| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
127,136 |
96,232 |
$14.80M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
77,097 |
63,599 |
$834K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,482 |
12,482 |
$89K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,866 |
4,009 |
$49K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
2,102 |
1,818 |
$26K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,912 |
1,601 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
642 |
594 |
$17K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
761 |
702 |
$14K |
| 95117 |
|
2,095 |
755 |
$12K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
443 |
356 |
$11K |
| 90686 |
|
939 |
873 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
1,918 |
1,813 |
$9K |
| 90837 |
Psychotherapy, 53 minutes with patient |
5,272 |
3,447 |
$9K |
| 90832 |
Psychotherapy, 30 minutes with patient |
6,354 |
3,805 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,272 |
1,138 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,513 |
1,290 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
640 |
461 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
195 |
182 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
485 |
443 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
180 |
179 |
$5K |
| 94664 |
|
75 |
68 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
264 |
237 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
56 |
55 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,170 |
1,059 |
$3K |
| 92587 |
|
43 |
40 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
14 |
12 |
$1K |
| 80305 |
|
472 |
229 |
$892.38 |
| 81003 |
|
728 |
668 |
$699.92 |
| 81025 |
|
302 |
287 |
$443.19 |
| 93000 |
|
47 |
43 |
$381.19 |
| 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 |
16,371 |
13,629 |
$238.80 |
| 90715 |
|
42 |
33 |
$119.10 |
| 90734 |
|
80 |
70 |
$79.20 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
14 |
14 |
$57.20 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
15 |
12 |
$14.90 |
| 99205 |
Prolong outpt/office vis |
62 |
56 |
$5.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
100 |
87 |
$2.18 |
| 90834 |
Psychotherapy, 45 minutes with patient |
461 |
364 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
109 |
108 |
$0.00 |
| 90732 |
|
15 |
15 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
49 |
48 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
74 |
74 |
$0.00 |
| 92250 |
|
139 |
138 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
59 |
45 |
$0.00 |
| D0999 |
Unspecified diagnostic procedure, by report |
32 |
25 |
$0.00 |
| 90656 |
|
55 |
54 |
$0.00 |
| 87428 |
|
31 |
28 |
$0.00 |
| 86308 |
|
12 |
12 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
528 |
518 |
$0.00 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
52 |
46 |
$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 |
60 |
36 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
188 |
177 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
38 |
38 |
$0.00 |
| 92015 |
Determination of refractive state |
119 |
118 |
$0.00 |
| 90662 |
|
46 |
44 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
32 |
29 |
$0.00 |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
27 |
27 |
$0.00 |