| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
23,107 |
19,982 |
$2.38M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,550 |
9,132 |
$1.43M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,983 |
4,862 |
$766K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,591 |
1,580 |
$241K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,508 |
1,505 |
$236K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,436 |
1,436 |
$216K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
993 |
976 |
$156K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
933 |
879 |
$134K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,500 |
5,429 |
$73K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
331 |
328 |
$49K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
567 |
532 |
$26K |
| 90832 |
Psychotherapy, 30 minutes with patient |
138 |
123 |
$20K |
| G9153 |
Mapcp demonstration - physician incentive pool |
673 |
668 |
$10K |
| 97802 |
|
786 |
777 |
$9K |
| 0001A |
|
211 |
209 |
$8K |
| 90791 |
Psychiatric diagnostic evaluation |
53 |
53 |
$8K |
| 90461 |
|
1,848 |
1,825 |
$8K |
| 0002A |
|
172 |
172 |
$7K |
| 90670 |
|
347 |
345 |
$6K |
| 0031A |
|
124 |
105 |
$5K |
| 90686 |
|
1,505 |
1,487 |
$4K |
| 0012A |
|
128 |
108 |
$4K |
| 0011A |
|
118 |
97 |
$4K |
| 90651 |
|
143 |
141 |
$4K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
28 |
24 |
$2K |
| 96160 |
|
122 |
118 |
$2K |
| 90677 |
|
72 |
72 |
$2K |
| 99384 |
|
15 |
15 |
$2K |
| 80305 |
|
193 |
175 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
213 |
211 |
$2K |
| 0072A |
|
26 |
26 |
$1K |
| 88738 |
|
617 |
614 |
$732.85 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
335 |
330 |
$707.93 |
| 36415 |
Collection of venous blood by venipuncture |
1,161 |
1,129 |
$700.65 |
| 90715 |
|
40 |
40 |
$617.54 |
| 0071A |
|
13 |
13 |
$520.00 |
| 90480 |
|
12 |
12 |
$480.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
45 |
45 |
$329.64 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
121 |
121 |
$298.28 |
| 96127 |
|
162 |
154 |
$274.51 |
| 99441 |
|
32 |
30 |
$255.41 |
| 81003 |
|
228 |
179 |
$144.55 |
| 3078F |
|
36 |
36 |
$140.22 |
| 90734 |
|
94 |
93 |
$126.21 |
| 90656 |
|
15 |
15 |
$76.45 |
| 90633 |
|
233 |
233 |
$32.24 |
| 99177 |
|
50 |
50 |
$30.55 |
| 90688 |
|
25 |
25 |
$15.39 |
| 81001 |
|
20 |
19 |
$3.78 |
| 3074F |
|
50 |
50 |
$0.44 |
| 90685 |
|
13 |
13 |
$0.07 |
| 2000F |
|
286 |
276 |
$0.00 |
| 3008F |
|
697 |
670 |
$0.00 |
| 90723 |
|
162 |
160 |
$0.00 |
| 36416 |
|
278 |
275 |
$0.00 |
| 99000 |
|
81 |
81 |
$0.00 |
| 91303 |
|
35 |
31 |
$0.00 |
| 90647 |
|
53 |
52 |
$0.00 |
| 91301 |
|
35 |
35 |
$0.00 |
| 1000F |
|
13 |
12 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |
| 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 |
25 |
15 |
$0.00 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
27 |
26 |
$0.00 |