| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
248,094 |
220,129 |
$34.01M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
213,240 |
138,314 |
$1.66M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
58,580 |
34,418 |
$769K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
58,519 |
36,373 |
$367K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
22,206 |
9,395 |
$261K |
| 98940 |
|
15,561 |
6,035 |
$173K |
| 90832 |
Psychotherapy, 30 minutes with patient |
5,608 |
3,354 |
$149K |
| 90834 |
Psychotherapy, 45 minutes with patient |
5,198 |
2,997 |
$136K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,262 |
3,312 |
$58K |
| 99215 |
Prolong outpt/office vis |
1,786 |
1,095 |
$57K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
5,372 |
3,849 |
$53K |
| 97803 |
|
1,438 |
1,358 |
$41K |
| 97802 |
|
807 |
772 |
$35K |
| 17110 |
|
958 |
696 |
$31K |
| 80305 |
|
6,072 |
2,598 |
$28K |
| 92552 |
|
7,291 |
4,611 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,169 |
731 |
$24K |
| 90686 |
|
4,549 |
3,199 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,699 |
999 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,923 |
1,174 |
$20K |
| 90750 |
|
150 |
96 |
$13K |
| 93000 |
|
724 |
414 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
992 |
632 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,946 |
2,006 |
$8K |
| 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 |
291 |
258 |
$8K |
| 90715 |
|
794 |
489 |
$7K |
| 90662 |
|
200 |
200 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,460 |
1,226 |
$5K |
| 90736 |
|
64 |
39 |
$5K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,145 |
1,341 |
$5K |
| 11720 |
|
597 |
423 |
$5K |
| 85018 |
|
7,300 |
4,605 |
$3K |
| 90656 |
|
256 |
156 |
$3K |
| 81002 |
|
4,204 |
2,816 |
$3K |
| 90682 |
|
55 |
51 |
$3K |
| 90732 |
|
50 |
26 |
$2K |
| G9012 |
Other specified case management service not elsewhere classified |
22 |
20 |
$2K |
| 82962 |
|
2,292 |
1,375 |
$2K |
| 99173 |
|
4,324 |
3,078 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
685 |
430 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
76 |
54 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
433 |
412 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
35 |
19 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
92 |
64 |
$1K |
| 99383 |
|
75 |
42 |
$1K |
| 20600 |
|
65 |
42 |
$1K |
| 99384 |
|
37 |
24 |
$986.70 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
235 |
144 |
$858.83 |
| 81025 |
|
535 |
315 |
$836.09 |
| 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 |
1,238 |
1,236 |
$777.20 |
| 90619 |
|
427 |
248 |
$747.00 |
| 90673 |
|
24 |
12 |
$540.84 |
| 90671 |
|
102 |
61 |
$396.00 |
| 90633 |
|
148 |
87 |
$364.92 |
| 82948 |
|
469 |
338 |
$360.53 |
| 90651 |
|
120 |
63 |
$351.00 |
| 99205 |
Prolong outpt/office vis |
32 |
28 |
$338.33 |
| 90734 |
|
454 |
303 |
$331.78 |
| 99381 |
|
16 |
12 |
$271.98 |
| 90697 |
|
157 |
98 |
$270.00 |
| 90648 |
|
100 |
69 |
$261.00 |
| 11721 |
|
20 |
12 |
$258.03 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
274 |
234 |
$240.84 |
| 11055 |
|
22 |
12 |
$180.91 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
66 |
36 |
$159.63 |
| 90791 |
Psychiatric diagnostic evaluation |
16 |
15 |
$154.08 |
| 90461 |
|
826 |
694 |
$146.70 |
| 90670 |
|
246 |
165 |
$135.00 |
| 90710 |
|
217 |
127 |
$130.02 |
| 90723 |
|
76 |
50 |
$126.01 |
| 90716 |
|
18 |
12 |
$81.00 |
| 99201 |
|
136 |
127 |
$68.70 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
59 |
43 |
$61.27 |
| 94760 |
|
392 |
317 |
$31.18 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
175 |
95 |
$17.08 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$11.70 |
| 81005 |
|
20 |
16 |
$1.73 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
23 |
13 |
$0.13 |
| 91301 |
|
82 |
79 |
$0.00 |
| 1000F |
|
417 |
363 |
$0.00 |
| 3044F |
|
163 |
132 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
561 |
300 |
$0.00 |
| 36416 |
|
92 |
81 |
$0.00 |
| 0134A |
|
31 |
26 |
$0.00 |
| 0031A |
|
37 |
37 |
$0.00 |
| 91303 |
|
63 |
56 |
$0.00 |
| 87081 |
|
555 |
417 |
$0.00 |
| 99172 |
|
1,282 |
1,178 |
$0.00 |
| 0011A |
|
28 |
28 |
$0.00 |
| 20610 |
|
27 |
24 |
$0.00 |
| 17000 |
|
13 |
13 |
$0.00 |
| 90696 |
|
21 |
13 |
$0.00 |
| 91313 |
|
75 |
46 |
$0.00 |
| 83037 |
|
1,466 |
1,292 |
$0.00 |
| 3455F |
|
1,217 |
1,122 |
$0.00 |
| 2028F |
|
231 |
169 |
$0.00 |
| 90649 |
|
40 |
28 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
369 |
246 |
$0.00 |
| 0013A |
|
58 |
53 |
$0.00 |
| 4004F |
|
174 |
173 |
$0.00 |
| 91300 |
|
14 |
12 |
$0.00 |
| 11719 |
|
15 |
15 |
$0.00 |