| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
66,615 |
51,376 |
$8.29M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43,556 |
30,194 |
$593K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,620 |
11,545 |
$284K |
| 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 |
5,584 |
4,417 |
$164K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14,210 |
9,838 |
$128K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,062 |
1,577 |
$41K |
| 0002A |
|
680 |
364 |
$32K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,500 |
987 |
$31K |
| 0001A |
|
677 |
376 |
$29K |
| 87428 |
|
925 |
560 |
$26K |
| 0012A |
|
537 |
300 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,233 |
6,759 |
$17K |
| 0011A |
|
463 |
314 |
$15K |
| 90688 |
|
1,319 |
1,099 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,004 |
785 |
$15K |
| 0064A |
|
342 |
168 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
425 |
313 |
$11K |
| 92551 |
|
1,624 |
1,231 |
$9K |
| 0071A |
|
182 |
92 |
$8K |
| 0072A |
|
159 |
79 |
$7K |
| 85018 |
|
5,917 |
4,585 |
$7K |
| 90686 |
|
1,994 |
1,459 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
936 |
650 |
$4K |
| 99173 |
|
1,980 |
1,537 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,766 |
1,392 |
$4K |
| 82962 |
|
3,923 |
3,012 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
372 |
279 |
$3K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
2,070 |
1,767 |
$3K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
4,690 |
3,080 |
$3K |
| 81003 |
|
3,016 |
2,268 |
$2K |
| 90670 |
|
771 |
598 |
$2K |
| 90658 |
|
151 |
102 |
$1K |
| 0003A |
|
31 |
16 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
126 |
103 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,661 |
1,945 |
$622.87 |
| 90715 |
|
18 |
18 |
$579.62 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
165 |
99 |
$562.34 |
| 90698 |
|
377 |
316 |
$537.73 |
| 90656 |
|
204 |
156 |
$509.95 |
| 90685 |
|
128 |
121 |
$484.26 |
| 90662 |
|
57 |
49 |
$472.60 |
| 90677 |
|
175 |
118 |
$394.31 |
| 90633 |
|
188 |
132 |
$326.17 |
| 96156 |
|
29 |
24 |
$267.20 |
| 90648 |
|
31 |
31 |
$261.00 |
| 81025 |
|
186 |
136 |
$252.88 |
| 87400 |
|
97 |
52 |
$246.82 |
| 87807 |
|
32 |
20 |
$224.54 |
| 90680 |
|
202 |
162 |
$182.69 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
20 |
18 |
$176.50 |
| 90672 |
|
58 |
35 |
$171.45 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
41 |
26 |
$111.46 |
| 86580 |
|
15 |
12 |
$30.17 |
| 90381 |
|
25 |
17 |
$27.90 |
| 90697 |
|
14 |
12 |
$27.00 |
| 90674 |
|
55 |
45 |
$10.12 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
95 |
75 |
$6.87 |
| G0008 |
Administration of influenza virus vaccine |
112 |
106 |
$0.00 |
| 90651 |
|
19 |
14 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
241 |
196 |
$0.00 |
| 90474 |
|
14 |
13 |
$0.00 |
| 90744 |
|
48 |
37 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
58 |
55 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
17 |
15 |
$0.00 |
| Z6400 |
|
50 |
40 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
75 |
65 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
53 |
53 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
12 |
12 |
$0.00 |