| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
50,758 |
37,861 |
$4.65M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
56,789 |
32,447 |
$1.33M |
| 98940 |
|
20,145 |
9,169 |
$970K |
| 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 |
3,486 |
2,389 |
$242K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
3,909 |
1,719 |
$159K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,607 |
2,261 |
$70K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,410 |
1,390 |
$64K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,111 |
1,424 |
$26K |
| G9920 |
Screening performed and negative |
1,111 |
683 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
521 |
395 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,455 |
796 |
$14K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,813 |
1,223 |
$12K |
| 92551 |
|
1,893 |
1,213 |
$11K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
253 |
174 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
221 |
167 |
$10K |
| 90686 |
|
495 |
388 |
$5K |
| 99173 |
|
2,021 |
1,306 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
122 |
73 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
78 |
46 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
179 |
137 |
$3K |
| 90688 |
|
289 |
246 |
$3K |
| 82962 |
|
2,577 |
1,411 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
90 |
50 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
555 |
335 |
$1K |
| 81002 |
|
1,442 |
1,039 |
$1K |
| 85018 |
|
1,214 |
722 |
$911.39 |
| 90658 |
|
58 |
41 |
$805.24 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
356 |
260 |
$743.19 |
| 3078F |
|
15,419 |
9,067 |
$500.17 |
| 90715 |
|
43 |
28 |
$487.07 |
| 87430 |
|
123 |
121 |
$438.20 |
| 90756 |
|
34 |
26 |
$407.95 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
158 |
96 |
$377.78 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
20 |
13 |
$349.37 |
| 3077F |
|
5,136 |
3,146 |
$335.50 |
| 93000 |
|
54 |
50 |
$305.66 |
| 90651 |
|
20 |
13 |
$292.50 |
| 99000 |
|
1,193 |
1,107 |
$205.33 |
| 97802 |
|
570 |
547 |
$201.58 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
39 |
30 |
$134.37 |
| 3075F |
|
3,991 |
2,514 |
$116.37 |
| 1159F |
|
6,548 |
4,955 |
$88.59 |
| 90656 |
|
27 |
21 |
$84.00 |
| 3074F |
|
13,764 |
8,072 |
$82.32 |
| 3079F |
|
5,586 |
3,392 |
$75.21 |
| 88147 |
|
66 |
65 |
$61.95 |
| 90694 |
|
26 |
16 |
$49.89 |
| 90653 |
|
18 |
12 |
$30.87 |
| 90670 |
|
13 |
12 |
$11.25 |
| 81025 |
|
45 |
40 |
$8.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
267 |
254 |
$4.46 |
| 36415 |
Collection of venous blood by venipuncture |
950 |
882 |
$1.77 |
| 1126F |
|
7,114 |
3,843 |
$0.01 |
| 91301 |
|
288 |
283 |
$0.01 |
| 0011A |
|
134 |
133 |
$0.01 |
| 0012A |
|
132 |
132 |
$0.00 |
| 3080F |
|
1,031 |
645 |
$0.00 |
| 1125F |
|
2,322 |
1,353 |
$0.00 |
| 3044F |
|
1,214 |
954 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
67 |
62 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
16 |
16 |
$0.00 |
| 0064A |
|
35 |
35 |
$0.00 |
| 0001A |
|
53 |
53 |
$0.00 |
| 91306 |
|
47 |
47 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
13 |
12 |
$0.00 |
| 91300 |
|
175 |
166 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
159 |
159 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
14 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
299 |
265 |
$0.00 |
| 90461 |
|
36 |
36 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
15 |
14 |
$0.00 |
| 0004A |
|
13 |
13 |
$0.00 |
| 0002A |
|
38 |
38 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
13 |
12 |
$0.00 |