| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
56,620 |
44,790 |
$9.66M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,236 |
21,723 |
$781K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15,580 |
12,296 |
$543K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,635 |
2,506 |
$180K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,558 |
4,404 |
$154K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
266 |
263 |
$153K |
| 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 |
4,200 |
3,835 |
$144K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,857 |
1,830 |
$135K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,836 |
1,815 |
$115K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,195 |
1,179 |
$75K |
| 99460 |
|
689 |
686 |
$54K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
622 |
570 |
$46K |
| 87430 |
|
3,299 |
3,160 |
$44K |
| 99462 |
|
988 |
704 |
$37K |
| 59514 |
|
71 |
70 |
$35K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,584 |
1,466 |
$15K |
| 54150 |
|
170 |
170 |
$13K |
| 81025 |
|
1,018 |
972 |
$12K |
| 0001A |
|
461 |
409 |
$12K |
| 81003 |
|
1,106 |
1,061 |
$11K |
| 0002A |
|
411 |
368 |
$11K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
538 |
509 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,894 |
1,795 |
$10K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
319 |
310 |
$8K |
| 90715 |
|
452 |
445 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
150 |
148 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
109 |
104 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
96 |
79 |
$4K |
| 90686 |
|
768 |
753 |
$4K |
| 90656 |
|
158 |
157 |
$3K |
| 59430 |
|
46 |
42 |
$3K |
| 99384 |
|
28 |
28 |
$2K |
| 99381 |
|
31 |
29 |
$2K |
| 0071A |
|
70 |
68 |
$2K |
| 87400 |
|
121 |
116 |
$2K |
| 0072A |
|
54 |
54 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
420 |
405 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
13 |
13 |
$2K |
| 99383 |
|
28 |
28 |
$2K |
| 90651 |
|
536 |
521 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
26 |
13 |
$1K |
| 99382 |
|
15 |
15 |
$1K |
| 90698 |
|
108 |
105 |
$1K |
| 90670 |
|
450 |
444 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
16 |
16 |
$962.10 |
| 90633 |
|
146 |
145 |
$900.15 |
| 0003A |
|
27 |
27 |
$800.00 |
| 0011A |
|
38 |
38 |
$760.00 |
| 90734 |
|
289 |
276 |
$704.81 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
53 |
51 |
$696.54 |
| 0012A |
|
39 |
38 |
$608.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,025 |
2,957 |
$493.45 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
386 |
374 |
$326.33 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,654 |
1,600 |
$166.67 |
| 93000 |
|
24 |
24 |
$161.50 |
| 90680 |
|
106 |
105 |
$150.87 |
| 90648 |
|
39 |
39 |
$139.40 |
| 90710 |
|
38 |
36 |
$136.53 |
| 80305 |
|
12 |
12 |
$63.48 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
204 |
204 |
$50.44 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
15 |
13 |
$27.75 |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
12 |
12 |
$23.05 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
12 |
$12.48 |
| 82948 |
|
14 |
13 |
$4.23 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
29 |
28 |
$2.09 |
| 90620 |
|
288 |
276 |
$1.57 |
| 36415 |
Collection of venous blood by venipuncture |
167 |
158 |
$0.00 |
| 36416 |
|
369 |
359 |
$0.00 |
| 90723 |
|
38 |
38 |
$0.00 |
| 91301 |
|
28 |
27 |
$0.00 |
| 91307 |
|
124 |
115 |
$0.00 |
| 90677 |
|
27 |
27 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90696 |
|
31 |
29 |
$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 |
211 |
211 |
$0.00 |
| 91300 |
|
695 |
629 |
$0.00 |
| 90473 |
|
59 |
57 |
$0.00 |