| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
84,948 |
51,282 |
$5.70M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42,590 |
24,563 |
$721K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24,154 |
13,939 |
$649K |
| 90834 |
Psychotherapy, 45 minutes with patient |
18,750 |
7,809 |
$354K |
| 90832 |
Psychotherapy, 30 minutes with patient |
8,255 |
3,984 |
$139K |
| 99442 |
|
5,113 |
2,766 |
$64K |
| Q3014 |
Telehealth originating site facility fee |
9,865 |
4,870 |
$51K |
| 90791 |
Psychiatric diagnostic evaluation |
1,287 |
494 |
$36K |
| 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 |
2,444 |
$26K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
715 |
317 |
$22K |
| 97803 |
|
2,364 |
1,041 |
$21K |
| 99422 |
|
2,297 |
1,203 |
$17K |
| 80305 |
|
3,812 |
1,646 |
$17K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,374 |
948 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,676 |
1,021 |
$17K |
| 99441 |
|
2,991 |
1,467 |
$14K |
| 92015 |
Determination of refractive state |
2,796 |
1,869 |
$13K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
786 |
440 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,371 |
783 |
$10K |
| 97802 |
|
746 |
326 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
460 |
298 |
$7K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
652 |
464 |
$7K |
| 99421 |
|
1,632 |
817 |
$7K |
| 90686 |
|
814 |
470 |
$4K |
| 99423 |
|
323 |
151 |
$4K |
| 90674 |
|
297 |
188 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
93 |
59 |
$3K |
| D0330 |
Panoramic radiographic image |
196 |
133 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
175 |
112 |
$2K |
| 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 |
189 |
128 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
181 |
134 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
443 |
247 |
$1K |
| D0274 |
Bitewings - four radiographic images |
224 |
142 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
187 |
92 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
316 |
217 |
$821.52 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
62 |
42 |
$701.58 |
| 0011A |
|
93 |
52 |
$582.85 |
| D0230 |
Intraoral - periapical each additional radiographic image |
264 |
92 |
$455.00 |
| 20610 |
|
24 |
12 |
$418.77 |
| D0220 |
Intraoral - periapical first radiographic image |
319 |
194 |
$405.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
22 |
16 |
$359.28 |
| 81002 |
|
583 |
353 |
$311.98 |
| D1110 |
Prophylaxis - adult |
24 |
12 |
$273.04 |
| 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 |
66 |
36 |
$246.28 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
23 |
15 |
$126.24 |
| 90658 |
|
58 |
41 |
$87.28 |
| 99443 |
|
62 |
46 |
$64.02 |
| D1208 |
Topical application of fluoride, excluding varnish |
19 |
14 |
$60.45 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
67 |
45 |
$60.04 |
| 98971 |
|
45 |
31 |
$43.82 |
| 93000 |
|
14 |
12 |
$33.40 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
25 |
13 |
$30.25 |
| 81025 |
|
54 |
42 |
$27.32 |
| 36415 |
Collection of venous blood by venipuncture |
323 |
263 |
$23.43 |
| 98970 |
|
71 |
47 |
$13.00 |
| 98967 |
|
81 |
50 |
$4.95 |
| 98966 |
|
110 |
58 |
$4.95 |
| 99000 |
|
266 |
182 |
$1.40 |
| 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 |
14 |
14 |
$1.23 |
| 3074F |
|
22,151 |
13,125 |
$0.43 |
| 3079F |
|
7,780 |
4,696 |
$0.39 |
| 3078F |
|
18,427 |
10,871 |
$0.30 |
| 3077F |
|
2,669 |
1,562 |
$0.09 |
| 91301 |
|
39 |
20 |
$0.08 |
| 3075F |
|
2,783 |
1,635 |
$0.07 |
| 2001F |
|
8,558 |
5,181 |
$0.00 |
| 3008F |
|
8,433 |
5,182 |
$0.00 |
| 2010F |
|
8,682 |
5,247 |
$0.00 |
| 3351F |
|
2,767 |
1,565 |
$0.00 |
| 1036F |
|
4,966 |
3,047 |
$0.00 |
| 1034F |
|
1,803 |
1,061 |
$0.00 |
| 2000F |
|
7,923 |
4,782 |
$0.00 |
| 4037F |
|
133 |
64 |
$0.00 |
| 3080F |
|
1,076 |
658 |
$0.00 |
| 3044F |
|
227 |
125 |
$0.00 |
| 1126F |
|
470 |
261 |
$0.00 |
| 4010F |
|
476 |
259 |
$0.00 |
| 1125F |
|
107 |
69 |
$0.00 |
| 94760 |
|
19 |
12 |
$0.00 |
| 3352F |
|
23 |
12 |
$0.00 |
| 3353F |
|
22 |
13 |
$0.00 |
| D1330 |
|
15 |
14 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
15 |
15 |
$0.00 |
| 1160F |
|
6,799 |
4,157 |
$0.00 |
| 4040F |
|
78 |
44 |
$0.00 |
| 1159F |
|
6,829 |
4,182 |
$0.00 |
| 4274F |
|
1,384 |
734 |
$0.00 |
| 4004F |
|
677 |
408 |
$0.00 |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
84 |
51 |
$0.00 |
| 99072 |
|
83 |
47 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
13 |
13 |
$0.00 |
| 99001 |
|
60 |
35 |
$0.00 |