| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
225,329 |
189,783 |
$24.74M |
| G9012 |
Other specified case management service not elsewhere classified |
9,847 |
8,171 |
$2.96M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
163,880 |
103,451 |
$1.39M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
71,210 |
46,870 |
$424K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,092 |
9,256 |
$219K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
13,358 |
5,676 |
$177K |
| 90832 |
Psychotherapy, 30 minutes with patient |
5,369 |
2,897 |
$151K |
| 98940 |
|
10,306 |
4,483 |
$131K |
| 90791 |
Psychiatric diagnostic evaluation |
1,646 |
1,101 |
$94K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,815 |
934 |
$58K |
| 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 |
1,462 |
562 |
$53K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,121 |
1,559 |
$43K |
| 90750 |
|
411 |
245 |
$31K |
| 99460 |
|
1,395 |
999 |
$24K |
| 90686 |
|
3,929 |
2,941 |
$23K |
| 20600 |
|
1,280 |
750 |
$19K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,420 |
1,040 |
$18K |
| 97802 |
|
507 |
507 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
954 |
646 |
$15K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
4,796 |
2,668 |
$13K |
| 97803 |
|
472 |
471 |
$13K |
| 93000 |
|
667 |
356 |
$10K |
| 90677 |
|
73 |
45 |
$8K |
| 99462 |
|
1,021 |
663 |
$8K |
| 92552 |
|
1,256 |
891 |
$8K |
| 90662 |
|
266 |
205 |
$8K |
| 90715 |
|
643 |
383 |
$7K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
83 |
59 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
686 |
498 |
$7K |
| 90837 |
Psychotherapy, 53 minutes with patient |
158 |
87 |
$6K |
| 81002 |
|
6,100 |
3,757 |
$6K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
3,004 |
2,184 |
$5K |
| 11750 |
|
141 |
85 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
272 |
194 |
$4K |
| 80305 |
|
1,520 |
656 |
$4K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,683 |
942 |
$4K |
| 90651 |
|
128 |
72 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
504 |
419 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
650 |
434 |
$4K |
| 81025 |
|
2,594 |
1,604 |
$3K |
| 20610 |
|
810 |
791 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
832 |
489 |
$3K |
| 11720 |
|
311 |
196 |
$3K |
| 90670 |
|
1,072 |
786 |
$2K |
| 0012A |
|
256 |
255 |
$2K |
| 85018 |
|
2,625 |
1,825 |
$2K |
| 17110 |
|
116 |
82 |
$2K |
| 90619 |
|
75 |
42 |
$2K |
| 0011A |
|
449 |
440 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
175 |
111 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
44 |
30 |
$1K |
| 20550 |
|
45 |
27 |
$824.22 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
358 |
332 |
$812.74 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
560 |
390 |
$745.90 |
| 85610 |
|
295 |
143 |
$736.39 |
| 99215 |
Prolong outpt/office vis |
37 |
25 |
$686.40 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
15 |
15 |
$686.10 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
120 |
94 |
$341.92 |
| 69210 |
|
15 |
12 |
$335.83 |
| 90648 |
|
295 |
207 |
$252.04 |
| 90723 |
|
374 |
283 |
$249.93 |
| 90633 |
|
205 |
137 |
$230.02 |
| 90461 |
|
280 |
186 |
$227.90 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
282 |
252 |
$206.25 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
39 |
29 |
$185.85 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
663 |
451 |
$165.52 |
| 90680 |
|
170 |
125 |
$163.69 |
| 86580 |
|
196 |
133 |
$156.17 |
| 90647 |
|
294 |
251 |
$126.00 |
| 82962 |
|
158 |
87 |
$125.05 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
563 |
387 |
$111.02 |
| 99173 |
|
448 |
395 |
$103.20 |
| 81005 |
|
199 |
140 |
$102.20 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
17 |
12 |
$60.36 |
| 82948 |
|
163 |
141 |
$40.65 |
| 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 |
341 |
340 |
$23.78 |
| 83037 |
|
1,449 |
1,041 |
$7.19 |
| 91301 |
|
879 |
807 |
$0.00 |
| 99172 |
|
598 |
427 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
598 |
340 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
35 |
32 |
$0.00 |
| 94760 |
|
1,206 |
945 |
$0.00 |
| 36416 |
|
68 |
60 |
$0.00 |
| 90697 |
|
42 |
25 |
$0.00 |
| 87081 |
|
316 |
196 |
$0.00 |
| 1000F |
|
976 |
726 |
$0.00 |
| 90732 |
|
45 |
45 |
$0.00 |
| 3044F |
|
19 |
12 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
150 |
107 |
$0.00 |
| 99406 |
|
25 |
14 |
$0.00 |
| 90649 |
|
75 |
75 |
$0.00 |
| 2028F |
|
256 |
160 |
$0.00 |
| 3455F |
|
1,675 |
1,173 |
$0.00 |
| 91300 |
|
16 |
14 |
$0.00 |
| 3077F |
|
18 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
38 |
$0.00 |
| 90734 |
|
40 |
40 |
$0.00 |
| 90671 |
|
18 |
12 |
$0.00 |
| 96160 |
|
15 |
12 |
$0.00 |
| 0013A |
|
22 |
13 |
$0.00 |