| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
40,468 |
32,288 |
$6.99M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
102,237 |
89,936 |
$2.66M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44,026 |
39,533 |
$1.77M |
| 90834 |
Psychotherapy, 45 minutes with patient |
23,946 |
17,220 |
$1.05M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,629 |
9,266 |
$491K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,971 |
7,674 |
$424K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,555 |
6,335 |
$344K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,817 |
6,431 |
$323K |
| 90791 |
Psychiatric diagnostic evaluation |
3,001 |
2,770 |
$226K |
| H1000 |
Prenatal care, at-risk assessment |
3,971 |
3,737 |
$196K |
| 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 |
8,611 |
6,875 |
$196K |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,982 |
3,804 |
$172K |
| Q3014 |
Telehealth originating site facility fee |
9,166 |
7,293 |
$148K |
| T1016 |
Case management, each 15 minutes |
15,541 |
12,201 |
$112K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
4,149 |
3,573 |
$107K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
1,530 |
1,217 |
$100K |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
3,734 |
3,519 |
$98K |
| 90686 |
|
19,454 |
18,688 |
$95K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,994 |
4,338 |
$66K |
| 99188 |
|
5,334 |
5,151 |
$60K |
| 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 |
2,129 |
1,484 |
$59K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,385 |
5,024 |
$58K |
| 83655 |
|
4,145 |
3,772 |
$48K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,809 |
2,667 |
$40K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,116 |
2,059 |
$39K |
| D1206 |
Topical application of fluoride varnish |
3,652 |
2,858 |
$36K |
| D0191 |
|
3,821 |
2,999 |
$31K |
| 90648 |
|
5,334 |
5,103 |
$25K |
| H1004 |
Prenatal care, at-risk enhanced service; follow-up home visit |
818 |
626 |
$24K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
676 |
628 |
$23K |
| 90656 |
|
1,271 |
1,264 |
$18K |
| 90677 |
|
825 |
786 |
$16K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,282 |
2,049 |
$15K |
| 90688 |
|
1,184 |
1,096 |
$15K |
| 0012A |
|
411 |
407 |
$15K |
| 90670 |
|
4,479 |
4,296 |
$15K |
| 99215 |
Prolong outpt/office vis |
251 |
233 |
$14K |
| 90723 |
|
2,882 |
2,769 |
$13K |
| 0011A |
|
460 |
454 |
$12K |
| 90651 |
|
2,107 |
2,016 |
$11K |
| 90480 |
|
337 |
326 |
$11K |
| 90680 |
|
2,351 |
2,256 |
$10K |
| 36416 |
|
4,109 |
3,776 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
164 |
154 |
$8K |
| 82947 |
|
2,066 |
1,859 |
$7K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
77 |
66 |
$6K |
| 0124A |
|
189 |
171 |
$6K |
| 99442 |
|
404 |
343 |
$6K |
| 0002A |
|
144 |
143 |
$5K |
| 90633 |
|
1,263 |
1,218 |
$5K |
| 90837 |
Psychotherapy, 53 minutes with patient |
80 |
48 |
$5K |
| 0001A |
|
117 |
114 |
$4K |
| 90734 |
|
923 |
897 |
$4K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
271 |
224 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
120 |
106 |
$3K |
| 82962 |
|
1,600 |
1,397 |
$3K |
| 90672 |
|
116 |
112 |
$2K |
| 99201 |
|
77 |
75 |
$2K |
| 81002 |
|
728 |
673 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
94 |
87 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
151 |
131 |
$2K |
| 99384 |
|
21 |
20 |
$1K |
| 90620 |
|
173 |
170 |
$1K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
22 |
12 |
$1K |
| 90660 |
|
79 |
78 |
$1K |
| 99441 |
|
143 |
106 |
$958.31 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$924.00 |
| 90685 |
|
278 |
272 |
$901.95 |
| 92551 |
|
7,510 |
6,786 |
$896.54 |
| 90715 |
|
124 |
119 |
$741.80 |
| 99383 |
|
17 |
14 |
$713.36 |
| 96380 |
|
63 |
63 |
$660.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
19 |
18 |
$657.02 |
| 59025 |
Fetal non-stress test |
42 |
37 |
$619.16 |
| 90716 |
|
92 |
89 |
$568.96 |
| 90707 |
|
65 |
62 |
$565.40 |
| 94200 |
|
45 |
45 |
$515.62 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,728 |
7,078 |
$442.90 |
| 99381 |
|
26 |
25 |
$365.88 |
| 99173 |
|
5,085 |
4,559 |
$323.00 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
174 |
134 |
$309.47 |
| 81025 |
|
68 |
62 |
$286.83 |
| 90710 |
|
91 |
90 |
$269.10 |
| 83026 |
|
86 |
80 |
$234.84 |
| 90696 |
|
78 |
77 |
$228.76 |
| 85018 |
|
68 |
68 |
$207.02 |
| 90700 |
|
53 |
50 |
$148.61 |
| 69209 |
|
21 |
14 |
$87.66 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,836 |
2,574 |
$16.20 |
| 81003 |
|
13 |
13 |
$15.75 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
14 |
12 |
$1.83 |
| G0008 |
Administration of influenza virus vaccine |
361 |
312 |
$0.01 |
| 3074F |
|
13,732 |
12,084 |
$0.00 |
| 3008F |
|
3,823 |
3,443 |
$0.00 |
| D1330 |
|
3,082 |
2,269 |
$0.00 |
| 3079F |
|
790 |
684 |
$0.00 |
| 90381 |
|
13 |
13 |
$0.00 |
| 3075F |
|
84 |
76 |
$0.00 |
| 3044F |
|
39 |
28 |
$0.00 |
| 91315 |
|
24 |
24 |
$0.00 |
| 90694 |
|
16 |
13 |
$0.00 |
| 90474 |
|
20 |
19 |
$0.00 |
| 3078F |
|
12,720 |
11,214 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,227 |
2,138 |
$0.00 |
| 90461 |
|
1,067 |
939 |
$0.00 |
| 91300 |
|
88 |
78 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
130 |
119 |
$0.00 |
| 90473 |
|
55 |
53 |
$0.00 |
| 3077F |
|
46 |
37 |
$0.00 |
| 90380 |
|
13 |
13 |
$0.00 |