| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
24,632 |
20,381 |
$3.69M |
| 87428 |
|
1,363 |
1,131 |
$72K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,057 |
715 |
$29K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
728 |
669 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
717 |
506 |
$22K |
| 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 |
588 |
427 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
554 |
304 |
$12K |
| 90686 |
|
593 |
555 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,241 |
964 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
103 |
84 |
$4K |
| 0002A |
|
35 |
35 |
$3K |
| 0001A |
|
61 |
61 |
$3K |
| 90670 |
|
234 |
220 |
$3K |
| 90633 |
|
236 |
213 |
$2K |
| 90734 |
|
223 |
205 |
$2K |
| 81025 |
|
518 |
370 |
$2K |
| 90710 |
|
173 |
144 |
$2K |
| 90651 |
|
191 |
172 |
$2K |
| 90715 |
|
224 |
174 |
$1K |
| 90648 |
|
115 |
108 |
$1K |
| 90619 |
|
217 |
176 |
$860.08 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
24 |
15 |
$758.16 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
816 |
708 |
$398.55 |
| 90723 |
|
28 |
27 |
$256.90 |
| 90696 |
|
19 |
19 |
$223.38 |
| 90656 |
|
35 |
33 |
$156.91 |
| 90707 |
|
16 |
13 |
$124.28 |
| 36415 |
Collection of venous blood by venipuncture |
876 |
810 |
$122.92 |
| 90647 |
|
12 |
12 |
$114.72 |
| 90716 |
|
14 |
12 |
$105.16 |
| 87430 |
|
232 |
217 |
$102.96 |
| 90655 |
|
12 |
12 |
$95.60 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
21 |
12 |
$70.97 |
| 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 |
14 |
13 |
$53.32 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
938 |
863 |
$44.89 |
| 81003 |
|
381 |
349 |
$25.32 |
| 96152 |
|
87 |
71 |
$20.33 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,192 |
1,120 |
$5.97 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
380 |
356 |
$1.15 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
444 |
413 |
$0.13 |
| 1000F |
|
124 |
114 |
$0.01 |
| 3074F |
|
265 |
246 |
$0.00 |
| 87807 |
|
190 |
173 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
58 |
50 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
81 |
72 |
$0.00 |
| 1036F |
|
22 |
20 |
$0.00 |
| 1034F |
|
27 |
27 |
$0.00 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
124 |
117 |
$0.00 |
| 1220F |
|
13 |
12 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
54 |
51 |
$0.00 |
| 99441 |
|
31 |
31 |
$0.00 |
| 3079F |
|
59 |
59 |
$0.00 |
| 3008F |
|
18 |
16 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |
| 81002 |
|
156 |
139 |
$0.00 |
| 1160F |
|
120 |
114 |
$0.00 |
| 1159F |
|
155 |
141 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
16 |
16 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
689 |
589 |
$0.00 |
| 3078F |
|
130 |
120 |
$0.00 |
| 80305 |
|
12 |
12 |
$0.00 |