| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
92,012 |
69,633 |
$14.37M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
64,479 |
47,800 |
$956K |
| 90832 |
Psychotherapy, 30 minutes with patient |
26,089 |
15,468 |
$584K |
| 90791 |
Psychiatric diagnostic evaluation |
2,336 |
2,299 |
$162K |
| 59425 |
|
2,590 |
1,945 |
$157K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12,759 |
9,555 |
$128K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
4,887 |
3,916 |
$111K |
| 97810 |
|
10,929 |
5,444 |
$108K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,033 |
3,434 |
$97K |
| 97811 |
|
9,497 |
4,986 |
$94K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
766 |
742 |
$49K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
398 |
396 |
$46K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
540 |
539 |
$37K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
542 |
532 |
$28K |
| 90686 |
|
1,559 |
1,554 |
$28K |
| 92551 |
|
1,212 |
1,210 |
$26K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
483 |
483 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
276 |
238 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
143 |
142 |
$15K |
| 99401 |
|
1,097 |
1,020 |
$14K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,486 |
1,449 |
$13K |
| 90715 |
|
409 |
409 |
$12K |
| G9012 |
Other specified case management service not elsewhere classified |
537 |
355 |
$8K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
367 |
337 |
$8K |
| 99173 |
|
1,134 |
1,132 |
$7K |
| 0004A |
|
107 |
107 |
$7K |
| 90648 |
|
366 |
359 |
$7K |
| 90670 |
|
312 |
311 |
$6K |
| 81025 |
|
1,891 |
1,820 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
106 |
85 |
$5K |
| 81003 |
|
2,467 |
2,259 |
$5K |
| 98940 |
|
358 |
317 |
$4K |
| 85018 |
|
1,861 |
1,792 |
$4K |
| 93000 |
|
118 |
116 |
$3K |
| 0054A |
|
48 |
48 |
$3K |
| 90677 |
|
42 |
40 |
$3K |
| 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 |
2,627 |
2,293 |
$3K |
| 90723 |
|
158 |
158 |
$3K |
| 90633 |
|
122 |
122 |
$2K |
| 90710 |
|
110 |
110 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
429 |
429 |
$2K |
| 76801 |
|
54 |
53 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
98 |
56 |
$2K |
| 90656 |
|
189 |
144 |
$2K |
| 90739 |
|
21 |
14 |
$2K |
| 90681 |
|
82 |
82 |
$1K |
| 96151 |
|
153 |
147 |
$1K |
| 97803 |
|
152 |
146 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
141 |
138 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
143 |
141 |
$1K |
| 96156 |
|
79 |
70 |
$1K |
| 0124A |
|
17 |
17 |
$1K |
| J3490 |
Unclassified drugs |
12 |
12 |
$1K |
| 96158 |
|
114 |
112 |
$975.56 |
| 90688 |
|
55 |
55 |
$895.53 |
| 99188 |
|
35 |
35 |
$875.00 |
| 90651 |
|
27 |
27 |
$820.74 |
| 97814 |
|
41 |
25 |
$650.00 |
| Q3014 |
Telehealth originating site facility fee |
26 |
26 |
$650.00 |
| 97813 |
|
40 |
25 |
$650.00 |
| 90480 |
|
16 |
16 |
$640.00 |
| 97802 |
|
34 |
24 |
$588.93 |
| 90700 |
|
29 |
29 |
$522.00 |
| 90696 |
|
25 |
25 |
$450.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
26 |
25 |
$417.30 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
16 |
16 |
$400.00 |
| 58300 |
|
17 |
14 |
$261.47 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
26 |
26 |
$234.00 |
| 99000 |
|
59 |
59 |
$218.89 |
| 90685 |
|
12 |
12 |
$216.00 |
| 90649 |
|
12 |
12 |
$216.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$126.42 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
26 |
25 |
$118.96 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
744 |
656 |
$58.11 |
| 86580 |
|
12 |
12 |
$41.16 |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
13 |
12 |
$18.12 |
| A4267 |
Contraceptive supply, condom, male, each |
41 |
40 |
$11.48 |
| Z1034 |
|
2,770 |
1,989 |
$0.00 |
| 01 |
Inj., retisert, 0.01 mg |
46 |
41 |
$0.00 |
| Z6406 |
|
501 |
473 |
$0.00 |
| Z6402 |
|
128 |
127 |
$0.00 |
| 87428 |
|
67 |
67 |
$0.00 |
| Z6204 |
|
192 |
191 |
$0.00 |
| Z6410 |
|
19 |
15 |
$0.00 |
| 36416 |
|
14 |
14 |
$0.00 |
| Z6404 |
|
16 |
16 |
$0.00 |
| Z6304 |
|
329 |
317 |
$0.00 |
| Z6200 |
|
46 |
46 |
$0.00 |
| Z6300 |
|
72 |
70 |
$0.00 |
| Z6308 |
|
14 |
14 |
$0.00 |
| Z6414 |
|
29 |
29 |
$0.00 |
| Z6400 |
|
165 |
164 |
$0.00 |
| Z6208 |
|
14 |
14 |
$0.00 |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
17 |
12 |
$0.00 |