| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
304,506 |
247,298 |
$55.70M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
278,385 |
154,692 |
$2.16M |
| 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 |
8,004 |
6,531 |
$896K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
55,817 |
32,860 |
$855K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
79,133 |
48,866 |
$470K |
| G9012 |
Other specified case management service not elsewhere classified |
6,983 |
4,232 |
$229K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14,347 |
9,695 |
$225K |
| 90832 |
Psychotherapy, 30 minutes with patient |
12,788 |
5,693 |
$210K |
| 59425 |
|
4,824 |
3,169 |
$165K |
| 3008F |
|
129,363 |
111,079 |
$148K |
| 3074F |
|
41,656 |
39,346 |
$99K |
| 3078F |
|
40,904 |
38,661 |
$98K |
| 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 |
699 |
696 |
$90K |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,067 |
2,006 |
$89K |
| 90791 |
Psychiatric diagnostic evaluation |
1,810 |
1,112 |
$70K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,129 |
1,403 |
$63K |
| 97803 |
|
2,539 |
2,500 |
$60K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,498 |
1,026 |
$59K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,130 |
1,115 |
$57K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,209 |
1,525 |
$57K |
| 3079F |
|
20,880 |
20,183 |
$51K |
| 99385 |
|
1,943 |
1,392 |
$51K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
5,841 |
3,685 |
$50K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,082 |
1,531 |
$44K |
| 97802 |
|
1,408 |
1,379 |
$41K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
224 |
224 |
$41K |
| 3075F |
|
12,821 |
12,514 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,675 |
2,336 |
$29K |
| 99215 |
Prolong outpt/office vis |
390 |
381 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,053 |
2,186 |
$24K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
385 |
242 |
$23K |
| 99386 |
|
999 |
763 |
$22K |
| 90750 |
|
494 |
305 |
$19K |
| 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 |
1,487 |
1,420 |
$17K |
| 3044F |
|
4,944 |
4,681 |
$17K |
| 11721 |
|
1,192 |
941 |
$16K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,194 |
1,006 |
$14K |
| 90677 |
|
1,549 |
1,125 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,848 |
1,123 |
$13K |
| 90715 |
|
1,762 |
1,167 |
$13K |
| 59430 |
|
445 |
423 |
$12K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
496 |
314 |
$12K |
| 81002 |
|
17,820 |
9,135 |
$10K |
| 90674 |
|
932 |
694 |
$10K |
| 90746 |
|
448 |
298 |
$9K |
| 59514 |
|
14 |
13 |
$8K |
| 99000 |
|
20,448 |
12,660 |
$8K |
| 3077F |
|
15,547 |
14,927 |
$7K |
| 59414 |
|
300 |
292 |
$7K |
| 90670 |
|
3,444 |
2,405 |
$7K |
| 82947 |
|
8,692 |
5,533 |
$7K |
| 90656 |
|
1,370 |
954 |
$7K |
| 90686 |
|
3,528 |
2,433 |
$7K |
| 80305 |
|
2,251 |
1,275 |
$6K |
| 93000 |
|
945 |
619 |
$6K |
| 85018 |
|
14,729 |
9,774 |
$5K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
883 |
880 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
647 |
394 |
$5K |
| 90688 |
|
885 |
566 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
140 |
90 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22,548 |
15,949 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,166 |
891 |
$5K |
| 99383 |
|
764 |
500 |
$5K |
| 90732 |
|
144 |
90 |
$4K |
| 81025 |
|
6,321 |
3,942 |
$4K |
| 76830 |
Ultrasound, transvaginal |
168 |
114 |
$4K |
| 1159F |
|
123,469 |
