| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
375,240 |
303,674 |
$81.91M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
179,283 |
143,242 |
$99K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
73 |
64 |
$52K |
| 59514 |
|
58 |
52 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
80,918 |
68,734 |
$47K |
| 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 |
4,617 |
4,542 |
$41K |
| 99219 |
|
275 |
193 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
59,854 |
52,630 |
$11K |
| 99243 |
|
1,276 |
894 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,917 |
7,674 |
$11K |
| 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 |
22,558 |
17,222 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
10,257 |
9,172 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,739 |
8,477 |
$7K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
399 |
327 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,926 |
4,054 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
7,562 |
6,526 |
$6K |
| 0012A |
|
2,258 |
2,181 |
$6K |
| 92551 |
|
15,129 |
12,745 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
25,627 |
22,522 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
5,146 |
4,670 |
$4K |
| 0011A |
|
2,411 |
2,264 |
$4K |
| 90715 |
|
6,840 |
5,593 |
$3K |
| T1016 |
Case management, each 15 minutes |
162 |
158 |
$3K |
| 99381 |
|
1,465 |
1,232 |
$3K |
| 90670 |
|
7,226 |
5,961 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,844 |
3,484 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15,092 |
13,181 |
$2K |
| 99490 |
Ccm add 20min |
316 |
315 |
$2K |
| 83037 |
|
26,820 |
23,792 |
$2K |
| 90714 |
|
3,968 |
3,111 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,924 |
5,099 |
$1K |
| 0064A |
|
2,290 |
2,205 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,377 |
1,043 |
$1K |
| 99001 |
|
1,390 |
1,271 |
$1K |
| 90474 |
|
5,409 |
4,641 |
$1K |
| 0071A |
|
458 |
452 |
$913.00 |
| 81002 |
|
21,818 |
16,497 |
$791.96 |
| 83655 |
|
6,408 |
5,458 |
$753.86 |
| 11981 |
|
136 |
106 |
$750.30 |
| 0072A |
|
382 |
379 |
$664.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
4,021 |
3,686 |
$541.67 |
| 85018 |
|
19,399 |
16,246 |
$506.55 |
| 99173 |
|
15,026 |
12,755 |
$474.60 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,260 |
1,180 |
$441.76 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,009 |
3,426 |
$427.21 |
| 90688 |
|
13,437 |
11,807 |
$397.33 |
| 3074F |
|
18,077 |
16,567 |
$283.74 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,023 |
953 |
$272.68 |
| 99385 |
|
573 |
530 |
$194.12 |
| 0112A |
|
46 |
46 |
$166.00 |
| 99215 |
Prolong outpt/office vis |
2,228 |
2,108 |
$143.16 |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
3,733 |
3,423 |
$142.63 |
| 90621 |
|
938 |
720 |
$112.04 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
854 |
739 |
$99.88 |
| 0134A |
|
1,747 |
1,637 |
$83.00 |
| 0054A |
|
87 |
82 |
$83.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
128 |
85 |
$65.62 |
| 90662 |
|
792 |
675 |
$65.49 |
| 90686 |
|
11,610 |
9,876 |
$63.65 |
| 99000 |
|
31 |
14 |
$51.30 |
| 93320 |
|
12 |
12 |
$47.49 |
| G0008 |
Administration of influenza virus vaccine |
3,033 |
2,510 |
$45.33 |
| 96127 |
|
4,237 |
4,016 |
$24.29 |
| 93325 |
|
12 |
12 |
$22.32 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
766 |
653 |
$13.16 |
| 82947 |
|
102 |
68 |
$11.60 |
| 90734 |
|
2,444 |
2,010 |
$9.98 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
225 |
211 |
$7.74 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
148 |
118 |
$5.71 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
98 |
73 |
$0.96 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
488 |
453 |
$0.49 |
| 90697 |
|
930 |
874 |
$0.29 |
| 90680 |
|
3,343 |
2,644 |
$0.29 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
866 |
807 |
$0.08 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
167 |
152 |
$0.04 |
| 1159F |
|
81,295 |
69,598 |
$0.03 |
| 1036F |
|
53,775 |
45,308 |
$0.02 |
| 1220F |
|
31,327 |
29,383 |
$0.01 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
124 |
111 |
$0.01 |
| 1125F |
|
13,909 |
12,573 |
$0.00 |
| 90723 |
|
4,318 |
3,533 |
$0.00 |
| 3044F |
|
5,361 |
4,923 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
4,630 |
4,489 |
$0.00 |
| 2001F |
|
17,589 |
15,910 |
$0.00 |
| 91307 |
|
292 |
270 |
$0.00 |
| 92558 |
|
3,545 |
3,375 |
$0.00 |
