9450 |
|
87 |
85 |
$110.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
924 |
859 |
$80.20 |
| 82962 |
|
534 |
516 |
$29.95 |
| 85014 |
|
13 |
13 |
$27.17 |
| 96160 |
|
162 |
156 |
$14.98 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
62 |
58 |
$0.00 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
320 |
311 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
671 |
613 |
$0.00 |
| 36416 |
|
348 |
341 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
455 |
443 |
$0.00 |
| 94760 |
|
799 |
755 |
$0.00 |
| 1000F |
|
921 |
879 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
452 |
234 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
395 |
382 |
$0.00 |
| 99000 |
|
762 |
715 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
12 |
12 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
83 |
81 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
390 |
367 |
$0.00 |
| 90651 |
|
29 |
29 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,356 |
2,276 |
$0.00 |
| 90461 |
|
429 |
427 |
$0.00 |
| V2020 |
Frames, purchases |
483 |
440 |
$0.00 |
| 99051 |
|
384 |
368 |
$0.00 |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
18 |
18 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
14 |
14 |
$0.00 |
| 90734 |
|
30 |
30 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
119 |
116 |
$0.00 |
| 90633 |
|
31 |
31 |
$0.00 |
| D1110 |
Prophylaxis - adult |
18 |
18 |
$0.00 |