| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
83,748 |
67,744 |
$8.83M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45,422 |
37,627 |
$199K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,502 |
11,934 |
$76K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,624 |
7,073 |
$36K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
699 |
658 |
$31K |
| 90686 |
|
2,585 |
2,434 |
$26K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,144 |
1,040 |
$25K |
| 92552 |
|
5,701 |
5,237 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,905 |
3,655 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,598 |
2,431 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,244 |
4,900 |
$19K |
| 99173 |
|
6,145 |
5,669 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,625 |
3,315 |
$17K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,851 |
4,551 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,267 |
1,141 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
8,885 |
4,062 |
$13K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,933 |
1,303 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,854 |
3,477 |
$10K |
| 98927 |
|
1,748 |
1,524 |
$9K |
| 98926 |
|
1,401 |
1,240 |
$8K |
| 90648 |
|
2,227 |
2,118 |
$7K |
| 90670 |
|
1,968 |
1,872 |
$7K |
| 81003 |
|
906 |
801 |
$6K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
932 |
850 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,262 |
1,121 |
$5K |
| 90723 |
|
1,410 |
1,346 |
$5K |
| 98928 |
|
748 |
667 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,195 |
1,996 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
374 |
356 |
$4K |
| 98925 |
|
408 |
367 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
664 |
574 |
$4K |
| 99215 |
Prolong outpt/office vis |
315 |
268 |
$3K |
| 90473 |
|
597 |
577 |
$3K |
| 90681 |
|
603 |
585 |
$3K |
| 99381 |
|
440 |
421 |
$3K |
| 90633 |
|
724 |
687 |
$2K |
| 90734 |
|
370 |
335 |
$2K |
| 90710 |
|
169 |
155 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
269 |
248 |
$2K |
| 90700 |
|
130 |
125 |
$2K |
| 90651 |
|
332 |
292 |
$2K |
| 90707 |
|
192 |
184 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
60 |
56 |
$1K |
| 90696 |
|
138 |
130 |
$1K |
| 90716 |
|
202 |
195 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
37 |
37 |
$1K |
| 90715 |
|
176 |
164 |
$1K |
| 98929 |
|
343 |
292 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
105 |
99 |
$947.35 |
| 0071A |
|
28 |
21 |
$800.00 |
| 81025 |
|
96 |
95 |
$690.64 |
| 0072A |
|
20 |
16 |
$600.00 |
| 99000 |
|
1,416 |
1,334 |
$266.11 |
| 96127 |
|
1,083 |
977 |
$236.91 |
| 87807 |
|
1,052 |
963 |
$130.87 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
18 |
16 |
$77.37 |
| 90656 |
|
133 |
132 |
$67.05 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
15 |
13 |
$50.61 |
| 1036F |
|
2,907 |
2,484 |
$0.00 |
| 3075F |
|
620 |
529 |
$0.00 |
| 3074F |
|
6,289 |
5,452 |
$0.00 |
| 3079F |
|
974 |
852 |
$0.00 |
| 94010 |
|
268 |
255 |
$0.00 |
| 1034F |
|
543 |
465 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
175 |
164 |
$0.00 |
| 3008F |
|
304 |
292 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
422 |
178 |
$0.00 |
| 1035F |
|
103 |
82 |
$0.00 |
| 1125F |
|
20 |
18 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
26 |
25 |
$0.00 |
| 3080F |
|
28 |
24 |
$0.00 |
| 91307 |
|
61 |
46 |
$0.00 |
| 2015F |
|
14 |
14 |
$0.00 |
| 90698 |
|
24 |
24 |
$0.00 |
| 90474 |
|
14 |
14 |
$0.00 |
| 90744 |
|
15 |
15 |
$0.00 |
| 3078F |
|
6,025 |
5,202 |
$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 |
2,885 |
2,558 |
$0.00 |
| 3077F |
|
123 |
103 |
$0.00 |
| 90671 |
|
293 |
276 |
$0.00 |
| 90662 |
|
67 |
64 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
423 |
159 |
$0.00 |
| 96160 |
|
13 |
12 |
$0.00 |
| 91300 |
|
14 |
12 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
26 |
$0.00 |
| 90672 |
|
36 |
34 |
$0.00 |
| 94060 |
|
15 |
12 |
$0.00 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
34 |
16 |
$0.00 |
| 1159F |
|
19 |
17 |
$0.00 |
| 1160F |
|
18 |
17 |
$0.00 |