| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
392,987 |
354,424 |
$135.81M |
| 0510 |
|
297,972 |
280,974 |
$24.31M |
| 00003 |
|
14,805 |
12,221 |
$6.32M |
| 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 |
11,283 |
10,440 |
$2.18M |
| 99078 |
|
11,331 |
3,967 |
$314K |
| 90832 |
|
11,912 |
2,677 |
$285K |
| 0001A |
|
12,166 |
9,708 |
$276K |
| 0002A |
|
12,039 |
9,507 |
$263K |
| 96158 |
|
6,195 |
1,404 |
$145K |
| 90791 |
|
4,622 |
1,425 |
$113K |
| 0011A |
|
3,271 |
2,535 |
$84K |
| 0054A |
|
2,080 |
2,080 |
$84K |
| 0012A |
|
3,035 |
2,443 |
$83K |
| 0004A |
|
2,065 |
2,064 |
$74K |
| 0124A |
|
1,313 |
1,279 |
$67K |
| 90853 |
|
2,028 |
400 |
$56K |
| 0064A |
|
1,502 |
1,502 |
$55K |
| 90837 |
|
1,352 |
325 |
$40K |
| 96153 |
|
1,065 |
242 |
$27K |
| 90834 |
|
834 |
215 |
$24K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
455 |
396 |
$21K |
| 0134A |
|
377 |
377 |
$20K |
| 0071A |
|
432 |
429 |
$15K |
| 96152 |
|
369 |
80 |
$14K |
| 99391 |
|
12,930 |
8,579 |
$13K |
| 0052A |
|
298 |
298 |
$12K |
| 99213 |
|
233,188 |
152,191 |
$11K |
| 0081A |
|
155 |
155 |
$10K |
| 97802 |
|
129 |
126 |
$10K |
| 0031A |
|
362 |
258 |
$8K |
| S0197 |
Prenatal vitamins, 30-day supply |
1,126 |
1,044 |
$7K |
| 0082A |
|
107 |
107 |
$7K |
| 0074A |
|
86 |
86 |
$6K |
| 0051A |
|
155 |
155 |
$6K |
| Z7500 |
|
198,288 |
186,993 |
$6K |
| 0154A |
|
88 |
88 |
$5K |
| 91322 |
|
33 |
33 |
$4K |
| 0003A |
|
91 |
91 |
$3K |
| 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 |
16 |
12 |
$3K |
| 0072A |
|
56 |
56 |
$3K |
| 90480 |
|
77 |
77 |
$2K |
| 0013A |
|
62 |
62 |
$2K |
| 99401 |
|
157 |
152 |
$2K |
| 0173A |
|
29 |
29 |
$2K |
| 96150 |
|
142 |
109 |
$2K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
15 |
14 |
$1K |
| 0112A |
|
16 |
16 |
$1K |
| 0111A |
|
14 |
14 |
$938.00 |
| 83036 |
|
41,252 |
35,504 |
$849.02 |
| 36415 |
|
77,195 |
71,232 |
$709.72 |
| 87635 |
|
5,545 |
5,038 |
$654.36 |
| 80048 |
|
6,165 |
5,920 |
$532.59 |
| 84443 |
|
8,380 |
8,075 |
$514.72 |
| 92012 |
|
15,398 |
10,239 |
$456.34 |
| 80053 |
|
7,893 |
7,580 |
$454.89 |
| 96372 |
|
1,055 |
780 |
$374.46 |
| 87536 |
|
132 |
129 |
$331.00 |
| 85025 |
|
9,367 |
8,963 |
$328.60 |
| 86803 |
|
1,628 |
1,615 |
$266.40 |
| 83721 |
|
9,253 |
9,009 |
$264.24 |
| 85027 |
|
12,116 |
