| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
70,632 |
56,748 |
$12.22M |
| 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 |
4,069 |
2,550 |
$97K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,647 |
23,805 |
$46K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,578 |
9,783 |
$16K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
3,436 |
2,301 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,524 |
3,766 |
$4K |
| 0011A |
|
61 |
60 |
$3K |
| 0012A |
|
33 |
33 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
31 |
$675.90 |
| 0072A |
|
14 |
13 |
$513.50 |
| 81025 |
|
1,034 |
1,016 |
$506.80 |
| 81003 |
|
5,834 |
5,302 |
$64.12 |
| 90648 |
|
115 |
115 |
$0.00 |
| 3077F |
|
617 |
558 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
876 |
875 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,188 |
2,179 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
528 |
526 |
$0.00 |
| 3078F |
|
6,775 |
6,204 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
854 |
740 |
$0.00 |
| 90734 |
|
174 |
173 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
327 |
326 |
$0.00 |
| 97012 |
|
2,626 |
1,797 |
$0.00 |
| 90715 |
|
207 |
207 |
$0.00 |
| 90670 |
|
180 |
180 |
$0.00 |
| M1016 |
Female patients unable to bear children |
1,538 |
1,169 |
$0.00 |
| Z6304 |
|
28 |
28 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
706 |
705 |
$0.00 |
| 99173 |
|
4,479 |
4,479 |
$0.00 |
| 1159F |
|
11,498 |
10,235 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
681 |
681 |
$0.00 |
| A4550 |
Surgical trays |
74 |
73 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
31 |
31 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
123 |
123 |
$0.00 |
| G9920 |
Screening performed and negative |
912 |
911 |
$0.00 |
| 0502F |
|
112 |
96 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,624 |
1,797 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
56 |
56 |
$0.00 |
| 83655 |
|
96 |
96 |
$0.00 |
| 1160F |
|
1,607 |
1,477 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
36 |
36 |
$0.00 |
| 90700 |
|
14 |
14 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
40 |
39 |
$0.00 |
| 11721 |
|
94 |
94 |
$0.00 |
| 90707 |
|
17 |
17 |
$0.00 |
| 90633 |
|
40 |
40 |
$0.00 |
| 90672 |
|
38 |
38 |
$0.00 |
| 90662 |
|
46 |
46 |
$0.00 |
| 99188 |
|
57 |
57 |
$0.00 |
| Z6400 |
|
12 |
12 |
$0.00 |
| 90713 |
|
15 |
15 |
$0.00 |
| 69209 |
|
41 |
40 |
$0.00 |
| 90756 |
|
110 |
110 |
$0.00 |
| 85018 |
|
7,175 |
6,895 |
$0.00 |
| 92551 |
|
4,510 |
4,506 |
$0.00 |
| 82962 |
|
3,209 |
2,789 |
$0.00 |
| 3079F |
|
2,116 |
1,985 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,895 |
1,834 |
$0.00 |
| 3074F |
|
7,128 |
6,542 |
$0.00 |
| Z1034 |
|
498 |
391 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
503 |
485 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,536 |
5,504 |
$0.00 |
| 90688 |
|
218 |
218 |
$0.00 |
| 3075F |
|
1,030 |
988 |
$0.00 |
| 90686 |
|
1,548 |
1,546 |
$0.00 |
| 90620 |
|
47 |
46 |
$0.00 |
| 1125F |
|
402 |
383 |
$0.00 |
| 1126F |
|
1,745 |
1,663 |
$0.00 |
| 91301 |
|
19 |
19 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
199 |
198 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
438 |
420 |
$0.00 |
| 97032 |
|
2,627 |
1,799 |
$0.00 |
| 90677 |
|
62 |
62 |
$0.00 |
| 90651 |
|
228 |
228 |
$0.00 |
| Z6406 |
|
14 |
14 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90656 |
|
160 |
160 |
$0.00 |
| 90723 |
|
15 |
15 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$0.00 |
| Z6410 |
|
96 |
84 |
$0.00 |
| 90674 |
|
51 |
51 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
27 |
27 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
43 |
34 |
$0.00 |
| 90694 |
|
12 |
12 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
32 |
32 |
$0.00 |
| Z6204 |
|
14 |
14 |
$0.00 |
| 90716 |
|
15 |
15 |
$0.00 |
| 86580 |
|
12 |
12 |
$0.00 |
| Z1032 |
|
12 |
12 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
29 |
28 |
$0.00 |