| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
100,828 |
81,821 |
$11.35M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
61,197 |
52,807 |
$297K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
3,935 |
1,919 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,430 |
8,688 |
$33K |
| 3008F |
|
21,248 |
19,694 |
$30K |
| 1111F |
|
11,462 |
10,259 |
$25K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,090 |
914 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,893 |
8,955 |
$24K |
| 3074F |
|
10,763 |
10,044 |
$21K |
| 1160F |
|
14,197 |
13,182 |
$18K |
| 3078F |
|
8,823 |
8,231 |
$17K |
| 80305 |
|
4,040 |
2,443 |
$17K |
| 1159F |
|
12,513 |
11,575 |
$14K |
| 1033F |
|
4,509 |
4,218 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,855 |
1,621 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
962 |
894 |
$11K |
| 1031F |
|
7,530 |
7,086 |
$11K |
| 3079F |
|
3,254 |
3,068 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,442 |
1,339 |
$8K |
| 3725F |
|
1,314 |
1,255 |
$7K |
| 90791 |
Psychiatric diagnostic evaluation |
224 |
217 |
$7K |
| 3351F |
|
2,611 |
2,504 |
$7K |
| 4000F |
|
4,564 |
4,015 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
716 |
662 |
$6K |
| 1034F |
|
3,358 |
3,116 |
$5K |
| 99406 |
|
862 |
796 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,105 |
2,069 |
$4K |
| 0002A |
|
218 |
215 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
308 |
299 |
$4K |
| 0001A |
|
310 |
304 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
654 |
623 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
433 |
352 |
$4K |
| 3075F |
|
1,259 |
1,200 |
$3K |
| 3077F |
|
1,027 |
969 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
91 |
83 |
$3K |
| 99408 |
|
240 |
232 |
$3K |
| 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 |
390 |
390 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
109 |
100 |
$2K |
| 90686 |
|
500 |
469 |
$2K |
| 0031A |
|
81 |
60 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
298 |
278 |
$2K |
| 1032F |
|
1,642 |
1,553 |
$2K |
| 1090F |
|
921 |
877 |
$2K |
| 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 |
12,568 |
10,472 |
$2K |
| 3049F |
|
157 |
153 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
279 |
229 |
$2K |
| 3080F |
|
813 |
775 |
$1K |
| 1101F |
|
1,862 |
1,751 |
$897.82 |
| 3048F |
|
75 |
72 |
$860.93 |
| 3050F |
|
31 |
26 |
$563.64 |
| 81001 |
|
208 |
193 |
$538.94 |
| 90733 |
|
97 |
95 |
$525.63 |
| 81002 |
|
144 |
135 |
$199.73 |
| 71046 |
Radiologic examination, chest; 2 views |
29 |
25 |
$192.15 |
| 0003A |
|
27 |
27 |
$192.00 |
| 0012A |
|
16 |
16 |
$180.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
15 |
$151.17 |
| 90632 |
|
23 |
21 |
$150.00 |
| 0011A |
|
43 |
43 |
$144.25 |
| 99215 |
Prolong outpt/office vis |
166 |
161 |
$125.77 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
214 |
192 |
$106.24 |
| D0120 |
Periodic oral evaluation - established patient |
29 |
27 |
$101.23 |
| 90715 |
|
71 |
68 |
$77.49 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
54 |
53 |
$77.27 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
319 |
302 |
$29.29 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
17 |
15 |
$27.10 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
25 |
24 |
$25.32 |
| 85610 |
|
16 |
12 |
$19.49 |
| H0049 |
Alcohol and/or drug screening |
829 |
510 |
$18.00 |
| 96127 |
|
164 |
149 |
$14.79 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
29 |
27 |
$6.94 |
| 99441 |
|
20 |
19 |
$0.00 |
| H0038 |
Self-help/peer services, per 15 minutes |
148 |
110 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
44 |
42 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
72 |
72 |
$0.00 |
| 1157F |
|
92 |
88 |
$0.00 |
| 91303 |
|
53 |
41 |
$0.00 |
| 3352F |
|
13 |
13 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
22 |
21 |
$0.00 |
| Q2039 |
Influenza virus vaccine, not otherwise specified |
70 |
70 |
$0.00 |
| 3353F |
|
127 |
125 |
$0.00 |
| 1035F |
|
12 |
12 |
$0.00 |
| 3044F |
|
15 |
15 |
$0.00 |
| 99385 |
|
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 |
14 |
13 |
$0.00 |
| 91301 |
|
19 |
16 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
16 |
13 |
$0.00 |
| D1120 |
Prophylaxis - child |
26 |
24 |
$0.00 |
| 4004F |
|
84 |
83 |
$0.00 |
| 82465 |
|
12 |
12 |
$0.00 |
| 1158F |
|
61 |
58 |
$0.00 |
| 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 |
14 |
14 |
$0.00 |
| 99348 |
|
39 |
36 |
$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 |
33 |
29 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
172 |
166 |
$0.00 |
| 91300 |
|
423 |
401 |
$0.00 |
| 4001F |
|
14 |
14 |
$0.00 |
| D0330 |
Panoramic radiographic image |
33 |
31 |
$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 |
29 |
12 |
$0.00 |
| 81025 |
|
16 |
15 |
$0.00 |
| 99201 |
|
15 |
12 |
$0.00 |