| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
87,634 |
71,424 |
$26.83M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
206,052 |
161,501 |
$1.61M |
| 90750 |
|
4,959 |
4,958 |
$904K |
| 92250 |
|
16,074 |
16,035 |
$611K |
| 97802 |
|
5,812 |
5,775 |
$555K |
| 90715 |
|
14,415 |
14,323 |
$551K |
| 90677 |
|
2,347 |
2,345 |
$520K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
57,661 |
46,802 |
$496K |
| 90651 |
|
4,315 |
4,296 |
$448K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,650 |
3,643 |
$396K |
| 90746 |
|
4,046 |
4,039 |
$274K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,531 |
2,195 |
$223K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,369 |
1,364 |
$217K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,026 |
3,828 |
$209K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,085 |
3,687 |
$169K |
| 97803 |
|
2,458 |
2,278 |
$132K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
75,010 |
55,192 |
$103K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
152,871 |
139,691 |
$101K |
| 90656 |
|
4,856 |
4,856 |
$98K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18,285 |
14,966 |
$98K |
| G9012 |
Other specified case management service not elsewhere classified |
24,064 |
18,162 |
$92K |
| 87428 |
|
1,909 |
1,879 |
$88K |
| 90732 |
|
829 |
825 |
$78K |
| 90670 |
|
3,958 |
3,894 |
$71K |
| 59025 |
Fetal non-stress test |
3,046 |
1,935 |
$70K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,024 |
1,805 |
$66K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
652 |
650 |
$43K |
| 99215 |
Prolong outpt/office vis |
3,679 |
2,568 |
$42K |
| 92552 |
|
2,338 |
2,327 |
$39K |
| 76830 |
Ultrasound, transvaginal |
549 |
546 |
$36K |
| 71046 |
Radiologic examination, chest; 2 views |
1,350 |
1,347 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,310 |
2,197 |
$33K |
| 90686 |
|
24,631 |
24,584 |
$32K |
| 76813 |
|
278 |
277 |
$30K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
712 |
700 |
$29K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
7,083 |
4,131 |
$28K |
| 92551 |
|
2,328 |
2,298 |
$26K |
| 93000 |
|
969 |
966 |
$25K |
| 99000 |
|
19,639 |
19,051 |
$24K |
| 90688 |
|
10,627 |
10,612 |
$21K |
| 76770 |
|
270 |
270 |
$21K |
| 0002A |
|
281 |
281 |
$19K |
| J3490 |
Unclassified drugs |
311 |
288 |
$18K |
| 0001A |
|
266 |
266 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,870 |
2,828 |
$17K |
| 76642 |
|
221 |
199 |
$17K |
| 72100 |
|
576 |
576 |
$16K |
| 73562 |
|
716 |
618 |
$16K |
| H1011 |
Family assessment by licensed behavioral health professional for state defined purposes |
144 |
144 |
$13K |
| 11720 |
|
849 |
846 |
$13K |
| 90734 |
|
1,901 |
1,892 |
$13K |
| 97804 |
|
283 |
278 |
$11K |
| 73630 |
|
486 |
411 |
$11K |
| 90658 |
|
517 |
517 |
$11K |
| 0012A |
|
148 |
148 |
$10K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
237 |
213 |
$10K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
22 |
22 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,847 |
2,753 |
$9K |
| 0011A |
|
133 |
133 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
194 |
74 |
$9K |
| 90716 |
|
670 |
666 |
$8K |
| 88141 |
|
145 |
69 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
23,258 |
23,003 |
$7K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,092 |
1,390 |
$7K |
| 90723 |
|
2,098 |
2,068 |
$7K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
79 |
79 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,283 |
6,224 |
$5K |
| 90649 |
|
80 |
80 |
$5K |
| 90744 |
|
180 |
180 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,496 |
1,361 |
$4K |
| 95251 |
|
171 |
170 |
$4K |
| 73030 |
|
175 |
164 |
$4K |
| 90633 |
|
3,391 |
3,359 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
716 |
576 |
$4K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
369 |
366 |
$4K |
| 93970 |
|
24 |
24 |
$4K |
| 99385 |
|
739 |
462 |
$4K |
| 90647 |
|
2,300 |
2,265 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,908 |
2,862 |
$4K |
| 90707 |
|
461 |
461 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
649 |
488 |
$3K |
| H2015 |
Comprehensive community support services, per 15 minutes |
157 |
157 |
$3K |
| H2027 |
Psychoeducational service, per 15 minutes |
155 |
155 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
