| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
547,450 |
502,553 |
$85.81M |
| 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 |
80,688 |
66,763 |
$1.69M |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
7,807 |
7,028 |
$1.48M |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
635 |
634 |
$1.37M |
| 59510 |
|
534 |
534 |
$1.28M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,971 |
8,701 |
$1.14M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,666 |
7,662 |
$1.05M |
| 99050 |
|
25,369 |
24,911 |
$962K |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
6,837 |
4,674 |
$957K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,707 |
6,702 |
$948K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,425 |
27,922 |
$657K |
| J3490 |
Unclassified drugs |
429 |
403 |
$585K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,702 |
4,690 |
$555K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42,373 |
39,389 |
$447K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21,127 |
21,004 |
$385K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
10,376 |
4,165 |
$352K |
| 97802 |
|
7,129 |
7,104 |
$342K |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,039 |
3,013 |
$325K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
29,206 |
28,585 |
$287K |
| 99381 |
|
1,059 |
1,054 |
$209K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
4,645 |
4,548 |
$206K |
| 97803 |
|
5,320 |
4,997 |
$199K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,896 |
1,889 |
$166K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
11,128 |
10,975 |
$142K |
| 99460 |
|
2,089 |
2,047 |
$133K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,864 |
4,829 |
$118K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
5,167 |
5,114 |
$117K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,037 |
7,932 |
$102K |
| 90677 |
|
1,498 |
1,496 |
$99K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,282 |
5,272 |
$95K |
| 59025 |
Fetal non-stress test |
3,051 |
1,941 |
$93K |
| 0012A |
|
2,108 |
2,093 |
$90K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
2,057 |
1,872 |
$75K |
| 90791 |
Psychiatric diagnostic evaluation |
580 |
575 |
$68K |
| 0011A |
|
1,799 |
1,764 |
$66K |
| 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 |
8,466 |
8,460 |
$63K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,394 |
1,147 |
$58K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
4,389 |
4,045 |
$58K |
| 99462 |
|
1,588 |
1,259 |
$54K |
| 99222 |
Initial hospital care, per day, moderate complexity |
541 |
523 |
$52K |
| 90715 |
|
1,982 |
1,978 |
$48K |
| 99397 |
|
287 |
287 |
$45K |
| 96127 |
|
4,937 |
4,103 |
$41K |
| 81025 |
|
5,328 |
5,220 |
$37K |
| 11981 |
|
317 |
317 |
$35K |
| 99233 |
Prolong inpt eval add15 m |
627 |
311 |
$34K |
| 99221 |
|
430 |
416 |
$31K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,009 |
2,749 |
$30K |
| 90739 |
|
582 |
581 |
$29K |
| 99384 |
|
196 |
196 |
$28K |
| 90688 |
|
1,845 |
1,842 |
$27K |
| 0002A |
|
471 |
471 |
$22K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
201 |
201 |
$20K |
| 90461 |
|
572 |
571 |
$20K |
| 93000 |
|
1,272 |
1,265 |
$19K |
| 0001A |
|
392 |
392 |
$17K |
| 91320 |
|
162 |
162 |
$17K |
| 90686 |
|
1,973 |
1,969 |
$17K |
| 81002 |
|
6,075 |
5,903 |
