| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
156,214 |
139,288 |
$13.18M |
| 90832 |
Psychotherapy, 30 minutes with patient |
8,554 |
4,431 |
$116K |
| 90791 |
Psychiatric diagnostic evaluation |
2,510 |
1,627 |
$85K |
| 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 |
4,399 |
2,769 |
$59K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
82,224 |
63,608 |
$48K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
7,167 |
5,681 |
$22K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
9,585 |
7,488 |
$17K |
| 0012A |
|
315 |
197 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17,328 |
13,470 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,389 |
8,381 |
$7K |
| 0011A |
|
313 |
200 |
$5K |
| 0031A |
|
112 |
86 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
79 |
54 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
822 |
636 |
$1K |
| 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 |
62 |
41 |
$1K |
| 99215 |
Prolong outpt/office vis |
759 |
617 |
$861.78 |
| 90834 |
Psychotherapy, 45 minutes with patient |
36 |
28 |
$738.76 |
| 59425 |
|
147 |
114 |
$489.27 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
162 |
134 |
$374.65 |
| 81001 |
|
6,735 |
5,324 |
$342.56 |
| 90674 |
|
634 |
543 |
$335.74 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,747 |
1,392 |
$279.32 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
385 |
332 |
$213.06 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
66 |
50 |
$206.70 |
| 81025 |
|
3,230 |
2,533 |
$196.09 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,370 |
1,095 |
$188.89 |
| 90670 |
|
479 |
409 |
$131.68 |
| 0502F |
|
956 |
580 |
$124.64 |
| 92551 |
|
1,100 |
969 |
$122.77 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
373 |
271 |
$88.36 |
| 90723 |
|
302 |
247 |
$77.89 |
| 90680 |
|
135 |
113 |
$68.25 |
| 82948 |
|
1,098 |
860 |
$55.55 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
565 |
477 |
$47.93 |
| H2000 |
Comprehensive multidisciplinary evaluation |
44 |
42 |
$43.66 |
| 90648 |
|
397 |
316 |
$39.76 |
| 86580 |
|
176 |
133 |
$33.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,553 |
2,152 |
$31.22 |
| 85018 |
|
672 |
593 |
$28.10 |
| 90688 |
|
284 |
218 |
$27.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,653 |
1,513 |
$26.03 |
| 99173 |
|
1,000 |
883 |
$24.70 |
| 90686 |
|
1,008 |
863 |
$19.00 |
| 87490 |
|
17 |
13 |
$17.17 |
| 87590 |
|
17 |
13 |
$12.61 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
171 |
156 |
$11.50 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
68 |
50 |
$10.02 |
| 90710 |
|
175 |
139 |
$9.00 |
| 90461 |
|
859 |
787 |
$8.92 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
132 |
118 |
$2.62 |
| 1036F |
|
32,460 |
25,090 |
$0.01 |
| 3046F |
|
303 |
233 |
$0.00 |
| 3077F |
|
8,806 |
6,910 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
8,824 |
6,928 |
$0.00 |
| 3078F |
|
34,440 |
26,895 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
46,187 |
35,905 |
$0.00 |
| 3050F |
|
3,018 |
2,267 |
$0.00 |
| Z6400 |
|
210 |
210 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
858 |
741 |
$0.00 |
| 90633 |
|
413 |
331 |
$0.00 |
| 90700 |
|
105 |
82 |
$0.00 |
| 90715 |
|
49 |
40 |
$0.00 |
| 90734 |
|
65 |
53 |
$0.00 |
| 3051F |
|
64 |
53 |
$0.00 |
| 3045F |
|
26 |
25 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| 99382 |
|
31 |
26 |
$0.00 |
| 4004F |
|
57 |
46 |
$0.00 |
| Z6500 |
|
209 |
209 |
$0.00 |
| 81003 |
|
66 |
55 |
$0.00 |
| 90707 |
|
64 |
58 |
$0.00 |
| 91300 |
|
53 |
41 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
4,578 |
3,590 |
$0.00 |
| 2001F |
|
55,237 |
42,862 |
$0.00 |
| 3008F |
|
55,211 |
42,844 |
$0.00 |
| 90716 |
|
50 |
42 |
$0.00 |
| 3080F |
|
3,688 |
2,893 |
$0.00 |
| 3048F |
|
7,956 |
6,118 |
$0.00 |
| 3074F |
|
37,710 |
29,380 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
50,341 |
39,108 |
$0.00 |
| 3049F |
|
4,559 |
3,456 |
$0.00 |
| 3079F |
|
15,636 |
12,257 |
$0.00 |
| 3075F |
|
7,246 |
5,676 |
$0.00 |
| 1034F |
|
199 |
154 |
$0.00 |
| Z1034 |
|
750 |
566 |
$0.00 |
| 90744 |
|
38 |
34 |
$0.00 |
| 90647 |
|
42 |
40 |
$0.00 |
| 91301 |
|
475 |
376 |
$0.00 |
| 90696 |
|
65 |
56 |
$0.00 |
| 90651 |
|
106 |
96 |
$0.00 |
| 1111F |
|
19 |
16 |
$0.00 |
| Z6410 |
|
124 |
68 |
$0.00 |
| 99383 |
|
29 |
27 |
$0.00 |
| 90694 |
|
19 |
14 |
$0.00 |
| 3044F |
|
95 |
78 |
$0.00 |
| 1035F |
|
39 |
31 |
$0.00 |
| 90697 |
|
44 |
43 |
$0.00 |
| 91303 |
|
100 |
83 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
22 |
13 |
$0.00 |
| 99381 |
|
20 |
18 |
$0.00 |
| 90677 |
|
67 |
62 |
$0.00 |
| 99406 |
|
14 |
12 |
$0.00 |
| 3052F |
|
15 |
12 |
$0.00 |