| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
156,194 |
126,652 |
$18.76M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
60,786 |
41,019 |
$1.43M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
89,639 |
58,576 |
$1.34M |
| 59425 |
|
8,052 |
5,930 |
$619K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12,673 |
8,930 |
$553K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,701 |
6,228 |
$425K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24,518 |
17,615 |
$348K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,040 |
5,871 |
$331K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,490 |
3,874 |
$321K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,103 |
2,116 |
$227K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
3,790 |
2,981 |
$206K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,885 |
3,270 |
$173K |
| 90686 |
|
13,505 |
10,114 |
$168K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
6,717 |
4,363 |
$148K |
| G9920 |
Screening performed and negative |
7,988 |
5,190 |
$147K |
| 92551 |
|
10,773 |
8,423 |
$138K |
| J3490 |
Unclassified drugs |
1,148 |
973 |
$134K |
| 92552 |
|
9,740 |
6,128 |
$132K |
| 97803 |
|
1,558 |
1,298 |
$100K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,808 |
1,844 |
$90K |
| 99188 |
|
6,848 |
4,530 |
$87K |
| 90670 |
|
7,040 |
5,215 |
$85K |
| 99215 |
Prolong outpt/office vis |
1,841 |
1,142 |
$77K |
| 99173 |
|
19,999 |
14,714 |
$65K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
5,676 |
3,410 |
$64K |
| 99000 |
|
21,029 |
18,414 |
$58K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
2,488 |
2,138 |
$56K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,489 |
1,053 |
$52K |
| 90651 |
|
1,355 |
983 |
$50K |
| 0012A |
|
973 |
584 |
$50K |
| 90633 |
|
4,200 |
3,055 |
$48K |
| 87634 |
|
1,235 |
779 |
$46K |
| 85018 |
|
36,657 |
25,584 |
$46K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,143 |
5,984 |
$43K |
| 90710 |
|
3,696 |
2,742 |
$42K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
219 |
216 |
$38K |
| 97802 |
|
282 |
223 |
$37K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
8,176 |
5,968 |
$36K |
| 90715 |
|
2,374 |
1,771 |
$34K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,294 |
2,944 |
$32K |
| 90648 |
|
2,042 |
1,883 |
$31K |
| 90649 |
|
1,989 |
1,520 |
$30K |
| 90681 |
|
2,852 |
2,148 |
$30K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
611 |
423 |
$28K |
| 0011A |
|
740 |
662 |
$26K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
874 |
693 |
$26K |
| 90698 |
|
2,770 |
1,945 |
$25K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
5,230 |
5,228 |
$22K |
| 0001A |
|
528 |
527 |
$22K |
| 90682 |
|
479 |
377 |
$21K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,298 |
748 |
$21K |
| 90723 |
|
1,278 |
1,226 |
$21K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
795 |
497 |
$20K |
| 0002A |
|
478 |
477 |
$20K |
| 83655 |
|
2,500 |
1,833 |
$19K |
| 81002 |
|
20,451 |
13,521 |
$19K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,302 |
1,070 |
$19K |
| 90697 |
|
1,901 |
1,156 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,821 |
2,388 |
$17K |
| 83013 |
|
470 |
321 |
$17K |
| Z7500 |
|
758 |
712 |
$16K |
| 86580 |
|
4,369 |
3,892 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
517 |
380 |
$16K |
| 90734 |
|
1,357 |
1,006 |
$16K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
219 |
218 |
$15K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
137 |
129 |
$14K |
| 90744 |
|
1,636 |
1,198 |
$14K |
| 90677 |
|
839 |
614 |
$12K |
| 81025 |
|
5,563 |
4,158 |
$11K |
| 87807 |
|
2,753 |
1,816 |
$11K |
| 80061 |
Lipid panel |
2,012 |
1,475 |
$11K |
| 90696 |
|
939 |
708 |
$10K |
| 90619 |
|
954 |
653 |
$10K |
| 90688 |
|
512 |
512 |
$10K |
| 90656 |
|
1,086 |
831 |
$10K |
| 99381 |
|
338 |
254 |
$9K |
| 0013A |
|
219 |
217 |
$9K |
| 96158 |
|
6,019 |
5,620 |
$9K |
| 82962 |
|
8,698 |
6,341 |
$9K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
108 |
99 |
$9K |
| 0071A |
|
