| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
229,938 |
171,903 |
$27.75M |
| H2020 |
Therapeutic behavioral services, per diem |
16,881 |
10,174 |
$1.63M |
| 99051 |
|
1,075 |
916 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
154,907 |
118,923 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,895 |
3,905 |
$366.47 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
51,245 |
41,584 |
$161.13 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,644 |
846 |
$61.54 |
| 0002A |
|
133 |
36 |
$37.08 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
18,105 |
13,928 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
858 |
689 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
15,038 |
12,494 |
$0.00 |
| 87081 |
|
9,440 |
6,678 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
82,813 |
44,121 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
28,725 |
21,508 |
$0.00 |
| 92551 |
|
8,618 |
5,816 |
$0.00 |
| 82962 |
|
6,320 |
4,754 |
$0.00 |
| 87807 |
|
1,988 |
1,515 |
$0.00 |
| 90680 |
|
1,540 |
1,232 |
$0.00 |
| 90723 |
|
813 |
697 |
$0.00 |
| 85018 |
|
3,786 |
2,505 |
$0.00 |
| 86308 |
|
967 |
810 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
11,171 |
8,176 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
13,442 |
11,822 |
$0.00 |
| 90696 |
|
158 |
135 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,465 |
1,256 |
$0.00 |
| 90688 |
|
805 |
642 |
$0.00 |
| 90697 |
|
1,263 |
872 |
$0.00 |
| 90651 |
|
272 |
199 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
34 |
31 |
$0.00 |
| 20610 |
|
378 |
326 |
$0.00 |
| 90647 |
|
1,070 |
873 |
$0.00 |
| 90698 |
|
18 |
15 |
$0.00 |
| 51798 |
|
437 |
312 |
$0.00 |
| 90744 |
|
15 |
12 |
$0.00 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
25 |
20 |
$0.00 |
| 90716 |
|
47 |
41 |
$0.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
13 |
12 |
$0.00 |
| 0001A |
|
157 |
37 |
$0.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
50 |
47 |
$0.00 |
| 90619 |
|
37 |
17 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,673 |
3,056 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
18,702 |
14,139 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,365 |
2,214 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13,376 |
6,028 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16,648 |
7,846 |
$0.00 |
| 90734 |
|
302 |
246 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
46 |
40 |
$0.00 |
| 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 |
2,255 |
2,083 |
$0.00 |
| 90670 |
|
2,564 |
2,165 |
$0.00 |
| 90671 |
|
1,235 |
706 |
$0.00 |
| 99173 |
|
9,068 |
5,880 |
$0.00 |
| 81003 |
|
7,824 |
5,716 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
9,854 |
7,977 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,254 |
3,299 |
$0.00 |
| 90633 |
|
1,379 |
1,121 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,567 |
4,393 |
$0.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
483 |
353 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
439 |
324 |
$0.00 |
| 90710 |
|
199 |
160 |
$0.00 |
| 81025 |
|
3,345 |
2,811 |
$0.00 |
| 11719 |
|
1,192 |
977 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
188 |
76 |
$0.00 |
| 90685 |
|
194 |
149 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,171 |
1,007 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,091 |
899 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,724 |
793 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,373 |
669 |
$0.00 |
| 11721 |
|
1,383 |
1,215 |
$0.00 |
| 11720 |
|
23 |
21 |
$0.00 |
| 91300 |
|
255 |
71 |
$0.00 |
| 90715 |
|
80 |
54 |
$0.00 |
| 90700 |
|
20 |
16 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
372 |
61 |
$0.00 |
| 11056 |
|
137 |
106 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
13 |
13 |
$0.00 |
| 90681 |
|
98 |
45 |
$0.00 |
| 90707 |
|
61 |
54 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
163 |
141 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
135 |
117 |
$0.00 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
26 |
14 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
12 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
13 |
13 |
$0.00 |
| 86318 |
|
12 |
12 |
$0.00 |