| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
383,354 |
271,437 |
$28.67M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
451,483 |
294,703 |
$688K |
| 90832 |
Psychotherapy, 30 minutes with patient |
24,099 |
18,422 |
$337K |
| 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 |
7,726 |
6,350 |
$306K |
| 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 |
4,923 |
3,729 |
$200K |
| 90791 |
Psychiatric diagnostic evaluation |
2,408 |
2,213 |
$78K |
| 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 |
1,852 |
1,754 |
$74K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
57,832 |
47,117 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,281 |
8,287 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,799 |
8,792 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
7,416 |
6,609 |
$29K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
973 |
615 |
$24K |
| 99243 |
|
3,020 |
2,941 |
$20K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,128 |
911 |
$18K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
615 |
538 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,210 |
3,809 |
$15K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
10,708 |
7,702 |
$14K |
| 90834 |
Psychotherapy, 45 minutes with patient |
427 |
232 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,368 |
1,135 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,860 |
4,545 |
$9K |
| 99307 |
|
2,774 |
2,381 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,057 |
1,494 |
$6K |
| 81002 |
|
18,410 |
14,795 |
$5K |
| 99242 |
|
381 |
246 |
$5K |
| 85018 |
|
27,730 |
24,939 |
$4K |
| 59425 |
|
237 |
163 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18,647 |
15,789 |
$3K |
| 92551 |
|
19,475 |
17,402 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
2,079 |
1,706 |
$3K |
| 81025 |
|
4,225 |
3,718 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
700 |
695 |
$2K |
| 90648 |
|
3,422 |
3,133 |
$1K |
| 90686 |
|
4,389 |
4,212 |
$1K |
| 92081 |
|
7,647 |
6,406 |
$997.35 |
| 99386 |
|
41 |
26 |
$934.65 |
| 90670 |
|
5,212 |
4,904 |
$891.08 |
| 90649 |
|
4,916 |
4,448 |
$862.97 |
| 86580 |
|
3,173 |
2,752 |
$803.91 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
2,070 |
1,586 |
$757.20 |
| 99347 |
|
296 |
289 |
$553.54 |
| 90723 |
|
1,637 |
1,531 |
$550.70 |
| 90734 |
|
3,555 |
3,185 |
$519.24 |
| 82962 |
|
3,262 |
2,615 |
$447.92 |
| 90715 |
|
2,370 |
2,129 |
$394.57 |
| H1000 |
Prenatal care, at-risk assessment |
12 |
12 |
$390.97 |
| 90633 |
|
3,515 |
3,137 |
$343.64 |
| 99215 |
Prolong outpt/office vis |
389 |
358 |
$343.25 |
| 98940 |
|
973 |
797 |
$342.75 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
237 |
224 |
$318.01 |
| 90680 |
|
1,650 |
1,561 |
$314.18 |
| 90710 |
|
2,839 |
2,510 |
$299.57 |
| 90863 |
|
986 |
775 |
$270.96 |
| 3074F |
|
119,948 |
95,796 |
$268.66 |
| 90700 |
|
1,681 |
1,499 |
$227.16 |
| 90756 |
|
2,390 |
1,929 |
$218.61 |
| 99205 |
Prolong outpt/office vis |
72 |
72 |
$198.50 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
305 |
305 |
$179.80 |
| 90621 |
|
1,105 |
1,016 |
$166.13 |
| 69210 |
|
209 |
202 |
$165.18 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,649 |
1,443 |
$150.95 |
| 99173 |
|
7,199 |
6,906 |
$148.12 |
| 94760 |
|
141 |
127 |
$139.93 |
| 90688 |
|
2,267 |
2,177 |
$92.13 |
| 3075F |
|
20,923 |
17,219 |
$73.04 |
| 90696 |
|
1,218 |
1,076 |
$72.84 |
| 90697 |
|
1,703 |
1,618 |
$63.00 |
| 93000 |
|
929 |
733 |
$57.97 |
| 90681 |
|
962 |
946 |
$45.00 |
| 99188 |
|
414 |
412 |
$39.60 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
733 |
564 |
$37.97 |
| 90656 |
|
1,075 |
1,075 |
$20.70 |
| 3077F |
|
26,674 |
20,269 |
$9.90 |
| 82043 |
|
99 |
99 |
$5.59 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
947 |
879 |
$5.57 |
| 99381 |
|
397 |
390 |
$4.56 |
| 3078F |
|
114,863 |
91,693 |
$0.01 |
| 3079F |
|
37,988 |
31,114 |
$0.00 |
| 3080F |
|
14,520 |
10,846 |
$0.00 |
| Z1034 |
|
1,650 |
1,055 |
$0.00 |
| X5880 |
|
98 |
98 |
$0.00 |
| 44444 |
|
43 |
43 |
$0.00 |
| 3044F |
|
128 |
118 |
$0.00 |
| 99000 |
|
138 |
113 |
$0.00 |
| X5752 |
|
31 |
30 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
358 |
338 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
15 |
$0.00 |
| 90744 |
|
61 |
61 |
$0.00 |
| Z6406 |
|
37 |
27 |
$0.00 |
| 90716 |
|
161 |
156 |
$0.00 |
| 99383 |
|
12 |
12 |
$0.00 |
| 90674 |
|
26 |
26 |
$0.00 |
| 3061F |
|
49 |
49 |
$0.00 |
| 36416 |
|
155 |
153 |
$0.00 |
| 99384 |
|
14 |
14 |
$0.00 |
| 0012A |
|
13 |
13 |
$0.00 |
| 0064A |
|
36 |
34 |
$0.00 |
| 20550 |
|
26 |
17 |
$0.00 |
| 99461 |
|
296 |
284 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
273 |
271 |
$0.00 |
| 90713 |
|
222 |
210 |
$0.00 |
| 83655 |
|
373 |
352 |
$0.00 |
| 90661 |
|
290 |
290 |
$0.00 |
| 99382 |
|
22 |
22 |
$0.00 |
| 90707 |
|
127 |
122 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
203 |
203 |
$0.00 |
| 90746 |
|
15 |
15 |
$0.00 |