| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
71,263 |
46,984 |
$11.58M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40,112 |
29,270 |
$580K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,288 |
9,003 |
$179K |
| T1016 |
Case management, each 15 minutes |
2,205 |
826 |
$60K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,476 |
3,166 |
$55K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,879 |
5,527 |
$45K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,116 |
1,016 |
$33K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,701 |
4,342 |
$31K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,645 |
2,575 |
$22K |
| 90834 |
Psychotherapy, 45 minutes with patient |
691 |
563 |
$22K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,432 |
438 |
$18K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,091 |
936 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,314 |
1,025 |
$16K |
| 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 |
8,500 |
5,783 |
$16K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
393 |
334 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,783 |
2,537 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
763 |
640 |
$11K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
440 |
358 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,358 |
1,692 |
$7K |
| 87428 |
|
1,972 |
1,285 |
$6K |
| 90674 |
|
237 |
208 |
$6K |
| 99406 |
|
92 |
79 |
$6K |
| 92551 |
|
74 |
69 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
890 |
615 |
$5K |
| 99173 |
|
72 |
67 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
202 |
192 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,098 |
1,443 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
401 |
266 |
$3K |
| H0031 |
Mental health assessment, by non-physician |
173 |
140 |
$3K |
| 90686 |
|
295 |
267 |
$3K |
| D0330 |
Panoramic radiographic image |
106 |
103 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
115 |
111 |
$2K |
| 81002 |
|
125 |
102 |
$2K |
| D1110 |
Prophylaxis - adult |
48 |
48 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
142 |
88 |
$2K |
| 90670 |
|
1,438 |
913 |
$2K |
| 81003 |
|
81 |
78 |
$1K |
| D0274 |
Bitewings - four radiographic images |
70 |
67 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
234 |
211 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
96 |
77 |
$1K |
| D1120 |
Prophylaxis - child |
46 |
38 |
$1K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
127 |
116 |
$984.50 |
| 99219 |
|
14 |
14 |
$887.17 |
| 90723 |
|
83 |
79 |
$880.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
113 |
104 |
$866.50 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
42 |
24 |
$713.96 |
| 80305 |
|
324 |
171 |
$688.72 |
| D1208 |
Topical application of fluoride, excluding varnish |
74 |
57 |
$687.61 |
| 90474 |
|
1,023 |
646 |
$640.81 |
| 99382 |
|
14 |
14 |
$600.00 |
| 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 |
452 |
440 |
$581.49 |
| 90680 |
|
900 |
556 |
$575.20 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
159 |
141 |
$556.97 |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
208 |
150 |
$460.00 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$367.33 |
| 90648 |
|
140 |
134 |
$300.00 |
| 90756 |
|
362 |
328 |
$275.34 |
| 90651 |
|
62 |
41 |
$253.60 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
36 |
13 |
$242.53 |
| D0272 |
Bitewings - two radiographic images |
13 |
13 |
$215.06 |
| D0120 |
Periodic oral evaluation - established patient |
21 |
12 |
$200.39 |
| D0230 |
Intraoral - periapical each additional radiographic image |
69 |
34 |
$183.32 |
| 90633 |
|
562 |
373 |
$159.55 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
158 |
92 |
$140.80 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
151 |
71 |
$129.52 |
| 87807 |
|
169 |
114 |
$128.26 |
| 90698 |
|
101 |
75 |
$112.00 |
| 96127 |
|
245 |
222 |
$58.00 |
| 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 |
63 |
62 |
$34.65 |
| 1101F |
|
2,863 |
2,345 |
$25.59 |
| 4010F |
|
981 |
824 |
$0.66 |
| 3074F |
|
834 |
734 |
$0.63 |
| 3078F |
|
785 |
706 |
$0.44 |
| 3079F |
|
388 |
351 |
$0.20 |
| 3075F |
|
281 |
241 |
$0.19 |
| D1330 |
|
25 |
25 |
$0.11 |
| 3046F |
|
13 |
13 |
$0.10 |
| 3044F |
|
15 |
13 |
$0.08 |
| 3077F |
|
153 |
132 |
$0.07 |
| 3080F |
|
52 |
45 |
$0.02 |
| 90697 |
|
188 |
126 |
$0.00 |
| 3008F |
|
455 |
370 |
$0.00 |
| 90677 |
|
303 |
274 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
57 |
57 |
$0.00 |
| 99383 |
|
19 |
19 |
$0.00 |
| 36416 |
|
32 |
13 |
$0.00 |
| 85018 |
|
47 |
28 |
$0.00 |
| 99381 |
|
15 |
12 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| 90696 |
|
16 |
14 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |
| 90734 |
|
120 |
96 |
$0.00 |
| 90681 |
|
106 |
83 |
$0.00 |
| 90710 |
|
249 |
162 |
$0.00 |
| 0521F |
|
16 |
13 |
$0.00 |
| 11721 |
|
16 |
12 |
$0.00 |
| 11720 |
|
19 |
12 |
$0.00 |
| 90700 |
|
13 |
12 |
$0.00 |
| 83655 |
|
37 |
27 |
$0.00 |
| 81025 |
|
18 |
18 |
$0.00 |
| D1999 |
|
13 |
13 |
$0.00 |
| 90661 |
|
14 |
13 |
$0.00 |
| 90715 |
|
21 |
12 |
$0.00 |