| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
156,673 |
129,099 |
$20.62M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
80,706 |
54,572 |
$1.63M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35,121 |
25,380 |
$1.10M |
| 59425 |
|
7,083 |
4,422 |
$660K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,122 |
5,904 |
$422K |
| V2020 |
Frames, purchases |
30,501 |
30,482 |
$404K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,751 |
4,308 |
$386K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
22,700 |
22,691 |
$385K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,971 |
5,717 |
$346K |
| 92015 |
Determination of refractive state |
38,018 |
38,006 |
$285K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
16,357 |
16,350 |
$277K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
26,284 |
26,272 |
$258K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,661 |
4,950 |
$242K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19,637 |
12,491 |
$218K |
| 92551 |
|
18,349 |
11,921 |
$215K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,919 |
1,314 |
$161K |
| 90686 |
|
13,220 |
9,747 |
$156K |
| 99215 |
Prolong outpt/office vis |
2,312 |
1,736 |
$105K |
| 99401 |
|
4,939 |
3,312 |
$71K |
| 92341 |
|
4,251 |
4,251 |
$69K |
| J3490 |
Unclassified drugs |
1,280 |
984 |
$58K |
| 90670 |
|
5,157 |
3,603 |
$54K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
54 |
52 |
$54K |
| 90651 |
|
3,178 |
2,384 |
$53K |
| 96158 |
|
4,072 |
2,317 |
$51K |
| 90715 |
|
2,634 |
1,989 |
$49K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,689 |
3,447 |
$47K |
| 90648 |
|
3,822 |
2,757 |
$44K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
1,792 |
1,488 |
$41K |
| 90716 |
|
3,499 |
2,517 |
$41K |
| 99173 |
|
13,980 |
10,161 |
$40K |
| 90633 |
|
3,777 |
2,589 |
$38K |
| 90680 |
|
4,180 |
2,757 |
$36K |
| 90707 |
|
3,291 |
2,288 |
$36K |
| 0012A |
|
889 |
885 |
$35K |
| 99205 |
Prolong outpt/office vis |
195 |
195 |
$35K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,273 |
939 |
$33K |
| 85018 |
|
19,269 |
12,726 |
$31K |
| 92002 |
|
1,346 |
1,346 |
$31K |
| 0011A |
|
892 |
884 |
$31K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
583 |
439 |
$30K |
| 90723 |
|
2,441 |
1,804 |
$29K |
| 59430 |
|
301 |
301 |
$27K |
| 96156 |
|
1,547 |
1,224 |
$26K |
| 83655 |
|
2,792 |
1,774 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
482 |
323 |
$19K |
| 90620 |
|
1,447 |
1,002 |
$19K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
501 |
485 |
$19K |
| 90734 |
|
1,291 |
968 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
373 |
223 |
$18K |
| 98960 |
|
422 |
252 |
$17K |
| 90697 |
|
2,689 |
1,640 |
$16K |
| 0064A |
|
385 |
385 |
$15K |
| 97803 |
|
1,162 |
1,033 |
$15K |
| 96151 |
|
1,124 |
640 |
$14K |
| 81025 |
|
5,536 |
4,703 |
$13K |
| 90700 |
|
1,328 |
867 |
$12K |
| 90619 |
|
1,139 |
743 |
$12K |
| 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 |
2,609 |
2,376 |
$11K |
| 90750 |
|
62 |
57 |
$10K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
90 |
90 |
$10K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
792 |
656 |
$10K |
| 0071A |
|
236 |
234 |
$9K |
| 11976 |
|
130 |
62 |
$9K |
| 90696 |
|
835 |
565 |
$8K |
| 0072A |
|
193 |
193 |
$8K |
| 81002 |
|
12,642 |
7,934 |
$8K |
| 90677 |
|
1,499 |
921 |
$7K |
| 90656 |
|
932 |
638 |
$7K |
| 97802 |
|
264 |
264 |
$7K |
| 99385 |
|
72 |
55 |
$7K |
| 11981 |
|
54 |
51 |
$6K |
| 99188 |
|
571 |
306 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
127 |
126 |
$5K |
| 90685 |
|
211 |
210 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
879 |
719 |
$4K |
| 99386 |
|
54 |
41 |
$4K |
| 0002A |
|
99 |
99 |
$4K |
| 0001A |
|
91 |
91 |
$4K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
360 |
328 |
$3K |
| 90681 |
|
187 |
154 |
$2K |
| 99383 |
|
17 |
17 |
$2K |
| 86580 |
|
457 |
386 |
$1K |
| 0052A |
|
28 |
28 |
$1K |
| 93000 |
|
61 |
38 |
$1K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, 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; 5-10 minutes of medical discussion |
76 |
76 |
$948.48 |
| 0004A |
|
16 |
16 |
$640.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
47 |
46 |
$593.14 |
| 90662 |
|
24 |
21 |
$488.04 |
| 0124A |
|
12 |
12 |
$480.00 |
| 0134A |
|
12 |
12 |
$480.00 |
| 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 |
6,770 |
6,521 |
$397.08 |
| 82947 |
|
117 |
86 |
$266.62 |
| 90381 |
|
26 |
14 |
$117.00 |
| 90713 |
|
17 |
12 |
$108.00 |
| Z6304 |
|
5,290 |
3,079 |
$0.00 |
| Z6308 |
|
378 |
269 |
$0.00 |
| Z6200 |
|
523 |
523 |
$0.00 |
| Z6300 |
|
547 |
545 |
$0.00 |
| Z6400 |
|
2,334 |
1,912 |
$0.00 |
| Z6414 |
|
271 |
258 |
$0.00 |
| 99442 |
|
38 |
37 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
63 |
61 |
$0.00 |
| 90678 |
|
16 |
16 |
$0.00 |
| Z1032 |
|
793 |
773 |
$0.00 |
| Z6402 |
|
649 |
648 |
$0.00 |
| Z1034 |
|
7,766 |
4,990 |
$0.00 |
| Z1038 |
|
269 |
269 |
$0.00 |
| Z6406 |
|
4,036 |
2,668 |
$0.00 |
| Z6204 |
|
1,350 |
1,208 |
$0.00 |
| 99441 |
|
19 |
19 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$0.00 |