| 3080F |
|
1,044 |
975 |
$0.00 |
| 1126F |
|
29,850 |
26,914 |
$0.00 |
| 3008F |
|
17,612 |
15,930 |
$0.00 |
| 90647 |
|
4,134 |
3,398 |
$0.00 |
| 90716 |
|
725 |
591 |
$0.00 |
| 3079F |
|
7,668 |
7,181 |
$0.00 |
| 90651 |
|
4,056 |
3,540 |
$0.00 |
| 3075F |
|
4,630 |
4,409 |
$0.00 |
| 91301 |
|
3,549 |
3,436 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
1,347 |
1,307 |
$0.00 |
| D1351 |
Sealant - per tooth |
1,430 |
466 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
3,229 |
3,071 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
1,867 |
1,708 |
$0.00 |
| 1111F |
|
401 |
368 |
$0.00 |
| 3052F |
|
241 |
233 |
$0.00 |
| 1101F |
|
163 |
139 |
$0.00 |
| 99383 |
|
85 |
73 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
683 |
674 |
$0.00 |
| 90696 |
|
474 |
381 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
207 |
188 |
$0.00 |
| 90480 |
|
1,483 |
1,465 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,923 |
2,425 |
$0.00 |
| D0603 |
|
2,671 |
2,595 |
$0.00 |
| 90732 |
|
55 |
40 |
$0.00 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
193 |
191 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
108 |
108 |
$0.00 |
| 96156 |
|
260 |
235 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
458 |
356 |
$0.00 |
| D0601 |
|
106 |
95 |
$0.00 |
| 90620 |
|
284 |
277 |
$0.00 |
| 0074A |
|
94 |
90 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
337 |
235 |
$0.00 |
| 90656 |
|
780 |
775 |
$0.00 |
| D0240 |
|
31 |
31 |
$0.00 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
372 |
304 |
$0.00 |
| 20610 |
|
13 |
13 |
$0.00 |
| 91306 |
|
384 |
380 |
$0.00 |
| 87428 |
|
47 |
46 |
$0.00 |
| 90677 |
|
140 |
132 |
$0.00 |
| 0111A |
|
114 |
100 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
29 |
24 |
$0.00 |
| 0154A |
|
13 |
13 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
150 |
150 |
$0.00 |
| 99384 |
|
14 |
13 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
66 |
61 |
$0.00 |
| 93000 |
|
65 |
65 |
$0.00 |
| 99386 |
|
27 |
27 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
35 |
17 |
$0.00 |
| 96161 |
|
28 |
28 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
30 |
25 |
$0.00 |
| 86580 |
|
38 |
36 |
$0.00 |
| 58300 |
|
12 |
12 |
$0.00 |
| 0001A |
|
24 |
23 |
$0.00 |
| 3046F |
|
2,601 |
2,376 |
$0.00 |
| 90710 |
|
569 |
451 |
$0.00 |
| 3077F |
|
5,123 |
4,753 |
$0.00 |
| 90681 |
|
476 |
468 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
4,501 |
4,264 |
$0.00 |
| 3078F |
|
21,978 |
20,029 |
$0.00 |
| H0031 |
Mental health assessment, by non-physician |
407 |
398 |
$0.00 |
| 1158F |
|
4,035 |
3,857 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
537 |
497 |
$0.00 |
| 99177 |
|
6,840 |
6,493 |
$0.00 |
| D1120 |
Prophylaxis - child |
3,634 |
3,464 |
$0.00 |
| 91312 |
|
77 |
69 |
$0.00 |
| 90633 |
|
3,166 |
2,676 |
$0.00 |
| D1110 |
Prophylaxis - adult |
722 |
701 |
$0.00 |
| D9993 |
|
779 |
703 |
$0.00 |
| 90671 |
|
525 |
523 |
$0.00 |
| D0270 |
|
860 |
809 |
$0.00 |
| 1003F |
|
7,334 |
6,697 |
$0.00 |
| D0190 |
|
894 |
816 |
$0.00 |
| D1354 |
|
1,985 |
586 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
60 |
50 |
$0.00 |
| 3045F |
|
1,662 |
1,492 |
$0.00 |
| 96159 |
|
1,469 |
1,341 |
$0.00 |
| 96158 |
|
4,184 |
3,604 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
91 |
91 |
$0.00 |
| 91322 |
|
1,294 |
1,266 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
1,046 |
1,016 |
$0.00 |
| 3051F |
|
781 |
747 |
$0.00 |
| D1999 |
|
1,288 |
1,158 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
309 |
219 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
225 |
206 |
$0.00 |
| 90700 |
|
566 |
484 |
$0.00 |
| 90707 |
|
643 |
527 |
$0.00 |
| 0124A |
|
288 |
256 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
75 |
72 |
$0.00 |
| 85610 |
|
905 |
467 |
$0.00 |
| 4004F |
|
436 |
394 |
$0.00 |
| 90658 |
|
980 |
971 |
$0.00 |
| 91313 |
|
508 |
501 |
$0.00 |
| 90685 |
|
270 |
266 |
$0.00 |
| 91300 |
|
153 |
146 |
$0.00 |
| 96152 |
|
243 |
196 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
21 |
18 |
$0.00 |
| 2028F |
|
88 |
87 |
$0.00 |
| 90750 |
|
54 |
48 |
$0.00 |
| 90736 |
|
13 |
12 |
$0.00 |
| 99473 |
|
80 |
80 |
$0.00 |
| 0004A |
|
35 |
35 |
$0.00 |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
12 |
12 |
$0.00 |
| 91311 |
|
14 |
14 |
$0.00 |
| 91321 |
|
29 |
29 |
$0.00 |
| 0003A |
|
16 |
16 |
$0.00 |
| 11982 |
|
13 |
13 |
$0.00 |