11,464 |
$248.13 |
| 76815 |
|
946 |
529 |
$231.00 |
| 83718 |
|
4,699 |
4,530 |
$217.73 |
| 87637 |
|
526 |
516 |
$201.00 |
| 82465 |
|
4,682 |
4,513 |
$197.32 |
| 80076 |
|
3,767 |
3,688 |
$165.90 |
| 99214 |
|
63,765 |
38,408 |
$164.08 |
| 82607 |
|
2,672 |
2,530 |
$161.50 |
| 82728 |
|
1,408 |
1,296 |
$144.08 |
| 59025 |
|
1,145 |
596 |
$107.40 |
| 87591 |
|
2,458 |
1,934 |
$106.00 |
| 87491 |
|
2,500 |
1,961 |
$106.00 |
| 84466 |
|
1,173 |
1,074 |
$96.09 |
| 80061 |
|
2,340 |
2,250 |
$94.50 |
| 87086 |
|
2,498 |
2,187 |
$92.00 |
| 87389 |
|
2,995 |
2,897 |
$91.40 |
| 81001 |
|
813 |
720 |
$85.00 |
| 83540 |
|
1,216 |
1,107 |
$79.94 |
| 87340 |
|
1,246 |
1,222 |
$74.00 |
| 99204 |
|
2,586 |
1,587 |
$69.00 |
| 86850 |
|
2,023 |
1,961 |
$64.00 |
| 96110 |
|
3,655 |
1,171 |
$59.90 |
| 84450 |
|
811 |
786 |
$55.96 |
| 82565 |
|
1,950 |
1,914 |
$49.80 |
| 84460 |
|
1,488 |
1,446 |
$48.10 |
| 85652 |
|
1,313 |
1,274 |
$40.20 |
| 90686 |
|
35,916 |
16,074 |
$38.10 |
| 80307 |
|
278 |
216 |
$35.81 |
| 86901 |
|
2,023 |
1,961 |
$33.00 |
| 86900 |
|
2,023 |
1,961 |
$33.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
3,417 |
3,246 |
$32.76 |
| Q3014 |
Telehealth originating site facility fee |
97,543 |
52,276 |
$28.15 |
| 90471 |
|
41,816 |
30,046 |
$26.13 |
| 86592 |
|
1,304 |
1,276 |
$22.00 |
| 86787 |
|
1,405 |
1,377 |
$22.00 |
| 86762 |
|
1,540 |
1,496 |
$20.00 |
| 83655 |
|
1,528 |
1,511 |
$14.50 |
| 86364 |
|
183 |
183 |
$11.53 |
| 82784 |
|
362 |
356 |
$6.08 |
| 90680 |
|
3,208 |
1,288 |
$0.00 |
| Z1034 |
|
10,285 |
8,432 |
$0.00 |
| Z7610 |
|
2,484 |
2,317 |
$0.00 |
| 88142 |
|
1,806 |
1,318 |
$0.00 |
| 90651 |
|
594 |
361 |
$0.00 |
| J3490 |
Unclassified drugs |
4,027 |
3,600 |
$0.00 |
| 85018 |
|
787 |
680 |
$0.00 |
| 90647 |
|
9,537 |
3,625 |
$0.00 |
| 0271 |
|
357 |
323 |
$0.00 |
| 87624 |
|
1,041 |
758 |
$0.00 |
| G0399 |
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation |
900 |
886 |
$0.00 |
| 88720 |
|
3,225 |
2,198 |
$0.00 |
| 90656 |
|
5,666 |
2,572 |
$0.00 |
| 84703 |
|
266 |
264 |
$0.00 |
| 82043 |
|
207 |
177 |
$0.00 |
| Z6406 |
|
42 |
42 |
$0.00 |
| 90677 |
|
2,572 |
1,619 |
$0.00 |
| 90739 |
|
2,398 |
1,757 |
$0.00 |
| 98941 |
|
4,125 |
856 |
$0.00 |
| 86160 |
|
156 |
151 |
$0.00 |
| 90716 |
|
1,971 |
721 |
$0.00 |
| 82306 |
