| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
103,416 |
89,965 |
$19.68M |
| 59425 |
|
8,789 |
5,415 |
$708K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
77,258 |
71,618 |
$579K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,129 |
21,495 |
$186K |
| 98960 |
|
4,064 |
3,719 |
$162K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
6,791 |
3,971 |
$139K |
| 99215 |
Prolong outpt/office vis |
1,064 |
1,059 |
$124K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,303 |
5,094 |
$83K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,910 |
1,901 |
$80K |
| 90686 |
|
3,547 |
3,522 |
$67K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
3,057 |
1,892 |
$61K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,502 |
1,426 |
$60K |
| 90677 |
|
273 |
273 |
$53K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
851 |
851 |
$44K |
| 90715 |
|
1,258 |
1,254 |
$44K |
| 92551 |
|
2,578 |
2,553 |
$40K |
| 90750 |
|
223 |
223 |
$40K |
| 59430 |
|
407 |
401 |
$36K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
750 |
750 |
$34K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
855 |
854 |
$32K |
| 99205 |
Prolong outpt/office vis |
342 |
341 |
$31K |
| J3490 |
Unclassified drugs |
559 |
533 |
$30K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
264 |
264 |
$27K |
| 90739 |
|
222 |
222 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
536 |
527 |
$19K |
| 99401 |
|
865 |
780 |
$18K |
| 90688 |
|
783 |
783 |
$16K |
| 90791 |
Psychiatric diagnostic evaluation |
165 |
165 |
$14K |
| 90670 |
|
413 |
397 |
$14K |
| 90832 |
Psychotherapy, 30 minutes with patient |
341 |
303 |
$13K |
| 90651 |
|
182 |
180 |
$13K |
| 99173 |
|
1,882 |
1,867 |
$12K |
| 96156 |
|
490 |
485 |
$12K |
| 90746 |
|
219 |
219 |
$11K |
| 85018 |
|
5,119 |
4,966 |
$11K |
| 90662 |
|
171 |
171 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
531 |
531 |
$9K |
| 81025 |
|
2,751 |
2,674 |
$8K |
| 90656 |
|
316 |
316 |
$7K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
310 |
307 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
712 |
710 |
$6K |
| G9920 |
Screening performed and negative |
152 |
152 |
$6K |
| 81002 |
|
4,418 |
3,553 |
$6K |
| 90837 |
Psychotherapy, 53 minutes with patient |
68 |
62 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
168 |
167 |
$5K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
198 |
196 |
$5K |
| 90648 |
|
268 |
255 |
$3K |
| 11976 |
|
30 |
14 |
$2K |
| 90716 |
|
47 |
47 |
$2K |
| 90680 |
|
116 |
115 |
$2K |
| 99188 |
|
65 |
65 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
192 |
190 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
138 |
136 |
$1K |
| 90723 |
|
103 |
101 |
$1K |
| 90732 |
|
12 |
12 |
$1K |
| 90633 |
|
89 |
77 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
50 |
12 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
49 |
49 |
$930.15 |
| 90697 |
|
62 |
62 |
$792.00 |
| 90632 |
|
28 |
28 |
$724.16 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
174 |
174 |
$604.45 |
| H0049 |
Alcohol and/or drug screening |
13 |
13 |
$420.00 |
| 90700 |
|
27 |
25 |
$346.50 |
| 90734 |
|
26 |
26 |
$343.13 |
| 90619 |
|
27 |
27 |
$337.50 |
| 90671 |
|
26 |
26 |
$310.50 |
| 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 |
198 |
163 |
$250.25 |
| 97803 |
|
14 |
12 |
$176.68 |
| 90685 |
|
13 |
12 |
$175.50 |
| 93000 |
|
32 |
32 |
$172.67 |
| 86580 |
|
28 |
27 |
$164.90 |
| 90710 |
|
12 |
12 |
$162.00 |
| 82947 |
|
46 |
37 |
$151.41 |
| 99000 |
|
14 |
14 |
$51.86 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
3,901 |
3,604 |
$37.87 |
| 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 |
289 |
264 |
$19.03 |
| Z6300 |
|
349 |
347 |
$0.00 |
| Z6400 |
|
356 |
354 |
$0.00 |
| Z6414 |
|
1,254 |
919 |
$0.00 |
| 99442 |
|
90 |
88 |
$0.00 |
| 99499 |
|
31 |
31 |
$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 |
15 |
12 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$0.00 |
| 99397 |
|
18 |
18 |
$0.00 |
| Z1034 |
|
11,340 |
9,330 |
$0.00 |
| Z6410 |
|
6,500 |
4,641 |
$0.00 |
| Z6402 |
|
250 |
247 |
$0.00 |
| Z6204 |
|
209 |
158 |
$0.00 |
| Z1038 |
|
287 |
286 |
$0.00 |
| Z6406 |
|
361 |
263 |
$0.00 |
| Z1032 |
|
105 |
104 |
$0.00 |
| 99443 |
|
55 |
55 |
$0.00 |