| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
267,848 |
236,450 |
$50.65M |
| 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 |
6,548 |
4,989 |
$400K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
90,126 |
75,296 |
$280K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,470 |
16,741 |
$55K |
| 90791 |
Psychiatric diagnostic evaluation |
17,833 |
15,362 |
$48K |
| 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 |
537 |
493 |
$34K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,528 |
1,462 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
40,802 |
34,901 |
$23K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
891 |
275 |
$19K |
| 98940 |
|
7,545 |
5,147 |
$14K |
| 90832 |
Psychotherapy, 30 minutes with patient |
27,337 |
20,305 |
$13K |
| 99222 |
Initial hospital care, per day, moderate complexity |
299 |
287 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
852 |
843 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
296 |
296 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
583 |
505 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
796 |
708 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
342 |
321 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,136 |
1,049 |
$6K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
352 |
330 |
$6K |
| 59425 |
|
456 |
339 |
$5K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
3,326 |
2,849 |
$3K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
2,696 |
1,836 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
419 |
385 |
$3K |
| 99000 |
|
5,081 |
4,522 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
901 |
854 |
$2K |
| 99383 |
|
219 |
217 |
$2K |
| 85018 |
|
5,319 |
4,853 |
$2K |
| 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 |
469 |
469 |
$2K |
| 99382 |
|
207 |
202 |
$2K |
| 92551 |
|
3,640 |
3,295 |
$2K |
| 0012A |
|
34 |
18 |
$2K |
| 0011A |
|
49 |
45 |
$2K |
| 0003A |
|
27 |
17 |
$1K |
| 81005 |
|
1,416 |
1,059 |
$1K |
| 90686 |
|
2,417 |
2,245 |
$1K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
118 |
88 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
371 |
289 |
$1K |
| 99201 |
|
117 |
117 |
$1K |
| 0001A |
|
17 |
13 |
$930.50 |
| 81025 |
|
1,656 |
1,515 |
$850.53 |
| 3074F |
|
7,046 |
6,469 |
$838.43 |
| 0072A |
|
12 |
12 |
$804.00 |
| 99381 |
|
94 |
85 |
$780.01 |
| 99385 |
|
54 |
51 |
$680.06 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
177 |
172 |
$665.01 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,278 |
1,137 |
$572.54 |
| 11721 |
|
814 |
485 |
$538.18 |
| 83655 |
|
576 |
530 |
$393.64 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
16 |
12 |
$378.65 |
| 90723 |
|
899 |
846 |
$377.05 |
| 99173 |
|
3,400 |
3,100 |
$373.62 |
| J3490 |
Unclassified drugs |
91 |
90 |
$294.46 |
| 90677 |
|
231 |
225 |
$284.00 |
| 99401 |
|
48 |
39 |
$279.21 |
| 96151 |
|
63 |
38 |
$271.64 |
| 90837 |
Psychotherapy, 53 minutes with patient |
16 |
13 |
$263.94 |
| 90670 |
|
1,051 |
984 |
$261.00 |
| 90656 |
|
246 |
239 |
$243.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
82 |
72 |
$237.88 |
| 90648 |
|
1,076 |
1,000 |
$167.63 |
| 90651 |
|
345 |
303 |
$164.09 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
96 |
94 |
$148.39 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
904 |
883 |
$106.86 |
| 3075F |
|
889 |
848 |
$103.76 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
61 |
56 |
$92.56 |
| 81000 |
|
997 |
871 |
$78.59 |
| 97803 |
|
12 |
12 |
$76.11 |
| 81003 |
|
2,703 |
2,158 |
$75.07 |
| 90710 |
|
150 |
135 |
$63.00 |
| 90696 |
|
98 |
87 |
$63.00 |
| 90734 |
|
255 |
224 |
$51.75 |
| 90633 |
|
516 |
476 |
$36.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
13 |
$31.59 |
| 1111F |
|
13,532 |
12,402 |
$28.80 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
47 |
40 |
$23.19 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
31 |
26 |
$22.20 |
| 86580 |
|
17 |
17 |
$16.97 |
| 90681 |
|
51 |
51 |
$9.00 |
| 90647 |
|
15 |
15 |
$9.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
172 |
169 |
$8.84 |
| 82962 |
|
63 |
62 |
$2.40 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
39 |
31 |
$0.50 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
8,565 |
7,809 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
559 |
544 |
$0.00 |
| 3050F |
|
751 |
679 |
$0.00 |
| 3078F |
|
5,712 |
5,244 |
$0.00 |
| Z6400 |
|
259 |
258 |
$0.00 |
| 3077F |
|
560 |
545 |
$0.00 |
| 90715 |
|
174 |
155 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
110 |
104 |
$0.00 |
| 80305 |
|
34 |
28 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
80 |
78 |
$0.00 |
| A4550 |
Surgical trays |
27 |
26 |
$0.00 |
| 59025 |
Fetal non-stress test |
69 |
13 |
$0.00 |
| 0900 |
|
16 |
15 |
$0.00 |
| 90700 |
|
15 |
13 |
$0.00 |
| 90707 |
|
19 |
15 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
9,033 |
8,226 |
$0.00 |
| 3008F |
|
19,285 |
17,200 |
$0.00 |
| 3048F |
|
2,639 |
2,420 |
$0.00 |
| 3049F |
|
1,471 |
1,346 |
$0.00 |
| 3079F |
|
2,824 |
2,643 |
$0.00 |
| 2001F |
|
19,287 |
17,201 |
$0.00 |
| Z1034 |
|
5,708 |
4,053 |
$0.00 |
| 1036F |
|
15,587 |
13,903 |
$0.00 |
| 1034F |
|
736 |
652 |
$0.00 |
| 90680 |
|
373 |
351 |
$0.00 |
| 90716 |
|
55 |
51 |
$0.00 |
| 3044F |
|
95 |
94 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
212 |
207 |
$0.00 |
| 99384 |
|
28 |
28 |
$0.00 |
| Z6410 |
|
252 |
248 |
$0.00 |
| Z1032 |
|
253 |
253 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
419 |
406 |
$0.00 |
| Z1038 |
|
91 |
91 |
$0.00 |
| 3080F |
|
115 |
112 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
24 |
24 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
12 |
$0.00 |
| 11730 |
|
32 |
13 |
$0.00 |