|
1,300 |
1,193 |
$0.00 |
| 86481 |
|
157 |
154 |
$0.00 |
| 88305 |
|
307 |
101 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
970 |
613 |
$0.00 |
| 86704 |
|
63 |
62 |
$0.00 |
| 92567 |
|
263 |
262 |
$0.00 |
| 90723 |
|
1,772 |
698 |
$0.00 |
| 86706 |
|
29 |
29 |
$0.00 |
| D1310 |
|
175 |
148 |
$0.00 |
| 90688 |
|
88 |
82 |
$0.00 |
| 99202 |
|
1,100 |
667 |
$0.00 |
| Z6402 |
|
61 |
60 |
$0.00 |
| H2000 |
Comprehensive multidisciplinary evaluation |
95 |
95 |
$0.00 |
| V5008 |
Hearing screening |
42 |
26 |
$0.00 |
| 87625 |
|
701 |
502 |
$0.00 |
| Z6404 |
|
1,064 |
1,037 |
$0.00 |
| Z6410 |
|
2,768 |
2,553 |
$0.00 |
| 92004 |
|
427 |
319 |
$0.00 |
| D1208 |
|
449 |
306 |
$0.00 |
| 20610 |
|
293 |
105 |
$0.00 |
| 90619 |
|
168 |
104 |
$0.00 |
| 92250 |
|
4,310 |
2,155 |
$0.00 |
| 99243 |
|
210 |
109 |
$0.00 |
| 86141 |
|
259 |
253 |
$0.00 |
| 86800 |
|
25 |
25 |
$0.00 |
| 84478 |
|
26 |
26 |
$0.00 |
| 82670 |
|
195 |
194 |
$0.00 |
| 97139 |
|
257 |
114 |
$0.00 |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
85 |
55 |
$0.00 |
| 83520 |
|
105 |
105 |
$0.00 |
| 82105 |
|
53 |
53 |
$0.00 |
| Z1032 |
|
119 |
112 |
$0.00 |
| 86355 |
|
64 |
64 |
$0.00 |
| 86225 |
|
65 |
62 |
$0.00 |
| 83735 |
|
190 |
186 |
$0.00 |
| 83921 |
|
31 |
31 |
$0.00 |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
197 |
139 |
$0.00 |
| 84132 |
|
93 |
91 |
$0.00 |
| 99024 |
|
84 |
45 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
41 |
38 |
$0.00 |
| 86376 |
|
37 |
37 |
$0.00 |
| 82746 |
|
16 |
16 |
$0.00 |
| 83519 |
|
56 |
54 |
$0.00 |
| 92002 |
|
73 |
50 |
$0.00 |
| 92082 |
|
100 |
50 |
$0.00 |
| 82950 |
|
16 |
13 |
$0.00 |
| Z6204 |
|
29 |
29 |
$0.00 |
| 90674 |
|
218 |
215 |
$0.00 |
| 83880 |
|
12 |
12 |
$0.00 |
| 84153 |
|
17 |
12 |
$0.00 |
| 82040 |
|
17 |
16 |
$0.00 |
| 90381 |
|
23 |
12 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
79,721 |
42,736 |
$0.00 |
| 81002 |
|
13,018 |
6,725 |
$0.00 |
| 99393 |
|
9,095 |
5,360 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
6,575 |
3,780 |
$0.00 |
| 99392 |
|
14,991 |
8,981 |
$0.00 |
| Z6400 |
|
1,743 |
1,735 |
$0.00 |
| 95801 |
|
873 |
871 |
$0.00 |
| 99203 |
|
11,016 |
7,688 |
$0.00 |
| 99212 |
|
22,134 |
12,755 |
$0.00 |
| 92014 |
|
1,456 |
983 |
$0.00 |
| 99188 |
|
150 |
87 |
$0.00 |
| 90633 |
|
