| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
171,328 |
109,186 |
$20.11M |
| 99213 |
|
39,844 |
37,390 |
$1.38M |
| 99203 |
|
2,661 |
2,644 |
$188K |
| J3490 |
Unclassified drugs |
1,822 |
1,620 |
$138K |
| 59425 |
|
1,722 |
1,149 |
$130K |
| 99214 |
|
3,037 |
2,879 |
$78K |
| 99403 |
|
1,561 |
1,554 |
$69K |
| 0241U |
|
818 |
817 |
$55K |
| 99212 |
|
2,467 |
2,193 |
$38K |
| 96372 |
|
5,094 |
4,355 |
$32K |
| 99401 |
|
1,352 |
1,161 |
$17K |
| 87804 |
|
4,722 |
3,470 |
$14K |
| 97803 |
|
1,272 |
1,123 |
$14K |
| 96156 |
|
901 |
870 |
$12K |
| 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 |
270 |
226 |
$11K |
| 87880 |
|
4,209 |
3,337 |
$10K |
| 87635 |
|
454 |
436 |
$10K |
| 90715 |
|
689 |
497 |
$9K |
| 81025 |
|
4,806 |
4,274 |
$7K |
| 99204 |
|
85 |
85 |
$6K |
| 99395 |
|
99 |
95 |
$6K |
| 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 |
435 |
431 |
$5K |
| 81003 |
|
16,235 |
11,527 |
$5K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
368 |
301 |
$5K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
302 |
302 |
$4K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,097 |
875 |
$3K |
| 99396 |
|
31 |
31 |
$3K |
| S9452 |
Nutrition classes, non-physician provider, per session |
299 |
265 |
$3K |
| 59430 |
|
40 |
40 |
$3K |
| H2000 |
Comprehensive multidisciplinary evaluation |
294 |
263 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
567 |
429 |
$3K |
| 99386 |
|
14 |
12 |
$2K |
| 87651 |
|
171 |
169 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
370 |
265 |
$1K |
| 97802 |
|
65 |
65 |
$1K |
| 99402 |
|
37 |
37 |
$1K |
| 90648 |
|
247 |
184 |
$949.50 |
| 90670 |
|
254 |
183 |
$927.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
359 |
347 |
$837.11 |
| 87807 |
|
466 |
369 |
$706.58 |
| 99202 |
|
38 |
37 |
$674.40 |
| 90723 |
|
217 |
155 |
$670.50 |
| 90688 |
|
14 |
14 |
$362.44 |
| 94664 |
|
45 |
31 |
$258.50 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
51 |
30 |
$246.21 |
| A4267 |
Contraceptive supply, condom, male, each |
66 |
66 |
$168.60 |
| 99078 |
|
29 |
28 |
$101.79 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
125 |
125 |
$89.96 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
13 |
13 |
$45.72 |
| 81002 |
|
241 |
217 |
$36.87 |
| 99070 |
|
1,820 |
1,583 |
$34.52 |
| 90471 |
|
70 |
67 |
$4.46 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
45 |
31 |
$1.06 |
| Z6308 |
|
296 |
277 |
$0.00 |
| Z7500 |
|
146 |
146 |
$0.00 |
| Z6400 |
|
285 |
265 |
$0.00 |
| Z6208 |
|
374 |
330 |
$0.00 |
| Z6414 |
|
362 |
320 |
$0.00 |
| Z6304 |
|
439 |
432 |
$0.00 |
| Z6200 |
|
304 |
297 |
$0.00 |
| Z6300 |
|
303 |
298 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
35 |
33 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
32 |
30 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
12 |
12 |
$0.00 |
| Z6408 |
|
73 |
71 |
$0.00 |
| 3725F |
|
216 |
210 |
$0.00 |
| 1159F |
|
18 |
16 |
$0.00 |
| 1160F |
|
15 |
13 |
$0.00 |
| Z6402 |
|
195 |
195 |
$0.00 |
| Z6406 |
|
1,451 |
1,253 |
$0.00 |
| Z1034 |
|
2,295 |
1,548 |
$0.00 |
| Z7610 |
|
1,274 |
946 |
$0.00 |
| Z6204 |
|
1,547 |
1,335 |
$0.00 |
| Z1038 |
|
26 |
26 |
$0.00 |
| 3008F |
|
17 |
17 |
$0.00 |
| 1000F |
|
112 |
111 |
$0.00 |
| Z1032 |
|
75 |
73 |
$0.00 |
| 94640 |
|
15 |
14 |
$0.00 |
| 85018 |
|
13 |
13 |
$0.00 |