| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
247,844 |
159,667 |
$20.97M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
1,877 |
1,193 |
$125K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
2,964 |
2,452 |
$21K |
| S5190 |
Wellness assessment, performed by non-physician |
2,074 |
1,686 |
$6K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
107 |
105 |
$5K |
| 91320 |
|
23 |
22 |
$3K |
| 90480 |
|
22 |
20 |
$945.60 |
| 99214 |
|
57,276 |
42,542 |
$448.88 |
| 99213 |
|
102,855 |
71,876 |
$356.61 |
| 96372 |
|
7,009 |
5,332 |
$156.96 |
| 0503F |
|
30 |
27 |
$75.00 |
| 99212 |
|
6,121 |
4,805 |
$48.50 |
| 99395 |
|
2,414 |
1,913 |
$42.50 |
| 90688 |
|
289 |
159 |
$25.26 |
| 90633 |
|
3,461 |
2,785 |
$6.40 |
| 90700 |
|
1,271 |
1,043 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
3,499 |
2,831 |
$0.00 |
| 90681 |
|
2,340 |
1,988 |
$0.00 |
| 99396 |
|
1,281 |
1,013 |
$0.00 |
| 99242 |
|
509 |
433 |
$0.00 |
| 99394 |
|
1,697 |
1,373 |
$0.00 |
| 99382 |
|
149 |
121 |
$0.00 |
| 99391 |
|
6,849 |
5,431 |
$0.00 |
| 99244 |
|
738 |
604 |
$0.00 |
| 90670 |
|
1,680 |
1,064 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
2,214 |
2,088 |
$0.00 |
| 99392 |
|
5,610 |
4,536 |
$0.00 |
| 90715 |
|
3,194 |
2,579 |
$0.00 |
| 90837 |
|
4,001 |
2,535 |
$0.00 |
| 90710 |
|
2,299 |
1,872 |
$0.00 |
| 99203 |
|
4,913 |
3,998 |
$0.00 |
| 99204 |
|
1,959 |
1,603 |
$0.00 |
| 90734 |
|
1,017 |
819 |
$0.00 |
| 90832 |
|
1,510 |
999 |
$0.00 |
| 99393 |
|
2,391 |
2,003 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
76 |
71 |
$0.00 |
| 0502F |
|
6,801 |
3,606 |
$0.00 |
| 90791 |
|
388 |
370 |
$0.00 |
| 90671 |
|
388 |
360 |
$0.00 |
| 90750 |
|
45 |
43 |
$0.00 |
| 90707 |
|
97 |
51 |
$0.00 |
| 59025 |
|
37 |
13 |
$0.00 |
| 99211 |
|
77 |
69 |
$0.00 |
| 90785 |
|
14 |
13 |
$0.00 |
| 69209 |
|
24 |
24 |
$0.00 |
| 90472 |
|
13 |
13 |
$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 |
542 |
473 |
$0.00 |
| 0500F |
|
1,216 |
980 |
$0.00 |
| 90723 |
|
4,091 |
3,415 |
$0.00 |
| 99381 |
|
885 |
828 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,073 |
1,468 |
$0.00 |
| 96127 |
|
33 |
12 |
$0.00 |
| 90651 |
|
1,598 |
1,281 |
$0.00 |
| 90647 |
|
4,287 |
3,481 |
$0.00 |
| 90834 |
|
4,022 |
2,356 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
396 |
275 |
$0.00 |
| 96110 |
|
334 |
246 |
$0.00 |
| 90471 |
|
1,407 |
1,155 |
$0.00 |
| 90696 |
|
645 |
565 |
$0.00 |
| 90656 |
|
220 |
195 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
166 |
120 |
$0.00 |
| 99243 |
|
2,630 |
2,079 |
$0.00 |
| 99385 |
|
413 |
328 |
$0.00 |
| 99383 |
|
425 |
358 |
$0.00 |
| 99202 |
|
960 |
835 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
429 |
393 |
$0.00 |
| 94760 |
|
600 |
586 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
521 |
475 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
511 |
300 |
$0.00 |
| 90716 |
|
97 |
51 |
$0.00 |
| 90686 |
|
759 |
512 |
$0.00 |
| 99386 |
|
91 |
80 |
$0.00 |
| 99384 |
|
102 |
100 |
$0.00 |
| 90381 |
|
32 |
26 |
$0.00 |
| 90792 |
|
37 |
37 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
59 |
58 |
$0.00 |
| 90732 |
|
12 |
12 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
27 |
14 |
$0.00 |
| 99406 |
|
12 |
12 |
$0.00 |
| 90619 |
|
92 |
92 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
34 |
33 |
$0.00 |