| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
91,566 |
63,749 |
$18.42M |
| T1016 |
Case management, each 15 minutes |
6,454 |
4,844 |
$132K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,234 |
21,837 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,640 |
17,231 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,530 |
1,384 |
$2K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
14,301 |
7,686 |
$1K |
| 90670 |
|
476 |
447 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,157 |
4,653 |
$604.03 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
533 |
454 |
$561.42 |
| 97802 |
|
2,104 |
1,813 |
$495.04 |
| 96156 |
|
4,150 |
3,445 |
$478.00 |
| 0064A |
|
122 |
112 |
$395.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,250 |
1,036 |
$371.37 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
690 |
653 |
$335.74 |
| 90791 |
Psychiatric diagnostic evaluation |
426 |
385 |
$299.10 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
562 |
490 |
$269.67 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
775 |
705 |
$269.34 |
| 99215 |
Prolong outpt/office vis |
407 |
362 |
$247.36 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
892 |
766 |
$231.51 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,046 |
1,880 |
$208.48 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
752 |
670 |
$206.36 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
432 |
366 |
$200.56 |
| H0031 |
Mental health assessment, by non-physician |
2,113 |
2,053 |
$158.87 |
| 90715 |
|
501 |
447 |
$156.85 |
| 97803 |
|
1,076 |
877 |
$130.56 |
| 93000 |
|
830 |
750 |
$105.87 |
| 0054A |
|
39 |
34 |
$86.22 |
| 0002A |
|
134 |
134 |
$80.00 |
| 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 |
31 |
26 |
$70.46 |
| 0011A |
|
360 |
338 |
$59.88 |
| 81025 |
|
723 |
664 |
$54.88 |
| 0012A |
|
219 |
208 |
$52.00 |
| 90474 |
|
39 |
36 |
$32.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,164 |
1,151 |
$30.00 |
| 90686 |
|
1,878 |
1,680 |
$21.88 |
| 99441 |
|
113 |
97 |
$21.58 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
272 |
225 |
$19.65 |
| 99001 |
|
100 |
95 |
$17.67 |
| 81002 |
|
1,563 |
1,394 |
$17.12 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
622 |
349 |
$15.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
962 |
823 |
$14.51 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
404 |
356 |
$10.79 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
206 |
177 |
$3.23 |
| 96160 |
|
54 |
49 |
$2.90 |
| 3074F |
|
2,076 |
1,957 |
$0.00 |
| 1036F |
|
3,078 |
2,784 |
$0.00 |
| 2000F |
|
2,715 |
2,536 |
$0.00 |
| 96127 |
|
148 |
140 |
$0.00 |
| 90688 |
|
77 |
75 |
$0.00 |
| 3008F |
|
2,983 |
2,767 |
$0.00 |
| 3075F |
|
181 |
177 |
$0.00 |
| 99443 |
|
66 |
57 |
$0.00 |
| 0001A |
|
206 |
201 |
$0.00 |
| 2010F |
|
3,078 |
2,850 |
$0.00 |
| 3351F |
|
1,579 |
1,487 |
$0.00 |
| 90680 |
|
28 |
27 |
$0.00 |
| 2001F |
|
3,027 |
2,807 |
$0.00 |
| 4010F |
|
354 |
312 |
$0.00 |
| 96151 |
|
217 |
137 |
$0.00 |
| 96150 |
|
1,110 |
756 |
$0.00 |
| 3080F |
|
126 |
124 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
147 |
133 |
$0.00 |
| 90651 |
|
151 |
139 |
$0.00 |
| 4037F |
|
133 |
131 |
$0.00 |
| 90732 |
|
37 |
32 |
$0.00 |
| 3079F |
|
562 |
550 |
$0.00 |
| 1034F |
|
405 |
362 |
$0.00 |
| 1126F |
|
35 |
34 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
28 |
26 |
$0.00 |
| 90698 |
|
42 |
41 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
20 |
14 |
$0.00 |
| 90656 |
|
100 |
55 |
$0.00 |
| 99384 |
|
12 |
12 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
27 |
26 |
$0.00 |
| 82962 |
|
43 |
39 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
32 |
24 |
$0.00 |
| 0051A |
|
17 |
12 |
$0.00 |
| 90480 |
|
42 |
28 |
$0.00 |
| 99383 |
|
14 |
12 |
$0.00 |
| 0072A |
|
34 |
26 |
$0.00 |
| 90744 |
|
14 |
13 |
$0.00 |
| 1160F |
|
2,708 |
2,512 |
$0.00 |
| 0071A |
|
39 |
34 |
$0.00 |
| 4040F |
|
262 |
226 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
233 |
154 |
$0.00 |
| 99173 |
|
42 |
42 |
$0.00 |
| 3077F |
|
129 |
124 |
$0.00 |
| 4274F |
|
798 |
716 |
$0.00 |
| 99442 |
|
213 |
172 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
257 |
238 |
$0.00 |
| 1159F |
|
2,704 |
2,508 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
55 |
51 |
$0.00 |
| 0124A |
|
68 |
65 |
$0.00 |
| 3078F |
|
1,777 |
1,679 |
$0.00 |
| 91320 |
|
41 |
26 |
$0.00 |
| 92552 |
|
26 |
26 |
$0.00 |
| 90687 |
|
15 |
12 |
$0.00 |
| 90633 |
|
50 |
48 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
222 |
213 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 0004A |
|
17 |
15 |
$0.00 |