| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
153,680 |
129,278 |
$20.03M |
| 59425 |
|
4,855 |
3,537 |
$350K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
111,608 |
64,699 |
$335K |
| 90791 |
Psychiatric diagnostic evaluation |
3,732 |
2,420 |
$284K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31,701 |
21,190 |
$273K |
| G9012 |
Other specified case management service not elsewhere classified |
2,498 |
1,053 |
$254K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
59,289 |
37,272 |
$241K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
9,524 |
5,462 |
$225K |
| 90746 |
|
3,683 |
2,763 |
$193K |
| 96127 |
|
44,990 |
26,345 |
$117K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,830 |
2,231 |
$111K |
| J3490 |
Unclassified drugs |
2,416 |
1,687 |
$94K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,680 |
1,069 |
$81K |
| 97802 |
|
680 |
680 |
$65K |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
2,299 |
2,010 |
$58K |
| 90686 |
|
14,023 |
9,117 |
$55K |
| 90715 |
|
4,342 |
2,956 |
$55K |
| 0500F |
|
914 |
671 |
$53K |
| 11721 |
|
4,540 |
1,635 |
$44K |
| D1206 |
Topical application of fluoride varnish |
4,325 |
2,640 |
$42K |
| 0011A |
|
620 |
618 |
$37K |
| 59430 |
|
480 |
458 |
$31K |
| 97803 |
|
593 |
575 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,314 |
3,717 |
$26K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
894 |
891 |
$26K |
| 90651 |
|
2,743 |
1,846 |
$23K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
5,092 |
3,061 |
$19K |
| 99173 |
|
11,196 |
7,119 |
$19K |
| 81003 |
|
14,539 |
7,472 |
$15K |
| 0012A |
|
228 |
225 |
$15K |
| 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 |
535 |
467 |
$14K |
| 99401 |
|
834 |
824 |
$14K |
| 90677 |
|
855 |
646 |
$14K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
6,353 |
3,896 |
$13K |
| 96156 |
|
1,040 |
1,036 |
$13K |
| 90837 |
Psychotherapy, 53 minutes with patient |
143 |
92 |
$12K |
| 99188 |
|
1,412 |
896 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,426 |
3,842 |
$10K |
| 0064A |
|
190 |
184 |
$9K |
| 99381 |
|
787 |
732 |
$8K |
| 81025 |
|
5,228 |
3,360 |
$8K |
| 90670 |
|
4,513 |
2,971 |
$7K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
404 |
235 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,001 |
608 |
$6K |
| 90707 |
|
1,255 |
797 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,476 |
4,482 |
$5K |
| 11750 |
|
120 |
32 |
$5K |
| 90716 |
|
1,468 |
969 |
$5K |
| 97750 |
|
127 |
126 |
$5K |
| 99385 |
|
371 |
257 |
$4K |
| 90662 |
|
258 |
198 |
$4K |
| 11056 |
|
362 |
125 |
$3K |
| 90620 |
|
1,039 |
709 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,795 |
2,943 |
$3K |
| 90632 |
|
74 |
47 |
$3K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
946 |
530 |
$2K |
| 20551 |
|
118 |
34 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,969 |
2,414 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
409 |
281 |
$2K |
| 99215 |
Prolong outpt/office vis |
1,250 |
723 |
$2K |
| 11730 |
|
133 |
43 |
$2K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
123 |
122 |
$2K |
| 99386 |
|
165 |
122 |
$2K |
| 0134A |
|
22 |
22 |
$1K |
| 92552 |
|
11,560 |
7,165 |
$1K |
| 11055 |
|
164 |
51 |
$1K |
| 86580 |
|
388 |
367 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
289 |
211 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
15 |
15 |
$1K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
73 |
72 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,717 |
1,432 |
$937.80 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
153 |
95 |
$578.76 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
124 |
79 |
$454.35 |
| 90734 |
|
1,126 |
729 |
$262.26 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
15 |
$247.50 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
41 |
40 |
$247.23 |
| 99384 |
|
132 |
103 |
$230.59 |
| 87210 |
|
62 |
32 |
$183.61 |
| 3077F |
|
5,163 |
4,571 |
$165.57 |
| 99201 |
|
90 |
51 |
$137.40 |
| 82947 |
|
8,526 |
7,490 |
$131.55 |
| 88720 |
|
180 |
150 |
$128.21 |
| 90688 |
|
215 |
212 |
$111.50 |
| 90633 |
|
3,388 |
2,215 |
$101.70 |
| 85018 |
|
10,363 |
9,651 |
$74.58 |
| 99382 |
|
31 |
26 |
$73.20 |
| 90698 |
|
4,949 |
3,269 |
$64.62 |
| 96161 |
|
2,662 |
2,506 |
$60.00 |
| 3079F |
|
10,571 |
9,585 |
$53.91 |
| 88142 |
|
1,474 |
845 |
$43.94 |
| 3078F |
|
22,644 |
20,431 |
$43.10 |
| 3080F |
|
2,343 |
2,082 |
$38.63 |
| 90744 |
|
3,226 |
2,225 |
$37.08 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
31 |
31 |
$27.00 |
| 90685 |
|
191 |
187 |
$18.54 |
| 90710 |
|
551 |
372 |
$9.00 |
| 82962 |
|
55 |
43 |
$1.80 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,368 |
1,267 |
$0.00 |
| 2028F |
|
1,541 |
1,393 |
$0.00 |
| Z6300 |
|
411 |
411 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
558 |
519 |
$0.00 |
| 96160 |
|
1,515 |
1,420 |
$0.00 |
| Z6400 |
|
1,287 |
1,282 |
$0.00 |
| Z6304 |
|
208 |
208 |
$0.00 |
| 90681 |
|
1,554 |
1,098 |
$0.00 |
| Z6414 |
|
12 |
12 |
$0.00 |
| Z6200 |
|
401 |
401 |
$0.00 |
| 0502F |
|
2,958 |
2,216 |
$0.00 |
| CMC19 |
|
107 |
106 |
$0.00 |
| 90700 |
|
84 |
66 |
$0.00 |
| 99442 |
|
12 |
12 |
$0.00 |
| 9003F |
|
28 |
27 |
$0.00 |
| Z6308 |
|
12 |
12 |
$0.00 |
| Z6208 |
|
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,851 |
4,119 |
$0.00 |
| 3074F |
|
26,046 |
23,265 |
$0.00 |
| Z1032 |
|
757 |
753 |
$0.00 |
| Z1034 |
|
6,341 |
4,719 |
$0.00 |
| 3075F |
|
4,866 |
4,455 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
882 |
516 |
$0.00 |
| 90619 |
|
695 |
459 |
$0.00 |
| Z6402 |
|
391 |
391 |
$0.00 |
| 99383 |
|
67 |
57 |
$0.00 |
| 90696 |
|
484 |
319 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
877 |
508 |
$0.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
73 |
65 |
$0.00 |
| 87490 |
|
737 |
693 |
$0.00 |
| 0503F |
|
317 |
286 |
$0.00 |
| Z6406 |
|
251 |
250 |
$0.00 |
| Z6204 |
|
277 |
274 |
$0.00 |
| Z1038 |
|
550 |
527 |
$0.00 |
| 91301 |
|
138 |
132 |
$0.00 |
| 92227 |
|
94 |
90 |
$0.00 |
| 90656 |
|
482 |
477 |
$0.00 |
| 87590 |
|
737 |
693 |
$0.00 |
| 96125 |
|
37 |
32 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
18 |
12 |
$0.00 |