| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
100,291 |
86,168 |
$15.34M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58,421 |
42,187 |
$286K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,677 |
6,693 |
$60K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
10,114 |
7,826 |
$58K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,663 |
4,272 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,721 |
8,716 |
$46K |
| 90686 |
|
17,284 |
14,605 |
$37K |
| 92551 |
|
20,338 |
15,737 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25,201 |
16,785 |
$33K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,000 |
4,746 |
$27K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,946 |
1,438 |
$26K |
| 90791 |
Psychiatric diagnostic evaluation |
890 |
778 |
$26K |
| S9449 |
Weight management classes, non-physician provider, per session |
758 |
734 |
$23K |
| 0072A |
|
290 |
290 |
$12K |
| 90834 |
Psychotherapy, 45 minutes with patient |
729 |
599 |
$11K |
| 85018 |
|
15,729 |
14,510 |
$11K |
| 0071A |
|
229 |
229 |
$9K |
| 99173 |
|
20,559 |
15,949 |
$9K |
| 90670 |
|
4,218 |
3,512 |
$8K |
| 90649 |
|
1,867 |
1,602 |
$6K |
| 90633 |
|
3,474 |
2,734 |
$6K |
| 90647 |
|
4,309 |
3,474 |
$5K |
| 90723 |
|
3,991 |
3,131 |
$5K |
| 90734 |
|
1,421 |
1,173 |
$5K |
| 90710 |
|
1,406 |
1,162 |
$4K |
| 90700 |
|
561 |
485 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
672 |
617 |
$3K |
| 90715 |
|
662 |
576 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,448 |
6,324 |
$3K |
| 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 |
68 |
63 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,276 |
1,394 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
40 |
$2K |
| 90656 |
|
1,770 |
1,279 |
$2K |
| 90696 |
|
407 |
353 |
$2K |
| 90716 |
|
280 |
218 |
$1K |
| 0052A |
|
27 |
27 |
$1K |
| 90480 |
|
831 |
545 |
$960.00 |
| 81000 |
|
589 |
546 |
$952.71 |
| 90677 |
|
1,845 |
1,320 |
$546.45 |
| 90837 |
Psychotherapy, 53 minutes with patient |
21 |
16 |
$527.88 |
| 86580 |
|
478 |
469 |
$454.04 |
| 99000 |
|
10,238 |
6,558 |
$426.72 |
| 99383 |
|
13 |
13 |
$379.96 |
| 90461 |
|
6,823 |
3,054 |
$359.39 |
| 96127 |
|
5,011 |
3,831 |
$350.69 |
| 90707 |
|
202 |
145 |
$342.05 |
| 90681 |
|
1,581 |
1,237 |
$198.01 |
| 99188 |
|
383 |
253 |
$143.82 |
| 81002 |
|
954 |
836 |
$138.45 |
| 90620 |
|
813 |
645 |
$99.00 |
| 90651 |
|
1,145 |
831 |
$86.85 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,682 |
1,266 |
$72.60 |
| 81025 |
|
12 |
12 |
$30.47 |
| 90619 |
|
350 |
226 |
$13.50 |
| 83655 |
|
1,085 |
1,025 |
$10.00 |
| 85013 |
|
9,897 |
7,632 |
$2.01 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
429 |
329 |
$0.24 |
| 90381 |
|
105 |
68 |
$0.05 |
| 3074F |
|
53,130 |
35,973 |
$0.02 |
| 3078F |
|
52,159 |
35,331 |
$0.02 |
| 96156 |
|
8,465 |
6,428 |
$0.00 |
| 99381 |
|
211 |
185 |
$0.00 |
| 1036F |
|
6,160 |
3,452 |
$0.00 |
| 90674 |
|
1,733 |
1,215 |
$0.00 |
| 90657 |
|
1,311 |
937 |
$0.00 |
| 3079F |
|
330 |
214 |
$0.00 |
| 3075F |
|
61 |
37 |
$0.00 |
| 90660 |
|
112 |
80 |
$0.00 |
| 1159F |
|
14,198 |
8,710 |
$0.00 |
| 1160F |
|
14,198 |
8,711 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,005 |
460 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
913 |
903 |
$0.00 |
| 3725F |
|
310 |
189 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
206 |
156 |
$0.00 |
| 91321 |
|
44 |
44 |
$0.00 |
| 90380 |
|
31 |
14 |
$0.00 |
| 91322 |
|
12 |
12 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
19 |
13 |
$0.00 |