| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
96,444 |
73,452 |
$12.78M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
55,963 |
39,597 |
$401K |
| 59425 |
|
3,117 |
1,865 |
$143K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
200 |
187 |
$73K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,566 |
1,404 |
$72K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,772 |
2,079 |
$72K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,675 |
894 |
$67K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
5,177 |
1,798 |
$54K |
| 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 |
3,531 |
3,151 |
$43K |
| 90686 |
|
2,925 |
2,240 |
$41K |
| 90746 |
|
742 |
554 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,136 |
911 |
$36K |
| 90750 |
|
189 |
112 |
$26K |
| 90791 |
Psychiatric diagnostic evaluation |
364 |
237 |
$18K |
| 11981 |
|
117 |
110 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,181 |
1,409 |
$18K |
| G9920 |
Screening performed and negative |
3,389 |
2,723 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,069 |
3,009 |
$15K |
| 99402 |
|
360 |
355 |
$11K |
| J3490 |
Unclassified drugs |
706 |
587 |
$11K |
| 0002A |
|
136 |
136 |
$9K |
| 0001A |
|
136 |
135 |
$9K |
| 99000 |
|
11,338 |
8,322 |
$8K |
| 81025 |
|
4,093 |
3,391 |
$8K |
| 99401 |
|
730 |
500 |
$8K |
| 59430 |
|
105 |
92 |
$7K |
| 0011A |
|
75 |
75 |
$5K |
| 0012A |
|
73 |
73 |
$5K |
| 99381 |
|
493 |
422 |
$3K |
| 11976 |
|
54 |
27 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,750 |
4,220 |
$3K |
| 90715 |
|
125 |
90 |
$2K |
| 0031A |
|
32 |
32 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,006 |
4,309 |
$2K |
| 0071A |
|
30 |
30 |
$2K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
34 |
26 |
$2K |
| 92551 |
|
12,852 |
9,323 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,808 |
2,078 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22,727 |
17,153 |
$1K |
| 85018 |
|
21,302 |
15,808 |
$1K |
| 0072A |
|
19 |
19 |
$1K |
| 96156 |
|
140 |
112 |
$1K |
| 81003 |
|
2,511 |
1,641 |
$1K |
| 90656 |
|
154 |
144 |
$899.37 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$879.20 |
| 0004A |
|
13 |
13 |
$871.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
200 |
110 |
$702.00 |
| 97803 |
|
63 |
51 |
$636.65 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
132 |
131 |
$446.46 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
82 |
72 |
$405.05 |
| 99188 |
|
1,688 |
1,423 |
$368.77 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
35 |
26 |
$327.99 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
14 |
13 |
$255.33 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
233 |
190 |
$141.84 |
| 90670 |
|
15 |
15 |
$135.00 |
| 90647 |
|
15 |
15 |
$135.00 |
| 90680 |
|
13 |
13 |
$117.00 |
| 90723 |
|
12 |
12 |
$108.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
124 |
79 |
$78.55 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14,619 |
7,333 |
$59.10 |
| 86580 |
|
283 |
246 |
$32.24 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
51 |
51 |
$12.00 |
| 99173 |
|
11,183 |
7,697 |
$4.60 |
| 81002 |
|
424 |
357 |
$4.30 |
| 59426 |
|
596 |
416 |
$0.00 |
| 3078F |
|
4,035 |
3,503 |
$0.00 |
| 3077F |
|
405 |
283 |
$0.00 |
| 1159F |
|
15,066 |
9,872 |
$0.00 |
| 90473 |
|
2,111 |
1,524 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
107 |
107 |
$0.00 |
| 1160F |
|
15,066 |
9,873 |
$0.00 |
| Z6400 |
|
1,649 |
1,332 |
$0.00 |
| 96160 |
|
1,128 |
859 |
$0.00 |
| Z6208 |
|
29 |
24 |
$0.00 |
| Z6304 |
|
176 |
173 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
14 |
14 |
$0.00 |
| Z6300 |
|
110 |
110 |
$0.00 |
| A4649 |
Surgical supply; miscellaneous |
15 |
15 |
$0.00 |
| Z6308 |
|
12 |
12 |
$0.00 |
| Z6200 |
|
15 |
15 |
$0.00 |
| Z6414 |
|
85 |
70 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
21 |
21 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
67 |
67 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,071 |
1,969 |
$0.00 |
| 3079F |
|
1,350 |
1,294 |
$0.00 |
| Z6410 |
|
4,365 |
1,928 |
$0.00 |
| 3074F |
|
4,587 |
3,930 |
$0.00 |
| Z1034 |
|
3,875 |
2,519 |
$0.00 |
| Z6402 |
|
104 |
104 |
$0.00 |
| 3075F |
|
302 |
298 |
$0.00 |
| Z6406 |
|
563 |
467 |
$0.00 |
| 82962 |
|
38 |
27 |
$0.00 |
| 36416 |
|
9,542 |
7,721 |
$0.00 |
| 3008F |
|
6,549 |
5,591 |
$0.00 |
| 96127 |
|
176 |
176 |
$0.00 |
| Z6204 |
|
356 |
330 |
$0.00 |
| 1111F |
|
808 |
667 |
$0.00 |
| Z1038 |
|
181 |
167 |
$0.00 |