| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
43,222 |
29,722 |
$13.42M |
| 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 |
1,821 |
1,196 |
$485K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,137 |
27,004 |
$143K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,415 |
10,189 |
$45K |
| 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 |
40 |
40 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,518 |
1,478 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,751 |
2,289 |
$8K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
2,287 |
1,505 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
685 |
667 |
$4K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
135 |
101 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,366 |
2,014 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
270 |
268 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
150 |
138 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
154 |
149 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
70 |
68 |
$1K |
| 92551 |
|
726 |
670 |
$902.20 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,037 |
618 |
$889.98 |
| 98940 |
|
236 |
156 |
$886.16 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
79 |
65 |
$823.20 |
| 59425 |
|
124 |
83 |
$605.21 |
| 96127 |
|
616 |
292 |
$409.80 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
69 |
61 |
$394.65 |
| 82947 |
|
635 |
520 |
$306.05 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
964 |
827 |
$293.40 |
| 85018 |
|
1,104 |
1,032 |
$291.56 |
| 93000 |
|
149 |
128 |
$288.00 |
| 81003 |
|
1,006 |
922 |
$229.26 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
66 |
66 |
$223.97 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
79 |
71 |
$219.32 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
310 |
285 |
$175.01 |
| 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 |
842 |
826 |
$157.75 |
| 90686 |
|
13 |
13 |
$114.58 |
| 99173 |
|
661 |
599 |
$110.95 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
195 |
159 |
$103.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
252 |
235 |
$96.53 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
12 |
$92.48 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
17 |
12 |
$89.22 |
| 82962 |
|
1,505 |
1,272 |
$74.60 |
| 20552 |
|
30 |
27 |
$52.49 |
| 0011A |
|
13 |
13 |
$50.00 |
| 90674 |
|
12 |
12 |
$42.75 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
403 |
358 |
$35.33 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
33 |
33 |
$15.67 |
| 81025 |
|
36 |
28 |
$14.00 |
| 99000 |
|
369 |
342 |
$3.27 |
| 99397 |
|
25 |
25 |
$0.00 |
| 1160F |
|
68 |
65 |
$0.00 |
| 90756 |
|
44 |
43 |
$0.00 |
| 96160 |
|
112 |
81 |
$0.00 |
| 3078F |
|
62 |
61 |
$0.00 |
| 0502F |
|
61 |
49 |
$0.00 |
| 99201 |
|
29 |
29 |
$0.00 |
| 3077F |
|
144 |
137 |
$0.00 |
| 1159F |
|
74 |
71 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
12 |
$0.00 |
| 3046F |
|
17 |
16 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
104 |
89 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
69 |
61 |
$0.00 |
| 3079F |
|
55 |
53 |
$0.00 |
| 3044F |
|
27 |
26 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
21 |
19 |
$0.00 |
| Z1034 |
|
312 |
240 |
$0.00 |
| 36416 |
|
793 |
673 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
55 |
54 |
$0.00 |
| 1036F |
|
25 |
25 |
$0.00 |
| 1125F |
|
53 |
51 |
$0.00 |
| 1126F |
|
134 |
129 |
$0.00 |
| 3074F |
|
60 |
59 |
$0.00 |
| 99459 |
|
202 |
163 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
36 |
34 |
$0.00 |
| 3075F |
|
14 |
13 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
13 |
13 |
$0.00 |