| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
74,911 |
57,881 |
$8.41M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
87,575 |
51,632 |
$2.03M |
| G9012 |
Other specified case management service not elsewhere classified |
11,740 |
9,767 |
$1.89M |
| 98940 |
|
18,095 |
8,176 |
$955K |
| 98942 |
|
12,240 |
6,045 |
$719K |
| 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 |
4,080 |
2,907 |
$333K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
2,176 |
1,002 |
$131K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,499 |
1,532 |
$97K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
976 |
651 |
$64K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
958 |
684 |
$63K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,579 |
1,004 |
$29K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
506 |
339 |
$28K |
| G9920 |
Screening performed and negative |
1,091 |
700 |
$19K |
| 59425 |
|
253 |
176 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,965 |
1,090 |
$17K |
| 92551 |
|
2,119 |
1,493 |
$16K |
| G9007 |
Coordinated care fee, scheduled team conference |
314 |
314 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
789 |
493 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
105 |
105 |
$8K |
| 99386 |
|
153 |
108 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
291 |
230 |
$8K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,075 |
672 |
$8K |
| 90688 |
|
371 |
304 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,516 |
457 |
$6K |
| 99173 |
|
2,280 |
1,608 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
117 |
82 |
$4K |
| 87430 |
|
735 |
622 |
$4K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
817 |
585 |
$3K |
| 99385 |
|
67 |
45 |
$3K |
| 90686 |
|
220 |
174 |
$2K |
| 81002 |
|
1,647 |
1,260 |
$2K |
| 85018 |
|
1,901 |
1,229 |
$2K |
| 90658 |
|
148 |
107 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
28 |
28 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
40 |
24 |
$1K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
424 |
287 |
$1K |
| 97802 |
|
635 |
591 |
$746.97 |
| 90651 |
|
117 |
68 |
$720.90 |
| 3078F |
|
15,822 |
9,590 |
$674.56 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
15 |
14 |
$490.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
25 |
25 |
$417.60 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
159 |
150 |
$315.00 |
| 90649 |
|
27 |
26 |
$303.75 |
| 3074F |
|
15,627 |
9,284 |
$270.11 |
| 90715 |
|
31 |
25 |
$174.73 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
58 |
31 |
$172.28 |
| 3075F |
|
3,165 |
1,917 |
$164.64 |
| 3079F |
|
5,808 |
3,367 |
$164.64 |
| 90694 |
|
16 |
12 |
$152.34 |
| 81025 |
|
49 |
42 |
$98.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
15 |
15 |
$93.15 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
34 |
31 |
$93.00 |
| 3077F |
|
3,846 |
2,270 |
$82.32 |
| 90653 |
|
17 |
12 |
$80.18 |
| 1159F |
|
5,624 |
4,626 |
$68.14 |
| 99000 |
|
375 |
358 |
$63.55 |
| 86580 |
|
13 |
13 |
$43.68 |
| 99451 |
|
38 |
22 |
$39.31 |
| 82962 |
|
31 |
27 |
$32.42 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
187 |
181 |
$22.30 |
| 1126F |
|
6,773 |
3,648 |
$13.68 |
| 36415 |
Collection of venous blood by venipuncture |
219 |
209 |
$8.65 |
| 91301 |
|
476 |
459 |
$0.00 |
| 1125F |
|
1,769 |
1,023 |
$0.00 |
| Z1034 |
|
198 |
147 |
$0.00 |
| 0011A |
|
193 |
193 |
$0.00 |
| 3080F |
|
1,116 |
612 |
$0.00 |
| 0031A |
|
17 |
17 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
108 |
106 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
16 |
15 |
$0.00 |
| 0064A |
|
75 |
75 |
$0.00 |
| 0012A |
|
181 |
181 |
$0.00 |
| 91306 |
|
73 |
73 |
$0.00 |
| 1036F |
|
66 |
38 |
$0.00 |
| 91303 |
|
15 |
15 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
58 |
56 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
223 |
217 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
261 |
236 |
$0.00 |
| 91300 |
|
50 |
49 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
17 |
17 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
14 |
13 |
$0.00 |