| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
53,416 |
44,636 |
$4.79M |
| 99214 |
|
19,053 |
15,629 |
$158K |
| 99213 |
|
41,770 |
34,808 |
$121K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
2,333 |
1,913 |
$50K |
| 90686 |
|
2,879 |
2,875 |
$39K |
| 97803 |
|
999 |
934 |
$29K |
| 99212 |
|
16,357 |
14,628 |
$26K |
| 59425 |
|
342 |
208 |
$25K |
| 99406 |
|
2,243 |
2,071 |
$22K |
| 99393 |
|
457 |
457 |
$22K |
| 99392 |
|
467 |
465 |
$21K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
38 |
38 |
$21K |
| 96110 |
|
281 |
280 |
$20K |
| 90715 |
|
602 |
602 |
$19K |
| 99395 |
|
151 |
151 |
$18K |
| 92551 |
|
2,479 |
2,473 |
$17K |
| 99394 |
|
292 |
292 |
$17K |
| 90750 |
|
91 |
91 |
$16K |
| 96372 |
|
606 |
559 |
$14K |
| 99203 |
|
579 |
577 |
$10K |
| 90651 |
|
263 |
263 |
$10K |
| 99391 |
|
200 |
196 |
$8K |
| 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 |
4,226 |
3,482 |
$7K |
| 90670 |
|
259 |
257 |
$6K |
| 90471 |
|
2,294 |
2,263 |
$5K |
| 99204 |
|
205 |
204 |
$5K |
| 82274 |
|
264 |
261 |
$4K |
| 93010 |
|
263 |
260 |
$4K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
39 |
28 |
$3K |
| 92250 |
|
58 |
58 |
$3K |
| 99215 |
Prolong outpt/office vis |
31 |
30 |
$3K |
| 0969 |
|
32 |
25 |
$3K |
| 90734 |
|
128 |
127 |
$2K |
| 0012A |
|
32 |
17 |
$2K |
| 0064A |
|
32 |
32 |
$2K |
| 81025 |
|
416 |
396 |
$1K |
| 90648 |
|
149 |
149 |
$1K |
| 90662 |
|
62 |
62 |
$1K |
| 90677 |
|
14 |
14 |
$1K |
| 97802 |
|
31 |
31 |
$1K |
| 81002 |
|
911 |
841 |
$965.34 |
| 99188 |
|
42 |
42 |
$916.20 |
| 99383 |
|
12 |
12 |
$789.60 |
| 90707 |
|
13 |
13 |
$778.92 |
| 99173 |
|
916 |
915 |
$684.48 |
| J3490 |
Unclassified drugs |
61 |
61 |
$637.61 |
| 90723 |
|
52 |
52 |
$519.75 |
| 90685 |
|
44 |
44 |
$350.28 |
| 99401 |
|
16 |
12 |
$277.68 |
| 93005 |
|
14 |
14 |
$266.50 |
| 86580 |
|
72 |
69 |
$265.52 |
| 90633 |
|
24 |
24 |
$248.72 |
| 87880 |
|
27 |
26 |
$226.53 |
| G9920 |
Screening performed and negative |
211 |
211 |
$175.21 |
| 83036 |
|
13 |
13 |
$141.75 |
| 90681 |
|
13 |
13 |
$117.00 |
| 99211 |
|
96 |
92 |
$72.60 |
| 99202 |
|
12 |
12 |
$46.78 |
| A4649 |
Surgical supply; miscellaneous |
29 |
29 |
$46.48 |
| 99396 |
|
16 |
16 |
$0.00 |
| 90834 |
|
36 |
26 |
$0.00 |
| 90656 |
|
76 |
76 |
$0.00 |
| Z1034 |
|
52 |
40 |
$0.00 |
| Z7610 |
|
12 |
12 |
$0.00 |