| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
118,854 |
87,815 |
$33.31M |
| 0520 |
|
2,066 |
1,598 |
$24K |
| 0011A |
|
156 |
155 |
$7K |
| 0521 |
|
154,365 |
69,212 |
$4K |
| 0012A |
|
65 |
65 |
$4K |
| 90480 |
|
267 |
267 |
$760.00 |
| 0064A |
|
12 |
12 |
$603.00 |
| 0111A |
|
27 |
21 |
$536.00 |
| 0134A |
|
330 |
327 |
$268.00 |
| 0144A |
|
31 |
18 |
$134.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,875 |
15,824 |
$69.82 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,551 |
16,447 |
$37.50 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
167 |
165 |
$34.30 |
| G9920 |
Screening performed and negative |
559 |
552 |
$29.00 |
| 0300 |
|
7,170 |
5,981 |
$21.71 |
| 0771 |
|
5,604 |
5,103 |
$15.00 |
| 99000 |
|
4,303 |
4,097 |
$8.13 |
| 0929 |
|
618 |
617 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,981 |
4,200 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,329 |
1,811 |
$0.00 |
| 0500 |
|
23,714 |
9,328 |
$0.00 |
| Z6208 |
|
1,924 |
1,217 |
$0.00 |
| 99173 |
|
1,077 |
1,069 |
$0.00 |
| 99051 |
|
1,802 |
1,536 |
$0.00 |
| 0900 |
|
3,458 |
1,431 |
$0.00 |
| Z6300 |
|
1,139 |
1,137 |
$0.00 |
| Z6308 |
|
668 |
665 |
$0.00 |
| 90633 |
|
1,128 |
888 |
$0.00 |
| 81025 |
|
204 |
192 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
49 |
48 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
1,046 |
1,008 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,580 |
1,562 |
$0.00 |
| 99442 |
|
1,293 |
1,218 |
$0.00 |
| Z6202 |
|
221 |
219 |
$0.00 |
| 80305 |
|
1,207 |
634 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
68 |
68 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,612 |
1,569 |
$0.00 |
| 90700 |
|
155 |
133 |
$0.00 |
| Z6400 |
|
1,209 |
1,203 |
$0.00 |
| 59025 |
Fetal non-stress test |
823 |
387 |
$0.00 |
| Z6304 |
|
1,912 |
1,707 |
$0.00 |
| Z6200 |
|
1,141 |
1,139 |
$0.00 |
| 90710 |
|
405 |
329 |
$0.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
66 |
65 |
$0.00 |
| 91313 |
|
326 |
325 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
28 |
$0.00 |
| 91321 |
|
216 |
198 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
74 |
73 |
$0.00 |
| 90670 |
|
1,401 |
1,157 |
$0.00 |
| 90750 |
|
13 |
13 |
$0.00 |
| 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 |
121 |
93 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
94 |
93 |
$0.00 |
| 90715 |
|
395 |
385 |
$0.00 |
| 90734 |
|
24 |
24 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
27 |
27 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
24 |
$0.00 |
| 0054A |
|
62 |
62 |
$0.00 |
| 91311 |
|
18 |
15 |
$0.00 |
| 0124A |
|
42 |
42 |
$0.00 |
| 59425 |
|
123 |
109 |
$0.00 |
| 91312 |
|
42 |
42 |
$0.00 |
| 81003 |
|
27 |
16 |
$0.00 |
| 97803 |
|
109 |
88 |
$0.00 |
| 96159 |
|
43 |
42 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
12 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$0.00 |
| 91322 |
|
19 |
19 |
$0.00 |
| 0272 |
|
16 |
14 |
$0.00 |
| 96158 |
|
29 |
29 |
$0.00 |
| 99401 |
|
117 |
89 |
$0.00 |
| 90677 |
|
573 |
434 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
683 |
677 |
$0.00 |
| 90723 |
|
1,393 |
1,125 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,749 |
2,958 |
$0.00 |
| 0636 |
|
8,695 |
4,894 |
$0.00 |
| 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 |
454 |
454 |
$0.00 |
| Z1034 |
|
9,363 |
6,566 |
$0.00 |
| 90686 |
|
2,070 |
1,639 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,469 |
2,434 |
$0.00 |
| Z6204 |
|
3,747 |
2,926 |
$0.00 |
| 90647 |
|
1,595 |
1,310 |
$0.00 |
| 76801 |
|
64 |
64 |
$0.00 |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
660 |
651 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
1,358 |
1,357 |
$0.00 |
| 82962 |
|
920 |
638 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,171 |
1,674 |
$0.00 |
| Z1032 |
|
648 |
648 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,978 |
1,902 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
473 |
252 |
$0.00 |
| 99441 |
|
807 |
762 |
$0.00 |
| J3490 |
Unclassified drugs |
656 |
647 |
$0.00 |
| Z6406 |
|
5,219 |
4,053 |
$0.00 |
| 85018 |
|
1,295 |
993 |
$0.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
14 |
12 |
$0.00 |
| Z6402 |
|
1,137 |
1,135 |
$0.00 |
| Z1038 |
|
536 |
533 |
$0.00 |
| 90680 |
|
1,170 |
950 |
$0.00 |
| 91305 |
|
67 |
67 |
$0.00 |
| 92551 |
|
1,074 |
1,068 |
$0.00 |
| 90656 |
|
289 |
266 |
$0.00 |
| 99385 |
|
146 |
145 |
$0.00 |
| 99381 |
|
132 |
132 |
$0.00 |
| 90651 |
|
85 |
76 |
$0.00 |
| Z6410 |
|
736 |
732 |
$0.00 |
| 87428 |
|
355 |
275 |
$0.00 |
| 0250 |
|
101 |
91 |
$0.00 |
| 90716 |
|
58 |
55 |
$0.00 |
| 90381 |
|
44 |
30 |
$0.00 |
| 91314 |
|
25 |
25 |
$0.00 |
| 86580 |
|
90 |
89 |
$0.00 |
| 99383 |
|
70 |
69 |
$0.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
64 |
58 |
$0.00 |
| 99443 |
|
74 |
72 |
$0.00 |
| 0306 |
|
40 |
35 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
13 |
13 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
34 |
27 |
$0.00 |
| 0525 |
|
77 |
77 |
$0.00 |
| 99384 |
|
27 |
27 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
72 |
55 |
$0.00 |
| 0301 |
|
127 |
121 |
$0.00 |
| 90739 |
|
40 |
39 |
$0.00 |
| 97802 |
|
31 |
31 |
$0.00 |
| 94760 |
|
12 |
12 |
$0.00 |
| 96156 |
|
15 |
15 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
25 |
12 |
$0.00 |
| 90696 |
|
17 |
16 |
$0.00 |