| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
170,345 |
100,875 |
$42.19M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
94,508 |
81,372 |
$23.96M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
59,846 |
53,426 |
$15.20M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,282 |
4,726 |
$1.30M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,561 |
3,303 |
$1.01M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,400 |
2,998 |
$950K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,899 |
1,032 |
$574K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,551 |
1,459 |
$447K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
911 |
871 |
$272K |
| 97803 |
|
1,415 |
1,093 |
$265K |
| 99215 |
Prolong outpt/office vis |
554 |
490 |
$154K |
| 90677 |
|
1,005 |
787 |
$112K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
384 |
143 |
$105K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
250 |
237 |
$59K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
200 |
194 |
$53K |
| 3074F |
|
21,092 |
19,717 |
$46K |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
188 |
86 |
$46K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
891 |
843 |
$39K |
| 3078F |
|
17,054 |
15,961 |
$33K |
| 0011A |
|
956 |
683 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
113 |
109 |
$32K |
| 59430 |
|
160 |
137 |
$31K |
| 3008F |
|
25,299 |
23,093 |
$27K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
544 |
506 |
$26K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,097 |
700 |
$24K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
94 |
85 |
$24K |
| 0012A |
|
627 |
581 |
$21K |
| 97802 |
|
187 |
151 |
$19K |
| 3079F |
|
7,761 |
7,348 |
$18K |
| 90651 |
|
295 |
258 |
$17K |
| 90670 |
|
1,749 |
1,483 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13,064 |
11,884 |
$16K |
| 99383 |
|
38 |
37 |
$12K |
| 99381 |
|
34 |
28 |
$10K |
| 90686 |
|
4,930 |
4,452 |
$9K |
| 90648 |
|
2,498 |
2,253 |
$8K |
| 36416 |
|
259 |
242 |
$7K |
| 3077F |
|
2,275 |
2,116 |
$6K |
| 3048F |
|
174 |
149 |
$6K |
| 1036F |
|
5,280 |
4,735 |
$5K |
| 3075F |
|
1,711 |
1,626 |
$5K |
| 0134A |
|
187 |
168 |
$5K |
| 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 |
8,311 |
7,506 |
$5K |
| 90715 |
|
376 |
292 |
$4K |
| 3080F |
|
1,067 |
993 |
$3K |
| 0500F |
|
220 |
213 |
$3K |
| S0316 |
Disease management program, follow-up/reassessment |
93 |
61 |
$2K |
| 90723 |
|
1,830 |
1,645 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
120 |
112 |
$2K |
| 0071A |
|
55 |
49 |
$2K |
| 0503F |
|
79 |
71 |
$2K |
| 0072A |
|
32 |
30 |
$1K |
| 81002 |
|
252 |
223 |
$1K |
| 3500F |
|
1,640 |
1,438 |
$1K |
| 92551 |
|
3,148 |
2,865 |
$1K |
| 0064A |
|
24 |
22 |
$800.52 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,183 |
2,002 |
$795.57 |
| 90680 |
|
1,173 |
1,043 |
$675.55 |
| 91301 |
|
1,217 |
1,156 |
$596.18 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
239 |
218 |
$506.55 |
| 3046F |
|
80 |
66 |
$468.09 |
| 3044F |
|
126 |
120 |
$464.35 |
| 90474 |
|
941 |
830 |
$432.00 |
| 90633 |
|
703 |
663 |
$293.39 |
| 90661 |
|
111 |
111 |
$288.72 |
| 90734 |
|
70 |
63 |
$280.40 |
| 99459 |
|
312 |
283 |
$226.56 |
| 90656 |
|
859 |
833 |
$218.30 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
142 |
107 |
$214.96 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,322 |
1,199 |
$210.79 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,325 |
3,556 |
$191.22 |
| 90619 |
|
26 |
26 |
$186.24 |
| 93000 |
|
126 |
121 |
$181.51 |
| 99177 |
|
684 |
644 |
$151.20 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
337 |
318 |
$123.75 |
| 90653 |
|
25 |
25 |
$35.89 |
| 90710 |
|
282 |
268 |
$23.28 |
| 96127 |
|
640 |
502 |
$20.26 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
98 |
88 |
$8.72 |
| 4145F |
|
502 |
469 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,297 |
3,379 |
$0.00 |
| 90461 |
|
1,475 |
1,296 |
$0.00 |
| 99173 |
|
2,384 |
2,186 |
$0.00 |
| 4274F |
|
575 |
510 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
39 |
39 |
$0.00 |
| 4040F |
|
663 |
602 |
$0.00 |
| 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 |
1,371 |
850 |
$0.00 |
| 91313 |
|
104 |
100 |
$0.00 |
| 83655 |
|
113 |
112 |
$0.00 |
| 87210 |
|
15 |
15 |
$0.00 |
| 81025 |
|
83 |
72 |
$0.00 |
| 80305 |
|
58 |
50 |
$0.00 |
| 1160F |
|
28 |
26 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
75 |
38 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$0.00 |
| 90750 |
|
18 |
12 |
$0.00 |
| 90707 |
|
27 |
27 |
$0.00 |
| 91300 |
|
19 |
16 |
$0.00 |
| 4010F |
|
3,248 |
2,896 |
$0.00 |
| 2000F |
|
940 |
859 |
$0.00 |
| 90694 |
|
108 |
96 |
$0.00 |
| H0038 |
Self-help/peer services, per 15 minutes |
70 |
31 |
$0.00 |
| 91307 |
|
128 |
111 |
$0.00 |
| 85018 |
|
130 |
129 |
$0.00 |
| 90696 |
|
30 |
27 |
$0.00 |
| G8708 |
Patient not prescribed antibiotic |
14 |
13 |
$0.00 |
| 90674 |
|
22 |
22 |
$0.00 |
| INVCD |
|
29 |
13 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
15 |
13 |
$0.00 |
| 4149F |
|
25 |
25 |
$0.00 |
| 90716 |
|
27 |
26 |
$0.00 |
| 91306 |
|
20 |
19 |
$0.00 |