| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
244,165 |
199,979 |
$33.46M |
| 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 |
15,126 |
12,810 |
$705K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
101,191 |
88,698 |
$229K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44,900 |
39,477 |
$129K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31,159 |
26,827 |
$41K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
5,355 |
4,495 |
$37K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,385 |
1,907 |
$34K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,206 |
2,590 |
$31K |
| 90791 |
Psychiatric diagnostic evaluation |
1,157 |
1,006 |
$27K |
| 0001A |
|
263 |
263 |
$17K |
| 0002A |
|
249 |
248 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,595 |
1,496 |
$11K |
| 0011A |
|
167 |
162 |
$11K |
| 0054A |
|
162 |
162 |
$10K |
| 0012A |
|
107 |
107 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,948 |
1,700 |
$7K |
| 90837 |
Psychotherapy, 53 minutes with patient |
351 |
268 |
$7K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
2,419 |
2,189 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,242 |
3,115 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,201 |
1,155 |
$4K |
| 86403 |
|
3,458 |
3,185 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,377 |
2,257 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
723 |
672 |
$4K |
| 81025 |
|
12,694 |
11,577 |
$4K |
| 0072A |
|
64 |
63 |
$4K |
| 0064A |
|
49 |
49 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,072 |
2,973 |
$3K |
| 90651 |
|
1,658 |
1,570 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
237 |
189 |
$3K |
| 0004A |
|
40 |
40 |
$2K |
| 82947 |
|
14,638 |
12,762 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,619 |
3,375 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,872 |
4,623 |
$2K |
| 99381 |
|
227 |
171 |
$2K |
| 81003 |
|
27,905 |
23,054 |
$2K |
| 0031A |
|
31 |
31 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
7,284 |
6,784 |
$2K |
| 90677 |
|
541 |
433 |
$2K |
| 0071A |
|
35 |
31 |
$2K |
| 92551 |
|
4,239 |
4,070 |
$1K |
| 0073A |
|
22 |
22 |
$1K |
| 88142 |
|
1,217 |
1,186 |
$1K |
| 76830 |
Ultrasound, transvaginal |
56 |
56 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
70 |
52 |
$1K |
| 90715 |
|
1,278 |
1,209 |
$1K |
| 81000 |
|
6,262 |
5,419 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
72 |
59 |
$1K |
| 92250 |
|
188 |
188 |
$1K |
| 85018 |
|
11,760 |
11,180 |
$971.73 |
| 93000 |
|
481 |
409 |
$804.36 |
| 0052A |
|
12 |
12 |
$804.00 |
| 85014 |
|
8,960 |
8,601 |
$652.72 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
4,226 |
4,088 |
$647.89 |
| 90670 |
|
1,439 |
1,352 |
$516.93 |
| 90723 |
|
1,406 |
1,338 |
$482.58 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,856 |
9,615 |
$438.35 |
| 90687 |
|
811 |
778 |
$384.51 |
| 99215 |
Prolong outpt/office vis |
65 |
62 |
$375.70 |
| 90474 |
|
490 |
438 |
$336.84 |
| 99173 |
|
1,511 |
1,438 |
$294.37 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,868 |
1,770 |
$286.98 |
| 72110 |
|
47 |
42 |
$284.63 |
| 82950 |
|
1,435 |
1,294 |
$256.73 |
| 90686 |
|
674 |
662 |
$251.76 |
| 90680 |
|
957 |
828 |
$239.71 |
| 90688 |
|
782 |
766 |
$225.66 |
| 87490 |
|
1,027 |
1,002 |
$220.90 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
551 |
532 |
$220.24 |
| 87590 |
|
1,052 |
1,026 |
$217.22 |
| 99188 |
|
142 |
135 |
$215.10 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
574 |
529 |
$187.34 |
| 90648 |
|
1,986 |
1,788 |
$158.61 |
| 90734 |
|
1,363 |
1,286 |
$145.14 |
| 90658 |
|
208 |
205 |
$111.38 |
| 90756 |
|
86 |
86 |
$81.75 |
| 90633 |
|
1,265 |
1,186 |
$63.00 |
| 71045 |
Radiologic examination, chest; single view |
71 |
68 |
$53.01 |
| 73562 |
|
15 |
13 |
$42.08 |
| 90678 |
|
18 |
18 |
$42.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
29 |
28 |
$35.36 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
202 |
191 |
$24.00 |
| 90656 |
|
141 |
136 |
$21.81 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
282 |
277 |
$20.12 |
| 90696 |
|
230 |
218 |
$19.40 |
| 90621 |
|
17 |
17 |
$18.64 |
| 86580 |
|
420 |
415 |
$12.73 |
| 87210 |
|
29 |
29 |
$3.56 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,330 |
1,326 |
$0.00 |
| 1159F |
|
1,014 |
1,002 |
$0.00 |
| 90461 |
|
627 |
624 |
$0.00 |
| 90710 |
|
380 |
370 |
$0.00 |
| 3078F |
|
715 |
709 |
$0.00 |
| 90707 |
|
89 |
79 |
$0.00 |
| 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 |
12 |
12 |
$0.00 |
| 99442 |
|
14 |
14 |
$0.00 |
| 90700 |
|
63 |
63 |
$0.00 |
| 72100 |
|
14 |
14 |
$0.00 |
| 90750 |
|
24 |
24 |
$0.00 |
| 73630 |
|
13 |
13 |
$0.00 |
| 90649 |
|
13 |
13 |
$0.00 |
| 1039F |
|
15 |
15 |
$0.00 |
| 90716 |
|
201 |
177 |
$0.00 |
| 90732 |
|
97 |
96 |
$0.00 |
| 3074F |
|
694 |
686 |
$0.00 |
| 90620 |
|
355 |
336 |
$0.00 |
| 3079F |
|
40 |
39 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
100 |
98 |
$0.00 |
| 1170F |
|
115 |
113 |
$0.00 |
| 1126F |
|
626 |
622 |
$0.00 |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
12 |
12 |
$0.00 |
| 1125F |
|
105 |
105 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
151 |
151 |
$0.00 |
| 3075F |
|
34 |
34 |
$0.00 |
| 3044F |
|
102 |
101 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
124 |
118 |
$0.00 |
| 57454 |
|
12 |
12 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
54 |
54 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
12 |
$0.00 |
| 91307 |
|
12 |
12 |
$0.00 |
| 90744 |
|
14 |
13 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
19 |
19 |
$0.00 |