| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
129,895 |
109,975 |
$15.44M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
133,594 |
82,004 |
$673K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,519 |
11,203 |
$172K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
51,714 |
35,618 |
$158K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
12,704 |
5,241 |
$130K |
| 90832 |
Psychotherapy, 30 minutes with patient |
5,027 |
2,716 |
$127K |
| 98940 |
|
6,394 |
2,992 |
$67K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,506 |
780 |
$43K |
| 90791 |
Psychiatric diagnostic evaluation |
652 |
421 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,582 |
2,298 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,815 |
3,372 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,463 |
1,597 |
$22K |
| 92552 |
|
8,402 |
5,729 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,601 |
2,582 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,064 |
710 |
$16K |
| 90750 |
|
196 |
118 |
$13K |
| 90656 |
|
935 |
602 |
$10K |
| 90686 |
|
3,896 |
3,215 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
618 |
435 |
$7K |
| 97802 |
|
293 |
293 |
$6K |
| 97803 |
|
344 |
344 |
$6K |
| 90715 |
|
667 |
390 |
$5K |
| 85018 |
|
15,087 |
10,023 |
$5K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,650 |
780 |
$5K |
| 93000 |
|
291 |
161 |
$4K |
| 90677 |
|
28 |
15 |
$4K |
| 80305 |
|
788 |
342 |
$4K |
| 99462 |
|
521 |
352 |
$3K |
| 90651 |
|
1,021 |
605 |
$3K |
| 90671 |
|
775 |
480 |
$3K |
| 11750 |
|
49 |
29 |
$2K |
| 90697 |
|
1,148 |
751 |
$2K |
| 90633 |
|
1,777 |
1,158 |
$2K |
| 90662 |
|
81 |
60 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
785 |
532 |
$2K |
| 90680 |
|
1,723 |
1,216 |
$2K |
| 0012A |
|
426 |
367 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
535 |
422 |
$1K |
| 83655 |
|
246 |
132 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
571 |
366 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,554 |
1,001 |
$1K |
| 86580 |
|
1,990 |
1,255 |
$1K |
| 99460 |
|
107 |
79 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,015 |
800 |
$1K |
| 90619 |
|
471 |
276 |
$1K |
| J3490 |
Unclassified drugs |
24 |
24 |
$972.00 |
| 81002 |
|
4,133 |
2,909 |
$940.89 |
| 90716 |
|
463 |
302 |
$864.00 |
| 81025 |
|
802 |
542 |
$829.47 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
313 |
296 |
$801.90 |
| 20600 |
|
438 |
251 |
$583.02 |
| 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 |
46 |
12 |
$573.16 |
| 90710 |
|
342 |
202 |
$454.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
185 |
164 |
$445.90 |
| 0011A |
|
727 |
669 |
$436.00 |
| 90696 |
|
203 |
117 |
$432.00 |
| 99215 |
Prolong outpt/office vis |
98 |
57 |
$406.12 |
| 99173 |
|
3,980 |
3,226 |
$387.57 |
| 11721 |
|
21 |
12 |
$337.29 |
| 90734 |
|
461 |
291 |
$304.00 |
| 90707 |
|
213 |
136 |
$297.00 |
| 90670 |
|
2,750 |
1,990 |
$252.00 |
| 90647 |
|
1,153 |
898 |
$252.00 |
| 90620 |
|
107 |
65 |
$243.00 |
| 92551 |
|
35 |
34 |
$232.80 |
| 90700 |
|
153 |
94 |
$225.00 |
| 90744 |
|
29 |
16 |
$159.00 |
| 11720 |
|
73 |
68 |
$157.84 |
| 82962 |
|
210 |
142 |
$150.84 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
145 |
145 |
$134.09 |
| 90648 |
|
140 |
96 |
$106.63 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
21 |
12 |
$102.90 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
52 |
50 |
$100.23 |
| 90474 |
|
109 |
86 |
$57.98 |
| 82948 |
|
393 |
379 |
$37.94 |
| 90713 |
|
17 |
12 |
$18.00 |
| 81005 |
|
110 |
71 |
$8.65 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
877 |
580 |
$0.76 |
| 3455F |
|
6,684 |
5,653 |
$0.00 |
| 83037 |
|
676 |
650 |
$0.00 |
| 90649 |
|
376 |
258 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
330 |
248 |
$0.00 |
| 91300 |
|
88 |
64 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
45 |
33 |
$0.00 |
| 4004F |
|
210 |
208 |
$0.00 |
| 90461 |
|
148 |
139 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$0.00 |
| 2028F |
|
127 |
100 |
$0.00 |
| H0031 |
Mental health assessment, by non-physician |
18 |
12 |
$0.00 |
| 96160 |
|
304 |
211 |
$0.00 |
| 90746 |
|
12 |
12 |
$0.00 |
| 17110 |
|
15 |
15 |
$0.00 |
| 90681 |
|
18 |
13 |
$0.00 |
| 1000F |
|
3,878 |
2,972 |
$0.00 |
| 90723 |
|
1,232 |
913 |
$0.00 |
| 99172 |
|
2,098 |
1,632 |
$0.00 |
| 20610 |
|
145 |
143 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
66 |
52 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
209 |
121 |
$0.00 |
| 36416 |
|
83 |
81 |
$0.00 |
| 94760 |
|
148 |
140 |
$0.00 |
| 91301 |
|
327 |
311 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
33 |
25 |
$0.00 |
| 0001A |
|
68 |
50 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
42 |
42 |
$0.00 |
| 99000 |
|
16 |
13 |
$0.00 |