| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
25,147 |
20,561 |
$1.52M |
| J2315 |
Injection, naltrexone, depot form, 1 mg |
1,127 |
1,007 |
$1.19M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,555 |
16,782 |
$535K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,487 |
10,258 |
$463K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,515 |
992 |
$93K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,675 |
2,516 |
$57K |
| 90834 |
Psychotherapy, 45 minutes with patient |
832 |
595 |
$32K |
| 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 |
3,673 |
2,968 |
$26K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,374 |
883 |
$23K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,329 |
1,154 |
$15K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
561 |
89 |
$9K |
| 80305 |
|
1,484 |
1,150 |
$7K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
285 |
242 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
263 |
227 |
$4K |
| 90677 |
|
19 |
15 |
$3K |
| 90674 |
|
582 |
396 |
$3K |
| 99215 |
Prolong outpt/office vis |
26 |
26 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
240 |
158 |
$2K |
| 81025 |
|
680 |
555 |
$1K |
| 90661 |
|
49 |
44 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
44 |
27 |
$1K |
| 82948 |
|
937 |
720 |
$852.97 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$788.06 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
27 |
27 |
$719.42 |
| D0330 |
Panoramic radiographic image |
14 |
14 |
$680.96 |
| 36416 |
|
476 |
365 |
$367.32 |
| 87430 |
|
121 |
116 |
$306.88 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
33 |
33 |
$253.44 |
| 90756 |
|
22 |
15 |
$84.06 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
19 |
12 |
$50.96 |
| 90715 |
|
44 |
34 |
$30.90 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
45 |
37 |
$6.30 |
| 3078F |
|
21,351 |
13,041 |
$1.66 |
| 3074F |
|
21,009 |
12,809 |
$1.31 |
| 3079F |
|
2,987 |
1,910 |
$0.30 |
| 3077F |
|
1,017 |
664 |
$0.22 |
| 3075F |
|
771 |
522 |
$0.07 |
| 3008F |
|
31,091 |
19,082 |
$0.01 |
| 3725F |
|
5,220 |
3,428 |
$0.00 |
| 4004F |
|
15,126 |
8,901 |
$0.00 |
| 81002 |
|
69 |
63 |
$0.00 |
| 99173 |
|
14 |
12 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
16 |
12 |
$0.00 |
| 3045F |
|
12 |
12 |
$0.00 |
| 1036F |
|
16,089 |
9,514 |
$0.00 |
| 3080F |
|
45 |
43 |
$0.00 |
| 3044F |
|
29 |
29 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
16 |
12 |
$0.00 |
| 90656 |
|
68 |
67 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
14 |
12 |
$0.00 |