| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
395,438 |
300,749 |
$50.87M |
| 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 |
19,141 |
9,543 |
$524K |
| G9012 |
Other specified case management service not elsewhere classified |
1,786 |
1,593 |
$347K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
49,656 |
14,312 |
$301K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
706 |
695 |
$255K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
218,182 |
140,043 |
$213K |
| 90832 |
Psychotherapy, 30 minutes with patient |
8,712 |
4,308 |
$159K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
85,994 |
57,286 |
$117K |
| 99222 |
Initial hospital care, per day, moderate complexity |
6,438 |
4,950 |
$83K |
| 90791 |
Psychiatric diagnostic evaluation |
1,961 |
1,515 |
$70K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
11,167 |
8,646 |
$70K |
| 0001A |
|
575 |
454 |
$35K |
| 0002A |
|
456 |
357 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,878 |
7,734 |
$24K |
| 99460 |
|
1,458 |
1,220 |
$22K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
2,356 |
2,355 |
$22K |
| 99233 |
Prolong inpt eval add15 m |
1,180 |
424 |
$16K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,043 |
954 |
$15K |
| 99223 |
Prolong inpt eval add15 m |
722 |
578 |
$12K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,801 |
605 |
$10K |
| 99381 |
|
649 |
516 |
$10K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,087 |
939 |
$10K |
| 0012A |
|
133 |
133 |
$9K |
| J3490 |
Unclassified drugs |
2,073 |
1,528 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,073 |
11,592 |
$7K |
| G9920 |
Screening performed and negative |
1,880 |
1,378 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,654 |
3,065 |
$4K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
3,097 |
2,249 |
$4K |
| 0004A |
|
57 |
57 |
$4K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
32 |
28 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,613 |
5,969 |
$3K |
| 81025 |
|
10,566 |
7,750 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,550 |
3,125 |
$2K |
| 0011A |
|
29 |
21 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
116 |
76 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
175 |
111 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,106 |
1,388 |
$2K |
| 11981 |
|
28 |
24 |
$1K |
| 99219 |
|
506 |
449 |
$845.20 |
| 88720 |
|
1,049 |
794 |
$712.31 |
| 90680 |
|
4,682 |
3,624 |
$632.25 |
| 90670 |
|
6,074 |
4,706 |
$564.75 |
| 90697 |
|
1,734 |
1,239 |
$536.50 |
| 90715 |
|
1,084 |
874 |
$470.58 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,686 |
1,125 |
$441.39 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
43 |
36 |
$439.03 |
| 92551 |
|
8,021 |
5,846 |
$431.47 |
| 90677 |
|
1,345 |
946 |
$344.50 |
| 90633 |
|
2,846 |
1,969 |
$323.00 |
| 59425 |
|
2,323 |
1,677 |
$302.40 |
| 90651 |
|
763 |
540 |
$289.00 |
| 85018 |
|
21,294 |
15,120 |
$284.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,997 |
3,194 |
$246.82 |
| 90698 |
|
3,755 |
2,997 |
$231.75 |
| 90686 |
|
5,700 |
4,867 |
$223.43 |
| 83655 |
|
1,885 |
1,316 |
$217.86 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
118 |
44 |
$207.74 |
| 59430 |
|
266 |
264 |
$205.96 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,106 |
2,023 |
$189.23 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,396 |
4,222 |
$174.20 |
| 81002 |
|
12,026 |
8,677 |
$168.99 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
691 |
690 |
$129.40 |
| 99173 |
|
8,604 |
6,091 |
$113.53 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,922 |
3,963 |
$101.79 |
| 17110 |
|
21 |
13 |
$99.78 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,806 |
2,706 |
$99.01 |
| 11721 |
|
1,159 |
675 |
$73.84 |
| 82962 |
|
11,989 |
8,662 |
$72.91 |
| 90700 |
|
1,612 |
1,077 |
$72.00 |
| 90744 |
|
1,967 |
1,601 |
$69.75 |
| 90716 |
|
329 |
227 |
$63.00 |
| 90707 |
|
342 |
238 |
$63.00 |
| 90710 |
|
428 |
287 |
$54.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
144,449 |
77,548 |
$19.48 |
| 90713 |
|
143 |
105 |
$18.00 |
| 90734 |
|
459 |
313 |
$17.00 |
| 90688 |
|
1,200 |
684 |
$15.95 |
| 96156 |
|
181 |
180 |
$15.14 |
| 86580 |
|
221 |
150 |
$10.36 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
857 |
700 |
$9.58 |
| 90380 |
|
15 |
12 |
$9.00 |
| 97803 |
|
84 |
84 |
$7.57 |
| 99401 |
|
84 |
84 |
$7.57 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
214 |
142 |
$4.02 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
886 |
536 |
$0.16 |
| 99406 |
|
1,120 |
699 |
$0.03 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
6,086 |
5,755 |
$0.01 |
| 3075F |
|
7,809 |
4,702 |
$0.00 |
| 3074F |
|
16,843 |
10,070 |
$0.00 |
| 3079F |
|
11,959 |
7,138 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
4,653 |
3,074 |
$0.00 |
| Z1032 |
|
546 |
545 |
$0.00 |
| Z1034 |
|
8,253 |
5,887 |
$0.00 |
| 93000 |
|
18 |
12 |
$0.00 |
| Z1038 |
|
290 |
287 |
$0.00 |
| 99174 |
|
176 |
132 |
$0.00 |
| 3080F |
|
1,366 |
788 |
$0.00 |
| 3044F |
|
742 |
442 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
361 |
210 |
$0.00 |
| Z6204 |
|
81 |
81 |
$0.00 |
| Z6406 |
|
149 |
149 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
66 |
66 |
$0.00 |
| 20550 |
|
290 |
157 |
$0.00 |
| 90732 |
|
40 |
39 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
67 |
42 |
$0.00 |
| 11730 |
|
57 |
29 |
$0.00 |
| 90381 |
|
15 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
80 |
79 |
$0.00 |
| 3078F |
|
18,756 |
11,169 |
$0.00 |
| 3077F |
|
7,438 |
4,271 |
$0.00 |
| Z6400 |
|
1,102 |
1,102 |
$0.00 |
| Z6304 |
|
81 |
81 |
$0.00 |
| 3046F |
|
260 |
153 |
$0.00 |
| 90648 |
|
146 |
105 |
$0.00 |
| 3051F |
|
166 |
98 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
1,142 |
669 |
$0.00 |
| Z6500 |
|
210 |
209 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
60 |
60 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
67 |
67 |
$0.00 |
| G9357 |
Post-partum screenings, evaluations and education performed |
34 |
24 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
14 |
12 |
$0.00 |
| MUREP |
|
25 |
25 |
$0.00 |
| 94150 |
|
12 |
12 |
$0.00 |
| H1000 |
Prenatal care, at-risk assessment |
46 |
46 |
$0.00 |
| A4614 |
Peak expiratory flow rate meter, hand held |
13 |
13 |
$0.00 |
| 90746 |
|
13 |
13 |
$0.00 |
| 99382 |
|
12 |
12 |
$0.00 |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
26 |
26 |
$0.00 |