5,593 |
2,054 |
$0.00 |
| 90750 |
|
1,397 |
899 |
$0.00 |
| 90670 |
|
7,051 |
3,030 |
$0.00 |
| 84155 |
|
257 |
249 |
$0.00 |
| 59425 |
|
1,391 |
1,083 |
$0.00 |
| 90649 |
|
1,568 |
959 |
$0.00 |
| 84520 |
|
176 |
171 |
$0.00 |
| 83013 |
|
174 |
172 |
$0.00 |
| 90707 |
|
1,372 |
488 |
$0.00 |
| 84165 |
|
257 |
249 |
$0.00 |
| Z6302 |
|
926 |
922 |
$0.00 |
| Z6304 |
|
105 |
94 |
$0.00 |
| 97810 |
|
6,424 |
1,445 |
$0.00 |
| Z6500 |
|
898 |
853 |
$0.00 |
| 85014 |
|
498 |
448 |
$0.00 |
| 81025 |
|
1,105 |
848 |
$0.00 |
| 90472 |
|
1,735 |
1,235 |
$0.00 |
| 90756 |
|
15 |
15 |
$0.00 |
| 76705 |
|
48 |
24 |
$0.00 |
| 82947 |
|
222 |
214 |
$0.00 |
| Z6202 |
|
980 |
974 |
$0.00 |
| S4993 |
Contraceptive pills for birth control |
353 |
337 |
$0.00 |
| 99394 |
|
4,347 |
2,467 |
$0.00 |
| 92133 |
|
128 |
89 |
$0.00 |
| 92557 |
|
320 |
319 |
$0.00 |
| 99201 |
|
1,141 |
929 |
$0.00 |
| 90700 |
|
2,527 |
870 |
$0.00 |
| 99173 |
|
65 |
38 |
$0.00 |
| 90715 |
|
998 |
599 |
$0.00 |
| 97110 |
|
694 |
360 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
437 |
421 |
$0.00 |
| 81329 |
|
376 |
376 |
$0.00 |
| 86708 |
|
66 |
65 |
$0.00 |
| 81510 |
|
193 |
181 |
$0.00 |
| 0272 |
|
702 |
695 |
$0.00 |
| 90662 |
|
305 |
259 |
$0.00 |
| 81220 |
|
245 |
242 |
$0.00 |
| 83068 |
|
313 |
310 |
$0.00 |
| 86038 |
|
285 |
283 |
$0.00 |
| 81420 |
|
230 |
227 |
$0.00 |
| Z6300 |
|
29 |
29 |
$0.00 |
| 92588 |
|
13 |
12 |
$0.00 |
| 90648 |
|
775 |
509 |
$0.00 |
| 81003 |
|
816 |
775 |
$0.00 |
| 84425 |
|
147 |
146 |
$0.00 |
| Z6414 |
|
89 |
79 |
$0.00 |
| 90671 |
|
353 |
232 |
$0.00 |
| 86359 |
|
64 |
64 |
$0.00 |
| 98940 |
|
1,437 |
268 |
$0.00 |
| 86480 |
|
308 |
300 |
$0.00 |
| 82274 |
|
51 |
50 |
$0.00 |
| 82570 |
|
282 |
246 |
$0.00 |
| 93005 |
|
34 |
25 |
$0.00 |
| 97811 |
|
520 |
93 |
$0.00 |
| 86360 |
|
26 |
26 |
$0.00 |
| 86431 |
|
188 |
188 |
$0.00 |
| 90713 |
|
600 |
228 |
$0.00 |
| 99244 |
|
93 |
52 |
$0.00 |
| 77067 |
|
54 |
26 |
$0.00 |
| 85610 |
|
90 |
86 |
$0.00 |
| 84439 |
|
19 |
19 |
$0.00 |
| 84100 |
|
39 |
38 |
$0.00 |
| 93010 |
|
34 |
25 |
$0.00 |
| Z6200 |
|
49 |
49 |
$0.00 |
| 86200 |
|
41 |
41 |
$0.00 |
| 92582 |
|
13 |
12 |
$0.00 |
| 97813 |
|
374 |
91 |
$0.00 |
| 87210 |
|
13 |
12 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 86235 |
|
14 |
13 |
$0.00 |