| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
166,721 |
141,099 |
$23.18M |
| 00003 |
|
39,784 |
33,030 |
$6.76M |
| G9012 |
Other specified case management service not elsewhere classified |
693 |
665 |
$195K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
527 |
523 |
$175K |
| 92014 |
|
12,318 |
11,133 |
$127K |
| V2020 |
Frames, purchases |
4,903 |
4,866 |
$94K |
| 99213 |
|
126,671 |
71,322 |
$81K |
| 98940 |
|
779 |
398 |
$76K |
| 92340 |
|
3,328 |
3,297 |
$64K |
| 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 |
2,959 |
2,475 |
$58K |
| 99212 |
|
40,877 |
25,564 |
$41K |
| 92341 |
|
1,149 |
1,149 |
$33K |
| G9920 |
Screening performed and negative |
12,839 |
8,579 |
$20K |
| 98941 |
|
181 |
105 |
$18K |
| 92015 |
|
12,842 |
11,915 |
$14K |
| 90832 |
|
1,648 |
1,044 |
$12K |
| 99391 |
|
5,529 |
3,977 |
$7K |
| 90791 |
|
913 |
769 |
$7K |
| 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 |
459 |
459 |
$4K |
| 99392 |
|
7,868 |
4,934 |
$3K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
34 |
26 |
$3K |
| 99395 |
|
2,325 |
1,386 |
$3K |
| 99214 |
|
6,685 |
3,901 |
$2K |
| J3490 |
Unclassified drugs |
1,132 |
726 |
$2K |
| 92250 |
|
1,470 |
997 |
$2K |
| 99393 |
|
5,664 |
3,620 |
$2K |
| 99203 |
|
265 |
166 |
$2K |
| 81025 |
|
9,273 |
5,775 |
$2K |
| 92133 |
|
1,607 |
1,121 |
$2K |
| 99232 |
|
111 |
52 |
$1K |
| 99394 |
|
3,376 |
2,174 |
$1K |
| 99396 |
|
1,200 |
731 |
$1K |
| 92551 |
|
12,336 |
7,964 |
$830.09 |
| 92004 |
|
60 |
55 |
$759.78 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,283 |
980 |
$743.75 |
| 11981 |
|
34 |
26 |
$731.01 |
| 90686 |
|
5,276 |
3,676 |
$514.58 |
| 90680 |
|
2,617 |
1,869 |
$456.75 |
| 90670 |
|
3,282 |
2,307 |
$447.75 |
| H1000 |
Prenatal care, at-risk assessment |
84 |
84 |
$381.09 |
| 85018 |
|
25,427 |
16,184 |
$351.15 |
| 90697 |
|
1,704 |
1,214 |
$336.75 |
| 87880 |
|
4,481 |
2,532 |
$289.56 |
| 90633 |
|
2,616 |
1,676 |
$243.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
302 |
191 |
$232.00 |
| 99173 |
|
11,639 |
7,476 |
$225.34 |
| 90723 |
|
1,552 |
1,108 |
$222.75 |
| 81002 |
|
11,938 |
6,797 |
$208.25 |
| 83655 |
|
2,224 |
1,417 |
$189.69 |
| 90677 |
|
1,522 |
1,063 |
$177.65 |
| 92134 |
|
360 |
241 |
$170.70 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
16 |
13 |
$136.15 |
| 90647 |
|
1,750 |
1,263 |
$132.75 |
| 87804 |
|
2,305 |
1,298 |
$118.26 |
| 11976 |
|
24 |
12 |
$111.67 |
| 90651 |
|
1,691 |
1,096 |
$99.00 |
| 96372 |
|
1,668 |
945 |
$93.75 |
| 83036 |
|
2,481 |
1,452 |
$87.99 |
| 90700 |
|
2,011 |
1,257 |
$81.00 |
| 90716 |
|
309 |
199 |
$72.00 |
| 90734 |
|
1,193 |
725 |
$66.75 |
| 99381 |
|
58 |
53 |
$44.88 |
| 90707 |
|
212 |
139 |
$36.00 |
| 88720 |
|
110 |
61 |
$34.08 |
| 90471 |
|
2,130 |
1,417 |
$33.88 |
| 82962 |
|
2,227 |
1,392 |
$19.97 |
| 90688 |
|
1,618 |
895 |
$18.00 |
| 90710 |
|
264 |
174 |
$18.00 |
| 90715 |
|
412 |
282 |
$18.00 |
| 90713 |
|
272 |
183 |
$18.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
50,301 |
26,801 |
$13.55 |
| 86580 |
|
533 |
357 |
$6.69 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,628 |
1,000 |
$0.68 |
| 99406 |
|
216 |
113 |
$0.02 |
| 3079F |
|
5,741 |
3,340 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
1,812 |
1,068 |
$0.00 |
| 3074F |
|
7,655 |
4,523 |
$0.00 |
| Z1034 |
|
2,808 |
2,227 |
$0.00 |
| 3044F |
|
527 |
302 |
$0.00 |
| 3080F |
|
1,922 |
1,052 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
87 |
56 |
$0.00 |
| 2023F |
|
1,413 |
957 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
2,243 |
2,046 |
$0.00 |
| Z1038 |
|
43 |
43 |
$0.00 |
| Z1032 |
|
369 |
366 |
$0.00 |
| 59430 |
|
43 |
43 |
$0.00 |
| 3075F |
|
3,080 |
1,780 |
$0.00 |
| 90732 |
|
70 |
42 |
$0.00 |
| 3052F |
|
23 |
12 |
$0.00 |
| 96110 |
|
23 |
15 |
$0.00 |
| 3078F |
|
7,314 |
4,328 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
4,555 |
2,636 |
$0.00 |
| 59425 |
|
593 |
463 |
$0.00 |
| 3077F |
|
4,180 |
2,400 |
$0.00 |
| 86703 |
|
150 |
86 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
35 |
24 |
$0.00 |
| 90472 |
|
13 |
13 |
$0.00 |
| 3051F |
|
53 |
28 |
$0.00 |
| 3046F |
|
97 |
52 |
$0.00 |