| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
65,056 |
48,914 |
$10.94M |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
2,971 |
1,723 |
$326K |
| 0001A |
|
694 |
641 |
$37K |
| 0002A |
|
577 |
561 |
$33K |
| 0003A |
|
401 |
401 |
$26K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,129 |
3,708 |
$26K |
| 0011A |
|
997 |
957 |
$24K |
| 0012A |
|
647 |
609 |
$18K |
| 0013A |
|
282 |
280 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,386 |
21,332 |
$17K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,776 |
2,494 |
$13K |
| 99201 |
|
4,943 |
4,262 |
$10K |
| G9012 |
Other specified case management service not elsewhere classified |
2,653 |
978 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,465 |
3,753 |
$7K |
| 0064A |
|
110 |
109 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14,304 |
9,891 |
$6K |
| 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 |
310 |
218 |
$4K |
| 90673 |
|
302 |
204 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,004 |
798 |
$4K |
| 11721 |
|
646 |
423 |
$3K |
| 99000 |
|
4,210 |
3,410 |
$2K |
| 90715 |
|
227 |
148 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,717 |
893 |
$2K |
| 90750 |
|
67 |
44 |
$2K |
| 0054A |
|
44 |
39 |
$1K |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
283 |
200 |
$1K |
| 0031A |
|
20 |
20 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
410 |
374 |
$913.80 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
674 |
450 |
$737.05 |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
387 |
245 |
$587.51 |
| 11730 |
|
123 |
78 |
$567.25 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,245 |
1,603 |
$525.26 |
| 99406 |
|
2,468 |
1,616 |
$397.94 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
132 |
99 |
$345.22 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
12 |
12 |
$343.82 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,937 |
2,509 |
$321.27 |
| 97802 |
|
1,593 |
990 |
$264.66 |
| 90656 |
|
42 |
26 |
$245.07 |
| 90837 |
Psychotherapy, 53 minutes with patient |
151 |
74 |
$244.27 |
| 93000 |
|
31 |
19 |
$239.66 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
768 |
477 |
$191.84 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
25 |
$160.05 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,215 |
1,495 |
$140.29 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,505 |
2,242 |
$138.92 |
| 90686 |
|
106 |
74 |
$137.46 |
| 97803 |
|
359 |
194 |
$130.55 |
| 82274 |
|
909 |
578 |
$122.18 |
| 96127 |
|
4,485 |
2,771 |
$113.39 |
| 11732 |
|
41 |
26 |
$113.20 |
| 90658 |
|
240 |
198 |
$106.80 |
| 86580 |
|
149 |
107 |
$99.06 |
| 90834 |
Psychotherapy, 45 minutes with patient |
212 |
117 |
$98.35 |
| 11056 |
|
36 |
25 |
$96.20 |
| G0246 |
Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear, and (3) patient education |
2,502 |
1,648 |
$96.10 |
| 96156 |
|
907 |
597 |
$84.30 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
340 |
228 |
$76.25 |
| 99401 |
|
7,158 |
4,040 |
$73.77 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
19 |
12 |
$70.14 |
| 11001 |
|
304 |
171 |
$69.30 |
| 82962 |
|
5,806 |
3,699 |
$59.74 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
13 |
$54.28 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
225 |
145 |
$50.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
224 |
138 |
$37.50 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24 |
14 |
$37.02 |
| 99215 |
Prolong outpt/office vis |
96 |
70 |
$36.51 |
| 90651 |
|
40 |
24 |
$36.03 |
| 87625 |
|
224 |
144 |
$29.20 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
4,760 |
2,987 |
$16.87 |
| 81000 |
|
365 |
236 |
$16.73 |
| 88174 |
|
228 |
144 |
$16.46 |
| 88141 |
|
224 |
145 |
$9.48 |
| 90661 |
|
20 |
12 |
$9.00 |
| 81025 |
|
53 |
28 |
$8.40 |
| 85018 |
|
629 |
399 |
$5.80 |
| H0043 |
Supported housing, per diem |
55 |
45 |
$0.17 |
| S9451 |
Exercise classes, non-physician provider, per session |
6,902 |
3,894 |
$0.04 |
| S9449 |
Weight management classes, non-physician provider, per session |
7,236 |
4,066 |
$0.04 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
1,063 |
699 |
$0.03 |
| 3008F |
|
17,370 |
9,609 |
$0.00 |
| 3074F |
|
2,310 |
1,489 |
$0.00 |
| 3080F |
|
471 |
295 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
697 |
457 |
$0.00 |
| 99496 |
|
398 |
233 |
$0.00 |
| 3014F |
|
669 |
446 |
$0.00 |
| 1111F |
|
645 |
418 |
$0.00 |
| 3075F |
|
1,071 |
698 |
$0.00 |
| 1034F |
|
2,386 |
1,561 |
$0.00 |
| 3017F |
|
1,584 |
1,011 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
50 |
30 |
$0.00 |
| 3044F |
|
391 |
270 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,136 |
679 |
$0.00 |
| 1036F |
|
2,017 |
1,321 |
$0.00 |
| 3079F |
|
1,657 |
1,058 |
$0.00 |
| 91301 |
|
47 |
47 |
$0.00 |
| 3048F |
|
72 |
49 |
$0.00 |
| 00018 |
|
47 |
43 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
25 |
12 |
$0.00 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
19 |
14 |
$0.00 |
| 99495 |
|
215 |
127 |
$0.00 |
| 4010F |
|
236 |
144 |
$0.00 |
| 1123F |
|
20 |
13 |
$0.00 |
| 3061F |
|
61 |
41 |
$0.00 |
| G0475 |
Hiv antigen/antibody, combination assay, screening |
56 |
55 |
$0.00 |
| 3049F |
|
42 |
26 |
$0.00 |
| 29540 |
|
36 |
15 |
$0.00 |
| 81001 |
|
18 |
14 |
$0.00 |
| 99442 |
|
1,523 |
879 |
$0.00 |
| 3725F |
|
5,259 |
3,296 |
$0.00 |
| H2016 |
Comprehensive community support services, per diem |
308 |
244 |
$0.00 |
| 4004F |
|
2,430 |
1,594 |
$0.00 |
| 3046F |
|
444 |
322 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
79 |
44 |
$0.00 |
| 11000 |
|
1,087 |
645 |
$0.00 |
| 3077F |
|
1,365 |
861 |
$0.00 |
| 3078F |
|
2,428 |
1,581 |
$0.00 |
| 83037 |
|
1,401 |
939 |
$0.00 |
| J2426 |
Injection, paliperidone palmitate extended release (invega sustenna), 1 mg |
137 |
125 |
$0.00 |
| 91320 |
|
48 |
29 |
$0.00 |
| 90806 |
|
22 |
13 |
$0.00 |
| 4013F |
|
264 |
163 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
13 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
142 |
137 |
$0.00 |
| 3050F |
|
218 |
137 |
$0.00 |
| 1160F |
|
63 |
46 |
$0.00 |
| 3045F |
|
15 |
14 |
$0.00 |
| H2014 |
Skills training and development, per 15 minutes |
20 |
19 |
$0.00 |
| 1159F |
|
65 |
47 |
$0.00 |
| 96136 |
|
12 |
12 |
$0.00 |
| 3051F |
|
18 |
12 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
15 |
12 |
$0.00 |