| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
153,247 |
122,344 |
$30.81M |
| 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 |
5,179 |
3,588 |
$484K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
26 |
25 |
$20K |
| 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 |
249 |
144 |
$17K |
| 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 |
112 |
62 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,441 |
23,119 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43,965 |
36,479 |
$4K |
| 99000 |
|
15,815 |
14,170 |
$502.70 |
| 0012A |
|
272 |
265 |
$200.00 |
| 36415 |
Collection of venous blood by venipuncture |
6,791 |
6,203 |
$103.23 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,581 |
4,326 |
$55.12 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,000 |
2,848 |
$24.00 |
| 3008F |
|
30,776 |
26,050 |
$18.01 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,990 |
1,842 |
$14.88 |
| G0008 |
Administration of influenza virus vaccine |
16 |
12 |
$7.65 |
| 3078F |
|
17,604 |
15,306 |
$1.04 |
| 2001F |
|
29,556 |
25,165 |
$1.04 |
| 1111F |
|
24,987 |
21,418 |
$1.04 |
| 3074F |
|
20,162 |
17,425 |
$1.04 |
| D0190 |
|
2,185 |
1,680 |
$0.00 |
| 3077F |
|
1,768 |
1,613 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
965 |
920 |
$0.00 |
| 80305 |
|
1,179 |
973 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
1,189 |
1,027 |
$0.00 |
| D9996 |
|
2,309 |
1,556 |
$0.00 |
| 81003 |
|
3,474 |
2,742 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,003 |
3,823 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
257 |
255 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,325 |
713 |
$0.00 |
| 3016F |
|
1,643 |
1,582 |
$0.00 |
| 82947 |
|
3,061 |
2,538 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
14,736 |
11,870 |
$0.00 |
| D1120 |
Prophylaxis - child |
576 |
504 |
$0.00 |
| 4004F |
|
455 |
428 |
$0.00 |
| 99173 |
|
555 |
525 |
$0.00 |
| 90461 |
|
1,876 |
1,794 |
$0.00 |
| 90670 |
|
595 |
569 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
95 |
89 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
546 |
503 |
$0.00 |
| 81025 |
|
245 |
233 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
611 |
539 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
378 |
364 |
$0.00 |
| 90715 |
|
229 |
221 |
$0.00 |
| 86703 |
|
638 |
600 |
$0.00 |
| 3046F |
|
84 |
80 |
$0.00 |
| 91320 |
|
13 |
13 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
489 |
464 |
$0.00 |
| 90681 |
|
14 |
14 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
176 |
156 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
189 |
183 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
69 |
64 |
$0.00 |
| 0071A |
|
14 |
14 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
69 |
68 |
$0.00 |
| D1110 |
Prophylaxis - adult |
59 |
59 |
$0.00 |
| 91313 |
|
13 |
12 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
27 |
18 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| A4550 |
Surgical trays |
12 |
12 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
226 |
185 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
3,751 |
3,055 |
$0.00 |
| 90647 |
|
385 |
370 |
$0.00 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
133 |
131 |
$0.00 |
| 87428 |
|
839 |
775 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
15,529 |
12,497 |
$0.00 |
| 1035F |
|
1,462 |
1,312 |
$0.00 |
| 36416 |
|
9,203 |
8,228 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,443 |
2,295 |
$0.00 |
| 90686 |
|
3,212 |
3,063 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
317 |
309 |
$0.00 |
| D1310 |
|
2,102 |
1,371 |
$0.00 |
| 90723 |
|
348 |
327 |
$0.00 |
| 3075F |
|
3,193 |
2,965 |
$0.00 |
| 1034F |
|
2,058 |
1,851 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,392 |
2,755 |
$0.00 |
| 3044F |
|
63 |
62 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
155 |
107 |
$0.00 |
| D1330 |
|
2,965 |
1,932 |
$0.00 |
| 3079F |
|
6,853 |
6,212 |
$0.00 |
| 3080F |
|
704 |
636 |
$0.00 |
| H0038 |
Self-help/peer services, per 15 minutes |
125 |
102 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
654 |
545 |
$0.00 |
| 87807 |
|
52 |
44 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
261 |
233 |
$0.00 |
| G0472 |
Hepatitis c antibody screening, for individual at high risk and other covered indication(s) |
136 |
133 |
$0.00 |
| 85018 |
|
583 |
560 |
$0.00 |
| 0011A |
|
296 |
288 |
$0.00 |
| 0134A |
|
14 |
13 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
196 |
194 |
$0.00 |
| 90656 |
|
376 |
375 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
117 |
85 |
$0.00 |
| D0602 |
|
637 |
431 |
$0.00 |
| 86803 |
|
718 |
671 |
$0.00 |
| D0603 |
|
60 |
42 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
42 |
40 |
$0.00 |
| 91301 |
|
783 |
558 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
665 |
630 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
48 |
44 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
54 |
51 |
$0.00 |
| 90677 |
|
24 |
24 |
$0.00 |
| 91306 |
|
104 |
81 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
34 |
34 |
$0.00 |
| 1036F |
|
15 |
15 |
$0.00 |
| 99383 |
|
67 |
67 |
$0.00 |
| 90680 |
|
110 |
103 |
$0.00 |
| 99384 |
|
79 |
79 |
$0.00 |
| D1351 |
Sealant - per tooth |
87 |
31 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
118 |
96 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
98 |
86 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
28 |
27 |
$0.00 |
| 0064A |
|
105 |
81 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
130 |
89 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
67 |
60 |
$0.00 |
| 0072A |
|
19 |
19 |
$0.00 |
| 90651 |
|
47 |
47 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$0.00 |
| 91307 |
|
50 |
46 |
$0.00 |
| 90480 |
|
14 |
14 |
$0.00 |