| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
75,062 |
63,785 |
$10.24M |
| G9012 |
Other specified case management service not elsewhere classified |
27,397 |
20,306 |
$2.15M |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
11,080 |
9,426 |
$1.55M |
| 98940 |
|
4,398 |
2,971 |
$715K |
| 0012A |
|
1,631 |
893 |
$68K |
| 0011A |
|
1,803 |
988 |
$63K |
| 97810 |
|
318 |
200 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
92,787 |
50,652 |
$51K |
| 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 |
2,463 |
2,006 |
$50K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13,332 |
10,011 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,962 |
2,114 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,381 |
885 |
$20K |
| 97813 |
|
108 |
71 |
$18K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
5,858 |
3,634 |
$11K |
| 90688 |
|
1,799 |
1,313 |
$9K |
| 92551 |
|
2,638 |
2,047 |
$9K |
| 90686 |
|
2,495 |
1,847 |
$9K |
| 88150 |
|
1,125 |
685 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,969 |
1,776 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,808 |
1,165 |
$6K |
| 0064A |
|
125 |
125 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,460 |
927 |
$5K |
| G9920 |
Screening performed and negative |
6,784 |
3,918 |
$4K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
253 |
232 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,295 |
3,307 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,144 |
1,810 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
448 |
333 |
$3K |
| 90756 |
|
537 |
494 |
$2K |
| 90670 |
|
558 |
431 |
$2K |
| 90674 |
|
198 |
163 |
$1K |
| 92552 |
|
1,076 |
590 |
$1K |
| 90744 |
|
835 |
590 |
$924.25 |
| 0013A |
|
23 |
23 |
$920.00 |
| 90658 |
|
480 |
300 |
$844.75 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
581 |
551 |
$745.62 |
| 99173 |
|
3,521 |
2,455 |
$559.25 |
| 90651 |
|
435 |
365 |
$483.25 |
| 90662 |
|
35 |
28 |
$439.72 |
| 86580 |
|
124 |
100 |
$298.09 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
617 |
336 |
$248.28 |
| 90698 |
|
117 |
84 |
$226.50 |
| 90680 |
|
113 |
81 |
$226.50 |
| 90633 |
|
111 |
76 |
$217.00 |
| 90715 |
|
653 |
493 |
$155.10 |
| 82962 |
|
12,206 |
7,133 |
$154.47 |
| 3008F |
|
20,871 |
13,654 |
$148.66 |
| 90700 |
|
70 |
54 |
$139.50 |
| 99385 |
|
69 |
42 |
$96.01 |
| 93000 |
|
39 |
28 |
$80.68 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
56 |
49 |
$80.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
92 |
51 |
$40.00 |
| 99397 |
|
20 |
12 |
$37.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
406 |
230 |
$36.20 |
| 90461 |
|
568 |
375 |
$32.32 |
| 90620 |
|
66 |
40 |
$30.00 |
| 90734 |
|
55 |
45 |
$9.00 |
| 81002 |
|
85 |
64 |
$2.13 |
| 97803 |
|
5,646 |
3,901 |
$0.41 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
11,063 |
6,697 |
$0.25 |
| 90750 |
|
1,035 |
754 |
$0.14 |
| 90746 |
|
214 |
162 |
$0.12 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
257 |
257 |
$0.04 |
| 3725F |
|
14,446 |
9,010 |
$0.01 |
| 97802 |
|
161 |
148 |
$0.01 |
| 97012 |
|
28 |
21 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
394 |
211 |
$0.00 |
| 3078F |
|
10,703 |
6,199 |
$0.00 |
| 3077F |
|
3,516 |
1,913 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
472 |
411 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
381 |
378 |
$0.00 |
| 1160F |
|
21 |
14 |
$0.00 |
| 2028F |
|
106 |
85 |
$0.00 |
| 3015F |
|
85 |
69 |
$0.00 |
| 1090F |
|
19 |
13 |
$0.00 |
| 99401 |
|
65 |
65 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 3288F |
|
19 |
13 |
$0.00 |
| 1159F |
|
21 |
14 |
$0.00 |
| 3075F |
|
5,245 |
3,055 |
$0.00 |
| 3074F |
|
6,768 |
3,964 |
$0.00 |
| 3079F |
|
3,931 |
2,260 |
$0.00 |
| 3014F |
|
170 |
150 |
$0.00 |
| 3044F |
|
135 |
125 |
$0.00 |
| 3080F |
|
321 |
157 |
$0.00 |
| 3017F |
|
551 |
452 |
$0.00 |
| G0245 |
Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education |
90 |
51 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
104 |
58 |
$0.00 |
| 88142 |
|
44 |
44 |
$0.00 |
| 97010 |
|
49 |
39 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
52 |
40 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
65 |
65 |
$0.00 |
| 1170F |
|
21 |
14 |
$0.00 |
| 90739 |
|
19 |
12 |
$0.00 |
| 3061F |
|
12 |
12 |
$0.00 |
| 90677 |
|
31 |
18 |
$0.00 |
| 97014 |
|
49 |
39 |
$0.00 |
| 1101F |
|
17 |
12 |
$0.00 |