103,688 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
186 |
133 |
$3K |
| 3080F |
|
8,227 |
7,946 |
$3K |
| 99205 |
Prolong outpt/office vis |
64 |
50 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
436 |
253 |
$3K |
| 90697 |
|
2,067 |
1,538 |
$3K |
| 92552 |
|
355 |
354 |
$3K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
4,084 |
2,726 |
$2K |
| 90651 |
|
1,013 |
706 |
$2K |
| 86580 |
|
2,384 |
1,567 |
$2K |
| 90716 |
|
956 |
636 |
$2K |
| 90633 |
|
2,128 |
1,438 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
967 |
634 |
$2K |
| 99381 |
|
807 |
722 |
$2K |
| 99384 |
|
287 |
197 |
$1K |
| 90647 |
|
1,640 |
1,161 |
$1K |
| 99406 |
|
350 |
298 |
$1K |
| 90734 |
|
680 |
429 |
$1K |
| 1160F |
|
124,151 |
104,238 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
581 |
365 |
$1K |
| 90707 |
|
856 |
570 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
181 |
125 |
$1K |
| 3046F |
|
1,009 |
916 |
$950.00 |
| 90723 |
|
997 |
692 |
$928.24 |
| 1126F |
|
3,096 |
2,921 |
$900.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
41 |
23 |
$879.45 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
98 |
67 |
$870.00 |
| 90681 |
|
1,246 |
960 |
$796.50 |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
138 |
138 |
$795.00 |
| 11730 |
|
38 |
38 |
$704.44 |
| 99382 |
|
148 |
94 |
$687.57 |
| 90700 |
|
789 |
521 |
$674.54 |
| 76801 |
|
28 |
16 |
$664.86 |
| G9920 |
Screening performed and negative |
446 |
443 |
$646.44 |
| 3051F |
|
833 |
793 |
$640.00 |
| 57454 |
|
16 |
12 |
$602.98 |
| 99188 |
|
159 |
105 |
$558.00 |
| 3052F |
|
96 |
85 |
$455.00 |
| 99173 |
|
384 |
384 |
$410.23 |
| 99408 |
|
29 |
27 |
$374.88 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
11,061 |
7,707 |
$338.82 |
| 59025 |
Fetal non-stress test |
107 |
27 |
$295.65 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
362 |
238 |
$273.07 |
| 90658 |
|
31 |
31 |
$260.20 |
| 0520 |
|
308 |
202 |
$248.66 |
| 90682 |
|
19 |
12 |
$223.20 |
| 1125F |
|
2,683 |
2,626 |
$212.03 |
| 90710 |
|
559 |
374 |
$189.00 |
| 1170F |
|
2,630 |
2,557 |
$185.00 |
| 92551 |
|
40 |
39 |
$171.70 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
62 |
38 |
$165.52 |
| 11720 |
|
12 |
12 |
$157.84 |
| 90648 |
|
214 |
157 |
$114.34 |
| 90713 |
|
160 |
104 |
$99.00 |
| 90619 |
|
72 |
50 |
$90.00 |
| 0011A |
|
72 |
63 |
$77.88 |
| 69209 |
|
18 |
12 |
$72.15 |
| 87807 |
|
138 |
85 |
$60.28 |
| 90696 |
|
257 |
174 |
$47.25 |
| 81001 |
|
34 |
33 |
$43.84 |
| 4004F |
|
12,960 |
12,037 |
$37.29 |
| 36416 |
|
4,202 |
2,874 |
$37.23 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
48 |
31 |
$33.90 |
| 90655 |
|
43 |
24 |
$30.20 |
| 82962 |
|
74 |
69 |
$27.70 |
| 1034F |
|
1,112 |
1,046 |
$10.41 |
| 96160 |
|
582 |
581 |
$4.20 |
| 0502F |
|
7,661 |
5,177 |
$2.15 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,771 |
1,148 |
$0.00 |
| 90461 |
|
1,150 |
748 |
$0.00 |
| H2016 |
Comprehensive community support services, per diem |
15 |
12 |
$0.00 |
| 3725F |
|
478 |
425 |
$0.00 |
| 1039F |
|
64 |
64 |
$0.00 |
| 90380 |
|
45 |
45 |
$0.00 |
| Z1034 |
|
6,514 |
4,452 |
$0.00 |
| Z1032 |
|
684 |
678 |
$0.00 |
| 0503F |
|
746 |
706 |
$0.00 |
| Z1038 |
|
520 |
485 |
$0.00 |
| 0500F |
|
596 |
592 |
$0.00 |
| 4037F |
|
603 |
603 |
$0.00 |
| 1038F |
|
13 |
13 |
$0.00 |
| 1111F |
|
12 |
12 |
$0.00 |
| 88720 |
|
13 |
13 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
36 |
35 |
$0.00 |
| 90381 |
|
34 |
26 |
$0.00 |
| 90680 |
|
45 |
39 |
$0.00 |
| 90474 |
|
105 |
76 |
$0.00 |