| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
145,706 |
113,287 |
$17.88M |
| 90834 |
Psychotherapy, 45 minutes with patient |
14,595 |
6,713 |
$140K |
| 90832 |
Psychotherapy, 30 minutes with patient |
27,187 |
12,309 |
$120K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
11,124 |
7,037 |
$120K |
| 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 |
9,404 |
8,449 |
$111K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
159,382 |
126,310 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,148 |
19,153 |
$32K |
| 92015 |
Determination of refractive state |
10,692 |
6,771 |
$20K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
2,799 |
2,386 |
$20K |
| 90791 |
Psychiatric diagnostic evaluation |
842 |
620 |
$11K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
497 |
342 |
$9K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
23,497 |
22,941 |
$5K |
| 90837 |
Psychotherapy, 53 minutes with patient |
319 |
142 |
$4K |
| 98940 |
|
5,182 |
1,383 |
$2K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
7,426 |
1,950 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13,608 |
11,411 |
$2K |
| 96127 |
|
10,023 |
7,843 |
$1K |
| 90662 |
|
361 |
361 |
$1K |
| 96156 |
|
7,000 |
6,971 |
$975.00 |
| 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 |
20 |
12 |
$564.40 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
182 |
179 |
$461.79 |
| 87430 |
|
853 |
841 |
$449.90 |
| 92551 |
|
14,190 |
14,166 |
$412.26 |
| 90686 |
|
4,819 |
4,788 |
$396.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
144 |
136 |
$350.78 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,012 |
3,005 |
$272.50 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,793 |
3,788 |
$219.25 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,995 |
2,988 |
$186.21 |
| 92134 |
|
19 |
14 |
$177.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,451 |
2,139 |
$168.00 |
| 92133 |
|
17 |
12 |
$141.60 |
| 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 |
180 |
149 |
$113.03 |
| 85018 |
|
9,314 |
9,225 |
$104.06 |
| 99000 |
|
45,992 |
37,624 |
$87.44 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
58 |
45 |
$70.80 |
| 90670 |
|
122 |
122 |
$63.00 |
| 99443 |
|
332 |
251 |
$59.23 |
| 99173 |
|
14,683 |
14,649 |
$55.98 |
| 90649 |
|
400 |
400 |
$54.00 |
| 99441 |
|
1,564 |
1,325 |
$39.78 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,138 |
11,065 |
$27.60 |
| 90633 |
|
151 |
151 |
$27.00 |
| 90672 |
|
1,069 |
1,054 |
$27.00 |
| 86580 |
|
43 |
42 |
$26.88 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
122 |
121 |
$25.62 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
2,393 |
1,853 |
$19.26 |
| 90744 |
|
26 |
26 |
$18.00 |
| 90698 |
|
61 |
61 |
$18.00 |
| 90688 |
|
1,985 |
1,956 |
$18.00 |
| 81002 |
|
11,933 |
7,395 |
$15.01 |
| 90734 |
|
324 |
323 |
$9.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,569 |
2,566 |
$7.45 |
| 90785 |
|
499 |
308 |
$3.88 |
| 82948 |
|
365 |
326 |
$2.71 |
| 81005 |
|
230 |
185 |
$1.77 |
| G0008 |
Administration of influenza virus vaccine |
290 |
290 |
$0.59 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
47,874 |
24,608 |
$0.01 |
| G0397 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
409 |
272 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
328 |
295 |
$0.00 |
| 90461 |
|
4,160 |
4,124 |
$0.00 |
| 97810 |
|
8,284 |
2,343 |
$0.00 |
| G9920 |
Screening performed and negative |
7,861 |
7,851 |
$0.00 |
| 3078F |
|
3,131 |
2,344 |
$0.00 |
| 81025 |
|
911 |
712 |
$0.00 |
| 97811 |
|
1,410 |
372 |
$0.00 |
| 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 |
1,124 |
911 |
$0.00 |
| 3077F |
|
192 |
123 |
$0.00 |
| Z6400 |
|
422 |
409 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
140 |
122 |
$0.00 |
| 90715 |
|
190 |
175 |
$0.00 |
| 91300 |
|
40 |
39 |
$0.00 |
| 99442 |
|
99 |
88 |
$0.00 |
| Z6414 |
|
55 |
54 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |
| 90707 |
|
133 |
133 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
71 |
64 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
92 |
92 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
187 |
145 |
$0.00 |
| 0004A |
|
12 |
12 |
$0.00 |
| 0124A |
|
34 |
34 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
44 |
44 |
$0.00 |
| 91312 |
|
13 |
13 |
$0.00 |
| 99188 |
|
12 |
12 |
$0.00 |
| Z1036 |
|
20 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
21,540 |
17,881 |
$0.00 |
| 3074F |
|
3,041 |
2,253 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,970 |
1,519 |
$0.00 |
| 90656 |
|
512 |
490 |
$0.00 |
| 3079F |
|
1,061 |
745 |
$0.00 |
| Z1038 |
|
101 |
94 |
$0.00 |
| 3008F |
|
257 |
232 |
$0.00 |
| Z1032 |
|
111 |
111 |
$0.00 |
| 3351F |
|
623 |
445 |
$0.00 |
| Z1034 |
|
5,806 |
4,737 |
$0.00 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
47 |
29 |
$0.00 |
| 3075F |
|
344 |
245 |
$0.00 |
| 0064A |
|
30 |
30 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
44 |
35 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |
| 0134A |
|
26 |
26 |
$0.00 |
| 76801 |
|
53 |
42 |
$0.00 |
| J3490 |
Unclassified drugs |
23 |
16 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
62 |
38 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
70 |
69 |
$0.00 |
| 90660 |
|
184 |
183 |
$0.00 |
| 90674 |
|
100 |
95 |
$0.00 |
| 90651 |
|
25 |
25 |
$0.00 |
| 90620 |
|
26 |
26 |
$0.00 |
| 90480 |
|
49 |
49 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
19 |
17 |
$0.00 |
| 87428 |
|
53 |
52 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
31 |
31 |
$0.00 |
| 90696 |
|
26 |
26 |
$0.00 |
| 99070 |
|
13 |
13 |
$0.00 |