| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
42,917 |
34,787 |
$4.71M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,913 |
23,603 |
$1.06M |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
9,409 |
8,792 |
$225K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
4,907 |
4,641 |
$222K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,912 |
1,888 |
$154K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,997 |
1,964 |
$147K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,305 |
3,092 |
$124K |
| 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 |
3,792 |
3,233 |
$122K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,538 |
1,497 |
$115K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,582 |
1,535 |
$114K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
5,516 |
5,218 |
$95K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,187 |
1,135 |
$90K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,660 |
1,583 |
$59K |
| 87634 |
|
1,362 |
1,273 |
$32K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,647 |
3,548 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
287 |
280 |
$14K |
| 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 |
679 |
670 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,652 |
1,538 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
284 |
276 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,207 |
3,011 |
$7K |
| 80053 |
Comprehensive metabolic panel |
2,949 |
2,790 |
$7K |
| 99381 |
|
92 |
85 |
$7K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,178 |
1,115 |
$6K |
| 97803 |
|
1,059 |
953 |
$3K |
| 81001 |
|
2,170 |
1,998 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,192 |
1,125 |
$2K |
| 81025 |
|
686 |
629 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
26 |
25 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
53 |
53 |
$2K |
| 80061 |
Lipid panel |
1,054 |
979 |
$2K |
| 97802 |
|
252 |
238 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
192 |
96 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
18 |
13 |
$1K |
| 99406 |
|
397 |
365 |
$1K |
| 92552 |
|
1,471 |
1,441 |
$1K |
| 84439 |
|
320 |
296 |
$936.91 |
| 36415 |
Collection of venous blood by venipuncture |
3,885 |
3,664 |
$840.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
54 |
51 |
$763.03 |
| 80050 |
General health panel |
38 |
37 |
$735.09 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
80 |
80 |
$533.34 |
| 86308 |
|
140 |
139 |
$388.96 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
116 |
114 |
$351.54 |
| 99000 |
|
49 |
48 |
$313.20 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
31 |
30 |
$261.22 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,947 |
3,865 |
$195.35 |
| 87806 |
|
24 |
21 |
$137.65 |
| 90686 |
|
525 |
513 |
$128.26 |
| 96160 |
|
299 |
290 |
$122.39 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
54 |
51 |
$99.54 |
| 90619 |
|
13 |
12 |
$93.47 |
| 82607 |
|
20 |
17 |
$63.35 |
| 83540 |
|
34 |
31 |
$48.87 |
| 82043 |
|
33 |
30 |
$44.28 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
69 |
68 |
$34.21 |
| 87210 |
|
17 |
17 |
$29.34 |
| 90734 |
|
359 |
354 |
$16.15 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
26 |
24 |
$6.89 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
48 |
48 |
$0.25 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,517 |
2,454 |
$0.14 |
| 90474 |
|
191 |
188 |
$0.04 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
4,588 |
3,910 |
$0.01 |
| 3080F |
|
399 |
353 |
$0.01 |
| 90651 |
|
269 |
264 |
$0.01 |
| 99173 |
|
1,615 |
1,586 |
$0.00 |
| 99307 |
|
1,365 |
1,102 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
27 |
24 |
$0.00 |
| 3028F |
|
3,704 |
3,183 |
$0.00 |
| 90670 |
|
1,111 |
1,086 |
$0.00 |
| 3078F |
|
791 |
726 |
$0.00 |
| 4120F |
|
5,614 |
5,287 |
$0.00 |
| 90681 |
|
262 |
258 |
$0.00 |
| 90648 |
|
511 |
502 |
$0.00 |
| 4124F |
|
206 |
202 |
$0.00 |
| 90633 |
|
664 |
653 |
$0.00 |
| 3077F |
|
701 |
619 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
26 |
25 |
$0.00 |
| 90671 |
|
169 |
164 |
$0.00 |
| 90710 |
|
146 |
142 |
$0.00 |
| 90700 |
|
74 |
73 |
$0.00 |
| 90707 |
|
76 |
75 |
$0.00 |
| 4025F |
|
13 |
13 |
$0.00 |
| 90715 |
|
109 |
108 |
$0.00 |
| 4040F |
|
22 |
22 |
$0.00 |
| 3210F |
|
67 |
63 |
$0.00 |
| 1159F |
|
96 |
90 |
$0.00 |
| 4145F |
|
15 |
14 |
$0.00 |
| 90697 |
|
419 |
395 |
$0.00 |
| 2010F |
|
4,371 |
3,740 |
$0.00 |
| 96127 |
|
705 |
655 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,352 |
1,210 |
$0.00 |
| 3008F |
|
4,136 |
3,514 |
$0.00 |
| 1034F |
|
461 |
409 |
$0.00 |
| 90696 |
|
122 |
118 |
$0.00 |
| 2001F |
|
386 |
357 |
$0.00 |
| 3074F |
|
897 |
810 |
$0.00 |
| 3079F |
|
746 |
693 |
$0.00 |
| 1000F |
|
83 |
79 |
$0.00 |
| 90723 |
|
473 |
467 |
$0.00 |
| 3075F |
|
269 |
254 |
$0.00 |
| 2000F |
|
2,747 |
2,384 |
$0.00 |
| 90647 |
|
124 |
124 |
$0.00 |
| 3351F |
|
439 |
401 |
$0.00 |
| 3011F |
|
31 |
25 |
$0.00 |
| 3353F |
|
123 |
117 |
$0.00 |
| 1036F |
|
14 |
13 |
$0.00 |
| 90716 |
|
37 |
37 |
$0.00 |
| 36416 |
|
33 |
32 |
$0.00 |
| 4130F |
|
20 |
18 |
$0.00 |
| 4010F |
|
16 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
26 |
26 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
31 |
29 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
112 |
98 |
$0.00 |
| 3044F |
|
49 |
41 |
$0.00 |
| 4037F |
|
32 |
32 |
$0.00 |
| 4056F |
|
13 |
13 |
$0.00 |
| 3352F |
|
14 |
14 |
$0.00 |