$17K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
640 |
400 |
$15K |
| 82948 |
|
4,844 |
4,530 |
$14K |
| 99215 |
Prolong outpt/office vis |
2,284 |
2,235 |
$14K |
| 99423 |
|
17 |
17 |
$14K |
| 99443 |
|
424 |
406 |
$13K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
182 |
181 |
$12K |
| 90662 |
|
1,264 |
1,264 |
$12K |
| 90837 |
Psychotherapy, 53 minutes with patient |
138 |
120 |
$11K |
| 83037 |
|
1,432 |
1,416 |
$11K |
| 99383 |
|
102 |
102 |
$11K |
| 90707 |
|
743 |
741 |
$8K |
| 99442 |
|
308 |
303 |
$7K |
| 0072A |
|
141 |
141 |
$6K |
| 90656 |
|
1,094 |
1,091 |
$6K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
25 |
25 |
$6K |
| 87210 |
|
1,124 |
1,109 |
$6K |
| 99385 |
|
25 |
25 |
$6K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
13 |
13 |
$6K |
| 0013A |
|
118 |
118 |
$5K |
| 99188 |
|
207 |
205 |
$5K |
| G0008 |
Administration of influenza virus vaccine |
1,170 |
1,170 |
$5K |
| 90480 |
|
106 |
106 |
$5K |
| A0425 |
Ground mileage, per statute mile |
213 |
203 |
$5K |
| 90649 |
|
506 |
506 |
$4K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
13 |
13 |
$4K |
| 86580 |
|
547 |
530 |
$3K |
| 0071A |
|
62 |
62 |
$3K |
| 0031A |
|
59 |
59 |
$3K |
| 90716 |
|
888 |
886 |
$2K |
| 97810 |
|
87 |
84 |
$2K |
| 90620 |
|
124 |
123 |
$2K |
| 54160 |
|
12 |
12 |
$2K |
| 99218 |
|
31 |
27 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$2K |
| G0009 |
Administration of pneumococcal vaccine |
294 |
294 |
$2K |
| 90651 |
|
238 |
237 |
$2K |
| 90473 |
|
73 |
73 |
$1K |
| 90474 |
|
148 |
147 |
$1K |
| 98928 |
|
30 |
27 |
$1K |
| 92551 |
|
120 |
118 |
$1K |
| 0054A |
|
20 |
20 |
$913.12 |
| 90713 |
|
142 |
142 |
$900.48 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
183 |
166 |
$897.97 |
| 91301 |
|
653 |
618 |
$833.09 |
| 90670 |
|
422 |
422 |
$750.00 |
| 0134A |
|
84 |
83 |
$730.12 |
| 90632 |
|
12 |
12 |
$705.12 |
| 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 |
56 |
56 |
$504.00 |
| 88142 |
|
23 |
23 |
$480.47 |
| 90674 |
|
145 |
145 |
$479.27 |
| 0124A |
|
35 |
35 |
$320.71 |
| 85610 |
|
87 |
53 |
$263.07 |
| 90658 |
|
15 |
15 |
$170.55 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
55 |
55 |
$148.81 |
| 90734 |
|
153 |
153 |
$89.05 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$79.74 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
97 |
73 |
$2.46 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
563 |
545 |
$0.17 |
| 91300 |
|
52 |
50 |
$0.10 |
| 90697 |
|
276 |
275 |
$0.00 |
| 90619 |
|
652 |
647 |
$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 |
126 |
120 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
18 |
18 |
$0.00 |
| 90723 |
|
1,337 |
1,336 |
$0.00 |
| 90696 |
|
139 |
139 |
$0.00 |
| 92558 |
|
1,865 |
1,825 |
$0.00 |
| 90680 |
|
1,474 |
1,473 |
$0.00 |
| 90744 |
|
17 |
17 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$0.00 |
| 82947 |
|
1,633 |
1,530 |
$0.00 |
| 90633 |
|
970 |
967 |
$0.00 |
| 99051 |
|
418 |
400 |
$0.00 |
| 90700 |
|
307 |
307 |
$0.00 |
| 90648 |
|
1,737 |
1,735 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,053 |
1,014 |
$0.00 |
| 90710 |
|
175 |
175 |
$0.00 |
| 90671 |
|
584 |
583 |
$0.00 |
| 90661 |
|
73 |
73 |
$0.00 |
| 90655 |
|
15 |
15 |
$0.00 |
| 90678 |
|
41 |
41 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$0.00 |
| 91312 |
|
12 |
12 |
$0.00 |