| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
45,819 |
37,078 |
$11.80M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58,008 |
39,347 |
$546K |
| 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 |
7,706 |
6,256 |
$425K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,017 |
8,852 |
$152K |
| 98940 |
|
2,136 |
1,326 |
$61K |
| 90686 |
|
1,700 |
1,302 |
$13K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,790 |
3,798 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
838 |
548 |
$5K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
175 |
151 |
$5K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
21 |
16 |
$5K |
| 90715 |
|
158 |
141 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,469 |
4,177 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
80 |
65 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
52 |
32 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,009 |
713 |
$1K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
40 |
24 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
52 |
38 |
$1K |
| 82948 |
|
2,634 |
2,405 |
$1K |
| 90688 |
|
105 |
105 |
$1K |
| 82962 |
|
1,898 |
1,298 |
$888.85 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$818.05 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
44 |
24 |
$812.24 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
585 |
542 |
$579.44 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
294 |
272 |
$507.34 |
| 90656 |
|
297 |
206 |
$500.18 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
38 |
28 |
$350.89 |
| 81025 |
|
155 |
133 |
$283.89 |
| 81002 |
|
149 |
134 |
$207.82 |
| 92552 |
|
48 |
41 |
$205.71 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
44 |
43 |
$200.47 |
| 90658 |
|
33 |
33 |
$151.20 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
15 |
$147.02 |
| 81003 |
|
424 |
372 |
$105.99 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
12 |
$102.90 |
| 85018 |
|
107 |
89 |
$97.58 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
58 |
54 |
$92.48 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
821 |
795 |
$69.69 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
60 |
43 |
$38.93 |
| 1160F |
|
10,572 |
9,096 |
$24.00 |
| 97014 |
|
52 |
40 |
$11.03 |
| 97124 |
|
34 |
32 |
$10.19 |
| 1159F |
|
15,598 |
12,663 |
$0.00 |
| 3078F |
|
2,499 |
2,358 |
$0.00 |
| 99442 |
|
253 |
221 |
$0.00 |
| 99497 |
|
23 |
23 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
16 |
16 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |
| 3074F |
|
1,893 |
1,806 |
$0.00 |
| 3008F |
|
6,400 |
5,477 |
$0.00 |
| 3044F |
|
150 |
149 |
$0.00 |
| 3075F |
|
188 |
185 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
33 |
24 |
$0.00 |
| 92250 |
|
34 |
30 |
$0.00 |
| 91301 |
|
26 |
26 |
$0.00 |
| 3079F |
|
68 |
67 |
$0.00 |
| 90674 |
|
61 |
61 |
$0.00 |