| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
108,958 |
93,791 |
$17.92M |
| 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 |
81,635 |
46,161 |
$1.73M |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
2,663 |
2,407 |
$343K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41,850 |
38,089 |
$271K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,943 |
5,690 |
$91K |
| 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 |
2,546 |
1,184 |
$66K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
56,524 |
51,933 |
$40K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
7,220 |
5,162 |
$30K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,884 |
894 |
$28K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
387 |
302 |
$28K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
33,463 |
18,000 |
$22K |
| 90834 |
Psychotherapy, 45 minutes with patient |
11,613 |
5,726 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,221 |
2,086 |
$17K |
| 99215 |
Prolong outpt/office vis |
1,023 |
899 |
$10K |
| 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 |
251 |
233 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
806 |
666 |
$7K |
| 99307 |
|
13,833 |
7,439 |
$5K |
| 90686 |
|
1,825 |
1,782 |
$5K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,878 |
1,036 |
$4K |
| 99306 |
Prolong nursin fac eval 15m |
310 |
276 |
$3K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
297 |
127 |
$3K |
| 0003A |
|
57 |
57 |
$2K |
| 99318 |
|
111 |
105 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
378 |
354 |
$1K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
440 |
388 |
$923.07 |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
25 |
25 |
$782.00 |
| 90480 |
|
59 |
52 |
$614.00 |
| 90682 |
|
41 |
41 |
$480.33 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
82 |
65 |
$472.90 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,132 |
2,747 |
$395.66 |
| 99305 |
|
13 |
12 |
$335.50 |
| 90461 |
|
68 |
63 |
$258.66 |
| 81002 |
|
85 |
75 |
$250.56 |
| 91320 |
|
56 |
52 |
$131.10 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
14 |
12 |
$72.82 |
| 81003 |
|
28 |
25 |
$51.29 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
14 |
$10.66 |
| 91300 |
|
104 |
100 |
$1.04 |
| 90674 |
|
25 |
25 |
$0.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
28 |
28 |
$0.00 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
38 |
28 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
151 |
150 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
117 |
117 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
89 |
88 |
$0.00 |
| 90656 |
|
92 |
89 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
13 |
13 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
16 |
15 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
80 |
78 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
190 |
179 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
52 |
51 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16 |
15 |
$0.00 |
| 90715 |
|
70 |
66 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
196 |
123 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
16 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
152 |
133 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
25 |
25 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
15 |
13 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$0.00 |