| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
78,555 |
69,863 |
$18.60M |
| 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 |
3,056 |
2,670 |
$480K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54,986 |
42,601 |
$113K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,569 |
21,395 |
$51K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12,011 |
9,553 |
$42K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,017 |
5,468 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,480 |
1,399 |
$14K |
| 97803 |
|
1,060 |
1,050 |
$7K |
| 0012A |
|
198 |
125 |
$6K |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
28 |
27 |
$4K |
| 97802 |
|
667 |
648 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
963 |
879 |
$4K |
| 99215 |
Prolong outpt/office vis |
496 |
467 |
$2K |
| 0011A |
|
156 |
115 |
$2K |
| 0064A |
|
86 |
57 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
7,191 |
6,042 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
216 |
211 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,102 |
930 |
$1K |
| 17110 |
|
77 |
54 |
$791.24 |
| 90686 |
|
3,183 |
2,659 |
$431.50 |
| 92552 |
|
2,013 |
1,716 |
$414.75 |
| 81025 |
|
870 |
781 |
$359.01 |
| 90715 |
|
578 |
481 |
$271.74 |
| 11100 |
|
33 |
32 |
$206.80 |
| 90834 |
Psychotherapy, 45 minutes with patient |
163 |
82 |
$201.48 |
| 20610 |
|
202 |
184 |
$197.72 |
| J3490 |
Unclassified drugs |
57 |
56 |
$195.03 |
| 82962 |
|
3,651 |
2,622 |
$171.94 |
| 90658 |
|
14 |
14 |
$167.76 |
| 85018 |
|
2,476 |
2,113 |
$147.47 |
| 81002 |
|
206 |
196 |
$143.85 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
100 |
65 |
$141.20 |
| 82948 |
|
6,611 |
5,598 |
$138.93 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
83 |
52 |
$92.00 |
| 81003 |
|
2,030 |
1,742 |
$83.45 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
680 |
617 |
$68.68 |
| 92504 |
|
112 |
62 |
$66.43 |
| 90688 |
|
80 |
73 |
$62.22 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,602 |
1,215 |
$58.96 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
361 |
298 |
$57.57 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
730 |
583 |
$37.12 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
183 |
178 |
$34.16 |
| 93000 |
|
18 |
14 |
$28.70 |
| 90685 |
|
113 |
108 |
$18.00 |
| 90670 |
|
560 |
506 |
$18.00 |
| 90647 |
|
437 |
400 |
$18.00 |
| 86580 |
|
132 |
129 |
$17.40 |
| 90674 |
|
42 |
42 |
$16.41 |
| 90707 |
|
204 |
195 |
$9.00 |
| 90633 |
|
159 |
152 |
$9.00 |
| 90723 |
|
256 |
234 |
$9.00 |
| 90716 |
|
188 |
176 |
$9.00 |
| 1160F |
|
12,842 |
11,843 |
$0.00 |
| 1159F |
|
21,616 |
19,914 |
$0.00 |
| 90734 |
|
70 |
51 |
$0.00 |
| 3046F |
|
363 |
358 |
$0.00 |
| 3078F |
|
2,372 |
2,284 |
$0.00 |
| 3077F |
|
725 |
696 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
34 |
26 |
$0.00 |
| 59425 |
|
79 |
50 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |
| 99497 |
|
14 |
12 |
$0.00 |
| 99442 |
|
57 |
53 |
$0.00 |
| 3051F |
|
25 |
24 |
$0.00 |
| 99490 |
Ccm add 20min |
14 |
14 |
$0.00 |
| 99201 |
|
15 |
12 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
24 |
23 |
$0.00 |
| 90649 |
|
31 |
29 |
$0.00 |
| 99397 |
|
12 |
12 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12 |
12 |
$0.00 |
| 3008F |
|
11,868 |
11,317 |
$0.00 |
| 11900 |
|
56 |
37 |
$0.00 |
| 3044F |
|
363 |
362 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
12 |
12 |
$0.00 |
| 3080F |
|
207 |
196 |
$0.00 |
| 3079F |
|
977 |
947 |
$0.00 |
| 3074F |
|
2,032 |
1,962 |
$0.00 |
| 91301 |
|
73 |
70 |
$0.00 |
| 3075F |
|
690 |
679 |
$0.00 |
| 90680 |
|
132 |
117 |
$0.00 |
| Z1034 |
|
219 |
143 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |
| 90651 |
|
23 |
13 |
$0.00 |
| 3052F |
|
13 |
12 |
$0.00 |
| 99441 |
|
12 |
12 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
72 |
52 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
14 |
12 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
30 |
24 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
28 |
13 |
$0.00 |
| 90656 |
|
218 |
179 |
$0.00 |
| 92250 |
|
48 |
43 |
$0.00 |
| 90677 |
|
16 |
14 |
$0.00 |