| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
52,837 |
36,118 |
$15.04M |
| T1016 |
Case management, each 15 minutes |
765 |
554 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,391 |
12,024 |
$2K |
| 0012A |
|
279 |
279 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,231 |
10,301 |
$1K |
| 0011A |
|
235 |
228 |
$920.10 |
| 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 |
123 |
107 |
$262.80 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
275 |
222 |
$43.56 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,506 |
1,318 |
$35.96 |
| 96156 |
|
1,918 |
1,797 |
$0.00 |
| 3075F |
|
947 |
913 |
$0.00 |
| D1330 |
|
1,549 |
1,176 |
$0.00 |
| 3008F |
|
5,263 |
4,684 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
776 |
703 |
$0.00 |
| 2001F |
|
5,196 |
4,621 |
$0.00 |
| 96151 |
|
451 |
329 |
$0.00 |
| 1125F |
|
1,604 |
1,471 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
201 |
166 |
$0.00 |
| 3079F |
|
2,257 |
2,099 |
$0.00 |
| 3080F |
|
652 |
625 |
$0.00 |
| 3044F |
|
114 |
110 |
$0.00 |
| 1036F |
|
4,123 |
3,609 |
$0.00 |
| 1034F |
|
279 |
241 |
$0.00 |
| 97802 |
|
2,315 |
2,103 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
445 |
438 |
$0.00 |
| 3074F |
|
3,466 |
3,163 |
$0.00 |
| 91301 |
|
441 |
428 |
$0.00 |
| 90480 |
|
42 |
40 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
1,465 |
1,159 |
$0.00 |
| 90686 |
|
726 |
654 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,492 |
1,248 |
$0.00 |
| 99000 |
|
1,091 |
990 |
$0.00 |
| 1111F |
|
501 |
484 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,491 |
1,073 |
$0.00 |
| D1310 |
|
1,504 |
1,134 |
$0.00 |
| 96150 |
|
625 |
443 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
213 |
174 |
$0.00 |
| 90656 |
|
77 |
69 |
$0.00 |
| 36416 |
|
328 |
313 |
$0.00 |
| 87428 |
|
62 |
55 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
52 |
44 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
132 |
121 |
$0.00 |
| 1126F |
|
2,080 |
1,931 |
$0.00 |
| 3048F |
|
106 |
102 |
$0.00 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,341 |
768 |
$0.00 |
| 90688 |
|
136 |
97 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
66 |
54 |
$0.00 |
| 0064A |
|
311 |
289 |
$0.00 |
| 0134A |
|
88 |
75 |
$0.00 |
| 88142 |
|
14 |
14 |
$0.00 |
| D1340 |
|
12 |
12 |
$0.00 |
| 1000F |
|
12 |
12 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,253 |
829 |
$0.00 |
| 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 |
13 |
13 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
642 |
622 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
447 |
431 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
221 |
218 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
41 |
40 |
$0.00 |
| D0190 |
|
1,472 |
1,189 |
$0.00 |
| 3078F |
|
2,324 |
2,165 |
$0.00 |
| 81003 |
|
395 |
374 |
$0.00 |
| 1159F |
|
4,016 |
3,563 |
$0.00 |
| 97803 |
|
2,176 |
1,888 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
207 |
189 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
256 |
243 |
$0.00 |
| 81025 |
|
261 |
210 |
$0.00 |
| H0031 |
Mental health assessment, by non-physician |
113 |
104 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,461 |
1,350 |
$0.00 |
| 3077F |
|
789 |
736 |
$0.00 |
| D9996 |
|
1,429 |
1,073 |
$0.00 |
| 4004F |
|
58 |
58 |
$0.00 |
| 81002 |
|
166 |
145 |
$0.00 |
| 3050F |
|
14 |
13 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
252 |
210 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
13 |
12 |
$0.00 |
| 90715 |
|
157 |
117 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
92 |
83 |
$0.00 |
| 91322 |
|
47 |
44 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
12 |
12 |
$0.00 |
| 91313 |
|
45 |
39 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
14 |
12 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
15 |
14 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
16 |
12 |
$0.00 |