| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
72,240 |
60,012 |
$17.52M |
| 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 |
1,989 |
1,622 |
$325K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52,334 |
38,315 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,456 |
18,319 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15,484 |
10,823 |
$4K |
| 59425 |
|
325 |
226 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,287 |
1,114 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
507 |
248 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,204 |
2,562 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
896 |
496 |
$1K |
| 0011A |
|
128 |
94 |
$895.15 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,963 |
3,945 |
$807.06 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,121 |
2,411 |
$729.28 |
| 90686 |
|
6,377 |
5,299 |
$646.98 |
| 90791 |
Psychiatric diagnostic evaluation |
38 |
38 |
$640.40 |
| 92552 |
|
7,222 |
5,604 |
$621.79 |
| 90647 |
|
544 |
515 |
$587.16 |
| 0012A |
|
103 |
76 |
$575.00 |
| 90723 |
|
473 |
430 |
$559.20 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,998 |
1,492 |
$453.21 |
| 81025 |
|
3,285 |
2,660 |
$397.92 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,398 |
4,145 |
$372.72 |
| 90670 |
|
1,223 |
1,107 |
$363.96 |
| J3490 |
Unclassified drugs |
220 |
192 |
$346.24 |
| 0064A |
|
19 |
12 |
$321.00 |
| 81002 |
|
654 |
600 |
$314.42 |
| 90680 |
|
258 |
234 |
$251.64 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,052 |
729 |
$203.74 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
939 |
700 |
$155.13 |
| 86580 |
|
976 |
805 |
$119.56 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$117.20 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
446 |
428 |
$112.88 |
| 90837 |
Psychotherapy, 53 minutes with patient |
110 |
67 |
$98.02 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
342 |
321 |
$91.08 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
117 |
108 |
$88.90 |
| 81003 |
|
2,104 |
1,740 |
$66.92 |
| 85018 |
|
4,744 |
3,253 |
$42.28 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,263 |
1,615 |
$37.77 |
| 90715 |
|
1,708 |
1,389 |
$36.51 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
44 |
44 |
$32.06 |
| 82962 |
|
2,434 |
1,536 |
$31.68 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
288 |
194 |
$25.28 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
164 |
159 |
$21.42 |
| 1160F |
|
15,287 |
13,432 |
$0.00 |
| 1159F |
|
22,952 |
19,299 |
$0.00 |
| 3078F |
|
2,516 |
2,406 |
$0.00 |
| Z7500 |
|
172 |
170 |
$0.00 |
| 90633 |
|
478 |
416 |
$0.00 |
| 3046F |
|
276 |
264 |
$0.00 |
| 90734 |
|
856 |
653 |
$0.00 |
| 3077F |
|
144 |
130 |
$0.00 |
| 90649 |
|
184 |
171 |
$0.00 |
| 90707 |
|
674 |
548 |
$0.00 |
| 82948 |
|
489 |
430 |
$0.00 |
| 3051F |
|
96 |
92 |
$0.00 |
| 99442 |
|
333 |
322 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
234 |
136 |
$0.00 |
| 99401 |
|
69 |
53 |
$0.00 |
| 99499 |
|
66 |
50 |
$0.00 |
| 90653 |
|
22 |
18 |
$0.00 |
| 90685 |
|
48 |
48 |
$0.00 |
| 90658 |
|
53 |
53 |
$0.00 |
| 90473 |
|
13 |
12 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
23 |
13 |
$0.00 |
| 3008F |
|
19,139 |
17,634 |
$0.00 |
| 3074F |
|
2,754 |
2,632 |
$0.00 |
| 3079F |
|
1,277 |
1,230 |
$0.00 |
| 3044F |
|
612 |
597 |
$0.00 |
| 90716 |
|
612 |
497 |
$0.00 |
| 90656 |
|
483 |
355 |
$0.00 |
| Z1034 |
|
375 |
231 |
$0.00 |
| 90651 |
|
464 |
306 |
$0.00 |
| 99441 |
|
17 |
15 |
$0.00 |
| 90688 |
|
612 |
503 |
$0.00 |
| 91301 |
|
219 |
203 |
$0.00 |
| 3075F |
|
744 |
720 |
$0.00 |
| 92250 |
|
31 |
24 |
$0.00 |
| 99443 |
|
113 |
105 |
$0.00 |
| 90677 |
|
131 |
102 |
$0.00 |
| 99495 |
|
66 |
54 |
$0.00 |
| 99406 |
|
23 |
14 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
83 |
39 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
27 |
24 |
$0.00 |
| 90696 |
|
71 |
54 |
$0.00 |
| 3080F |
|
15 |
13 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
28 |
24 |
$0.00 |
| 93000 |
|
49 |
32 |
$0.00 |