177 |
175 |
$9K |
| 96127 |
|
2,515 |
1,797 |
$9K |
| 0072A |
|
150 |
150 |
$9K |
| 97804 |
|
238 |
94 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
64 |
64 |
$8K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
883 |
673 |
$8K |
| 90700 |
|
679 |
536 |
$8K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
502 |
399 |
$8K |
| 90620 |
|
442 |
322 |
$6K |
| 81003 |
|
2,855 |
2,776 |
$6K |
| 99401 |
|
318 |
283 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,042 |
1,870 |
$6K |
| 11055 |
|
1,128 |
780 |
$6K |
| 87428 |
|
173 |
92 |
$6K |
| 0003A |
|
100 |
99 |
$6K |
| 11056 |
|
1,100 |
748 |
$5K |
| 90685 |
|
301 |
265 |
$5K |
| 90750 |
|
32 |
24 |
$4K |
| 96151 |
|
188 |
148 |
$4K |
| 69210 |
|
274 |
116 |
$4K |
| 90674 |
|
170 |
146 |
$3K |
| 90662 |
|
360 |
333 |
$3K |
| 81000 |
|
1,048 |
1,001 |
$3K |
| 76801 |
|
29 |
26 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
685 |
533 |
$3K |
| G0109 |
Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes |
94 |
65 |
$3K |
| 87430 |
|
664 |
438 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
151 |
121 |
$3K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
372 |
238 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
676 |
509 |
$2K |
| 86480 |
|
7,624 |
7,428 |
$2K |
| 90716 |
|
116 |
81 |
$2K |
| 83014 |
|
427 |
286 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
231 |
147 |
$2K |
| 90673 |
|
48 |
40 |
$2K |
| 59430 |
|
26 |
26 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,929 |
8,812 |
$1K |
| 99307 |
|
1,537 |
1,110 |
$1K |
| 0134A |
|
14 |
14 |
$938.00 |
| 90672 |
|
68 |
54 |
$936.00 |
| 90707 |
|
65 |
41 |
$776.80 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
240 |
201 |
$689.40 |
| 93000 |
|
28 |
24 |
$592.13 |
| G9919 |
Screening performed and positive and provision of recommendations |
24 |
12 |
$522.00 |
| 73030 |
|
16 |
13 |
$408.47 |
| 80305 |
|
68 |
42 |
$390.72 |
| G2010 |
Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, 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 |
63 |
54 |
$356.21 |
| 90630 |
|
16 |
16 |
$349.00 |
| 90680 |
|
31 |
17 |
$265.21 |
| 99304 |
|
31 |
17 |
$226.80 |
| 99174 |
|
3,067 |
3,024 |
$200.31 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,994 |
1,957 |
$182.93 |
| 73564 |
|
16 |
13 |
$162.86 |
| 99070 |
|
112 |
80 |
$155.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
20 |
14 |
$145.44 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
33 |
26 |
$114.64 |
| 36415 |
Collection of venous blood by venipuncture |
336 |
325 |
$112.18 |
| 11720 |
|
51 |
43 |
$109.20 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
47 |
39 |
$88.69 |
| 96160 |
|
2,358 |
2,319 |
$80.27 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
87 |
65 |
$72.90 |
| 90461 |
|
5,598 |
5,049 |
$71.18 |
| 82044 |
|
12 |
12 |
$57.25 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
18 |
12 |
$46.24 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
19 |
17 |
$45.00 |
| 94760 |
|
682 |
623 |
$37.12 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
83 |
81 |
$5.27 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
23 |
14 |
$1.53 |
| 36416 |
|
393 |
390 |
$1.15 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
209 |
191 |
$0.26 |
| A4550 |
Surgical trays |
412 |
399 |
$0.00 |
| Z6400 |
|
157 |
157 |
$0.00 |
| Z6200 |
|
12 |
12 |
$0.00 |
| 3051F |
|
92 |
65 |
$0.00 |
| Z6304 |
|
171 |
137 |
$0.00 |
| Z6300 |
|
38 |
38 |
$0.00 |
| 90473 |
|
258 |
258 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
344 |
344 |
$0.00 |
| 99499 |
|
12 |
12 |
$0.00 |
| 99442 |
|
30 |
30 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
21 |
15 |
$0.00 |
| Z1034 |
|
5,198 |
3,976 |
$0.00 |
| 3044F |
|
2,580 |
2,118 |
$0.00 |
| Z6410 |
|
1,325 |
1,071 |
$0.00 |
| 96161 |
|
851 |
826 |
$0.00 |
| Z6406 |
|
130 |
122 |
$0.00 |
| Z6204 |
|
160 |
148 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
84 |
84 |
$0.00 |
| Z1032 |
|
73 |
73 |
$0.00 |
| 99441 |
|
46 |
46 |
$0.00 |
| 3052F |
|
20 |
13 |
$0.00 |