80 |
40 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
77 |
77 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
180 |
177 |
$2K |
| 72040 |
|
95 |
95 |
$2K |
| 81025 |
|
1,293 |
1,268 |
$2K |
| 57454 |
|
26 |
26 |
$2K |
| G9920 |
Screening performed and negative |
2,518 |
2,518 |
$2K |
| 99443 |
|
626 |
501 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
724 |
658 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
148 |
137 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
24 |
24 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
732 |
477 |
$2K |
| A4267 |
Contraceptive supply, condom, male, each |
109 |
108 |
$2K |
| 73130 |
|
68 |
62 |
$2K |
| 83655 |
|
1,344 |
1,328 |
$2K |
| 85018 |
|
2,477 |
2,464 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
396 |
390 |
$2K |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
378 |
270 |
$1K |
| 97597 |
|
30 |
28 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
850 |
759 |
$1K |
| 90710 |
|
959 |
953 |
$1K |
| 76801 |
|
13 |
13 |
$1K |
| 81002 |
|
403 |
334 |
$987.87 |
| 90662 |
|
19 |
19 |
$980.03 |
| 88720 |
|
221 |
193 |
$946.24 |
| 90681 |
|
342 |
341 |
$927.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
5,070 |
5,055 |
$923.65 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
570 |
419 |
$879.20 |
| 99442 |
|
2,851 |
2,669 |
$826.88 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
32 |
31 |
$737.20 |
| 90696 |
|
308 |
306 |
$720.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
196 |
142 |
$717.62 |
| T1027 |
Family training and counseling for child development, per 15 minutes |
153 |
153 |
$714.47 |
| 90620 |
|
78 |
78 |
$660.66 |
| 81003 |
|
1,016 |
999 |
$639.30 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
399 |
309 |
$617.40 |
| 90700 |
|
620 |
616 |
$612.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,776 |
1,716 |
$571.32 |
| 99441 |
|
1,326 |
1,234 |
$520.41 |
| 76820 |
|
15 |
12 |
$518.83 |
| 90648 |
|
177 |
174 |
$503.55 |
| 80305 |
|
433 |
388 |
$497.46 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
31 |
31 |
$472.79 |
| 99383 |
|
23 |
12 |
$438.64 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
275 |
208 |
$416.26 |
| 77080 |
|
15 |
15 |
$390.15 |
| 90713 |
|
98 |
98 |
$215.77 |
| 99205 |
Prolong outpt/office vis |
39 |
27 |
$165.40 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
86 |
80 |
$148.69 |
| 99386 |
|
179 |
122 |
$132.20 |
| 86580 |
|
101 |
94 |
$114.12 |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
19 |
12 |
$96.26 |
| 82962 |
|
1,951 |
1,865 |
$92.83 |
| 99381 |
|
22 |
12 |
$90.66 |
| 96160 |
|
5,290 |
5,274 |
$48.90 |
| 98966 |
|
54 |
54 |
$38.20 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
217 |
213 |
$37.17 |
| 90685 |
|
88 |
88 |
$37.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
141 |
141 |
$28.07 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
27 |
26 |
$26.73 |
| 94760 |
|
181 |
180 |
$22.36 |
| 99401 |
|
116 |
116 |
$19.07 |
| 99173 |
|
212 |
212 |
$15.00 |
| 90698 |
|
12 |
12 |
$9.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
43 |
32 |
$4.88 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
16 |
14 |
$4.86 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
30 |
30 |
$4.38 |
| 3078F |
|
63,106 |
59,671 |
$0.00 |
| 3077F |
|
7,979 |
7,637 |
$0.00 |
| 3046F |
|
187 |
186 |
$0.00 |
| 3045F |
|
48 |
48 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
41 |
41 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
425 |
409 |
$0.00 |
| 3051F |
|
39 |
39 |
$0.00 |
| 99201 |
|
39 |
25 |
$0.00 |
| 99188 |
|
54 |
54 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$0.00 |
| 3079F |
|
28,416 |
27,557 |
$0.00 |
| 3074F |
|
74,914 |
70,569 |
$0.00 |
| 3075F |
|
10,670 |
10,488 |
$0.00 |
| 3080F |
|
3,109 |
2,995 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
58,334 |
54,268 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
1,423 |
1,312 |
$0.00 |
| 1036F |
|
250 |
241 |
$0.00 |
| 3044F |
|
702 |
696 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
383 |
383 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
91 |
91 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
247 |
236 |
$0.00 |
| 2000F |
|
12 |
12 |
$0.00 |
| 3052F |
|
14 |
14 |
$0.00 |