| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
225,342 |
185,318 |
$28.42M |
| 00003 |
Internal/system code - not a standard HCPCS code |
40,832 |
32,461 |
$6.99M |
| 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 |
14,852 |
10,878 |
$192K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
169,583 |
114,519 |
$133K |
| G9920 |
Screening performed and negative |
8,640 |
6,910 |
$119K |
| 98940 |
|
8,942 |
5,191 |
$90K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
6,415 |
4,368 |
$55K |
| 81002 |
|
6,900 |
4,944 |
$46K |
| 81025 |
|
1,929 |
1,744 |
$35K |
| 59425 |
|
1,320 |
915 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
50,774 |
33,527 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16,158 |
11,815 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
11,397 |
8,933 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32,687 |
19,991 |
$22K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,545 |
1,194 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12,676 |
9,344 |
$9K |
| 87428 |
|
2,285 |
1,360 |
$9K |
| 85018 |
|
37,251 |
28,146 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
432 |
397 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
7,632 |
5,597 |
$6K |
| 90686 |
|
15,921 |
11,735 |
$6K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
159 |
154 |
$6K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
450 |
419 |
$5K |
| 92551 |
|
22,703 |
16,982 |
$4K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
2,073 |
1,476 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,969 |
1,835 |
$4K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
414 |
261 |
$4K |
| 99173 |
|
17,958 |
13,325 |
$3K |
| 90670 |
|
9,838 |
7,179 |
$2K |
| 99381 |
|
764 |
620 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
178 |
174 |
$2K |
| 99243 |
|
38 |
38 |
$1K |
| 90647 |
|
6,702 |
4,886 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
31 |
29 |
$1K |
| 99215 |
Prolong outpt/office vis |
23 |
22 |
$1K |
| 90680 |
|
7,612 |
6,050 |
$1K |
| 90697 |
|
2,289 |
2,149 |
$944.55 |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
12 |
12 |
$935.16 |
| 90715 |
|
815 |
649 |
$929.02 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
4,759 |
3,601 |
$894.90 |
| 90688 |
|
1,034 |
931 |
$820.86 |
| 90723 |
|
6,701 |
4,939 |
$797.27 |
| 83655 |
|
4,649 |
3,675 |
$687.65 |
| 90633 |
|
5,148 |
3,729 |
$598.47 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,374 |
5,246 |
$557.17 |
| 90381 |
|
71 |
64 |
$553.92 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,184 |
5,238 |
$535.07 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
13 |
$532.80 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
13 |
12 |
$517.44 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,614 |
2,070 |
$378.64 |
| 99174 |
|
6,791 |
5,404 |
$367.07 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
13 |
12 |
$353.22 |
| 99188 |
|
1,929 |
1,896 |
$275.85 |
| 86580 |
|
1,354 |
1,151 |
$267.05 |
| 90791 |
Psychiatric diagnostic evaluation |
1,003 |
990 |
$256.16 |
| 90619 |
|
477 |
469 |
$211.64 |
| 90834 |
Psychotherapy, 45 minutes with patient |
728 |
602 |
$201.48 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
615 |
481 |
$167.07 |
| 90651 |
|
2,515 |
1,940 |
$127.97 |
| 88720 |
|
460 |
261 |
$112.14 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,474 |
1,205 |
$100.01 |
| 90474 |
|
25 |
25 |
$72.00 |
| 90671 |
|
287 |
275 |
$63.90 |
| 82947 |
|
126 |
92 |
$63.63 |
| 87420 |
|
901 |
765 |
$48.32 |
| 92227 |
|
69 |
68 |
$43.83 |
| 90716 |
|
782 |
550 |
$40.91 |
| 90707 |
|
359 |
267 |
$36.45 |
| 90685 |
|
122 |
96 |
$36.00 |
| 93000 |
|
30 |
29 |
$28.41 |
| J1750 |
Injection, iron dextran, 50 mg |
121 |
70 |
$21.78 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
816 |
603 |
$18.56 |
| 90710 |
|
579 |
408 |
$17.92 |
| 90734 |
|
1,075 |
723 |
$17.92 |
| 90662 |
|
150 |
134 |
$13.76 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
202 |
158 |
$13.40 |
| 90696 |
|
497 |
340 |
$4.46 |
| 90700 |
|
597 |
378 |
$4.46 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
472 |
315 |
$1.28 |
| G0008 |
Administration of influenza virus vaccine |
198 |
180 |
$0.00 |
| 3074F |
|
2,993 |
2,637 |
$0.00 |
| 3079F |
|
979 |
914 |
$0.00 |
| 3080F |
|
249 |
233 |
$0.00 |
| 3075F |
|
490 |
475 |
$0.00 |
| Z1034 |
|
1,524 |
1,129 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
133 |
73 |
$0.00 |
| 90620 |
|
220 |
177 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
30 |
$0.00 |
| Z1032 |
|
84 |
84 |
$0.00 |
| 90656 |
|
234 |
234 |
$0.00 |
| 99000 |
|
35 |
32 |
$0.00 |
| Z6410 |
|
63 |
55 |
$0.00 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
21 |
13 |
$0.00 |
| 3078F |
|
2,962 |
2,634 |
$0.00 |
| 3077F |
|
630 |
587 |
$0.00 |
| Z6400 |
|
396 |
394 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
426 |
351 |
$0.00 |
| 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 |
73 |
73 |
$0.00 |
| 90653 |
|
29 |
29 |
$0.00 |
| 17110 |
|
34 |
13 |
$0.00 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
12 |
12 |
$0.00 |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
13 |
12 |
$0.00 |