| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
139,604 |
74,351 |
$41.91M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,487 |
23,898 |
$2.40M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,851 |
25,520 |
$1.85M |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
21,221 |
10,322 |
$1.80M |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
18,874 |
9,787 |
$881K |
| 97803 |
|
7,968 |
7,492 |
$700K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
8,903 |
4,833 |
$562K |
| 99215 |
Prolong outpt/office vis |
4,237 |
3,993 |
$491K |
| 90837 |
Psychotherapy, 53 minutes with patient |
4,453 |
2,634 |
$483K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
1,892 |
1,797 |
$461K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,807 |
2,708 |
$365K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,770 |
3,667 |
$357K |
| 97535 |
Self-care/home management training, each 15 minutes |
5,798 |
4,302 |
$351K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
6,837 |
4,074 |
$315K |
| 97542 |
|
4,995 |
2,736 |
$309K |
| 92523 |
|
1,286 |
1,268 |
$294K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,406 |
8,906 |
$291K |
| 97161 |
|
2,816 |
2,720 |
$274K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,592 |
2,499 |
$264K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,660 |
2,541 |
$246K |
| H0031 |
Mental health assessment, by non-physician |
1,560 |
1,469 |
$216K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
2,826 |
2,046 |
$212K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,088 |
1,995 |
$211K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,577 |
1,508 |
$200K |
| 92552 |
|
5,246 |
5,006 |
$179K |
| 97116 |
|
4,240 |
2,595 |
$176K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,907 |
1,786 |
$163K |
| 99205 |
Prolong outpt/office vis |
1,001 |
979 |
$151K |
| T1016 |
Case management, each 15 minutes |
2,242 |
2,031 |
$133K |
| 97802 |
|
1,277 |
1,222 |
$127K |
| 92555 |
|
4,830 |
4,636 |
$126K |
| 92526 |
|
1,338 |
974 |
$125K |
| V5020 |
Conformity evaluation |
2,117 |
1,834 |
$125K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,305 |
1,235 |
$117K |
| V5264 |
Ear mold/insert, not disposable, any type |
1,987 |
956 |
$115K |
| 92567 |
|
6,684 |
6,406 |
$114K |
| 92579 |
|
2,269 |
2,185 |
$114K |
| 93320 |
|
1,904 |
1,794 |
$104K |
| 96156 |
|
1,176 |
1,128 |
$101K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,983 |
1,910 |
$77K |
| 92582 |
|
846 |
813 |
$66K |
| 93325 |
|
2,626 |
2,448 |
$64K |
| 92015 |
Determination of refractive state |
3,100 |
2,996 |
$64K |
| V5275 |
Ear impression, each |
2,196 |
1,097 |
$64K |
| 90834 |
Psychotherapy, 45 minutes with patient |
702 |
570 |
$54K |
| 97156 |
|
442 |
185 |
$48K |
| 96167 |
|
661 |
541 |
$46K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
559 |
531 |
$45K |
| 97164 |
|
819 |
718 |
$45K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
517 |
352 |
$45K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
681 |
608 |
$44K |
| 92593 |
|
1,935 |
1,718 |
$39K |
| 97760 |
|
521 |
448 |
$34K |
| 92556 |
|
808 |
752 |
$32K |
| V5261 |
Hearing aid, digital, binaural, bte |
53 |
36 |
$32K |
| 72170 |
|
1,050 |
1,007 |
$31K |
| 92587 |
|
1,216 |
1,189 |
$29K |
| 96158 |
|
450 |
413 |
$28K |
| 72081 |
|
656 |
626 |
$27K |
| 36415 |
Collection of venous blood by venipuncture |
7,025 |
6,581 |
$26K |
| 97165 |
|
282 |
272 |
$25K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,094 |
995 |
$25K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
169 |
153 |
$22K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
386 |
353 |
$21K |
| 92553 |
|
454 |
431 |
$19K |
| 90686 |
|
4,668 |
3,897 |
$18K |
| 93304 |
|
129 |
114 |
$17K |
| 93000 |
|
1,033 |
988 |
$17K |
| V5011 |
Fitting/orientation/checking of hearing aid |
530 |
356 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,894 |
2,444 |
$16K |
| 92583 |
|
322 |
312 |
$16K |
| 92551 |
|
3,326 |
2,891 |
$16K |
| V5363 |
Language screening |
151 |
150 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
265 |
253 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
734 |
619 |
$13K |
| 94760 |
|
10,286 |
8,352 |
$11K |
| V5362 |
Speech screening |
122 |
115 |
$11K |
| L1930 |
Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment |
29 |
14 |
$10K |
| 90832 |
Psychotherapy, 30 minutes with patient |
161 |
131 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
604 |
528 |
$9K |
| 97166 |
|
86 |
85 |
$9K |
| 97763 |
|
105 |
83 |
$9K |
| 99417 |
Prolong home eval add 15m |
220 |
218 |
$9K |
| 96168 |
|
165 |
91 |
$8K |
| 0071A |
|
201 |
198 |
$8K |
| V5010 |
Assessment for hearing aid |
203 |
141 |
$7K |
| 97113 |
|
67 |
33 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
244 |
219 |
$7K |
| 69210 |
|
183 |
133 |
$7K |
| 0072A |
|
179 |
175 |
$7K |
| 92610 |
|
64 |
64 |
$6K |
| 97162 |
|
76 |
72 |
$6K |
| V5160 |
Dispensing fee, binaural |
69 |
48 |
$6K |
| 93321 |
|
266 |
236 |
$6K |
| 90651 |
|
740 |
646 |
$6K |
| 90461 |
|
304 |
270 |
$5K |
| 96151 |
|
361 |
344 |
$5K |
| 90670 |
|
802 |
695 |
$5K |
| 96165 |
|
186 |
67 |
$5K |
| 92557 |
|
111 |
111 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
302 |
295 |
$5K |
| 97533 |
|
105 |
79 |
$4K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
171 |
125 |
$4K |
| 92591 |
|
65 |
49 |
$3K |
| 99173 |
|
2,891 |
2,481 |
$3K |
| 90621 |
|
163 |
127 |
$3K |
| L3807 |
Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
20 |
14 |
$3K |
| 90656 |
|
135 |
128 |
$3K |
| 0054A |
|
52 |
43 |
$3K |
| 99177 |
|
337 |
317 |
$3K |
| 92604 |
|
30 |
29 |
$3K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
24 |
18 |
$2K |
| D1120 |
Prophylaxis - child |
306 |
301 |
$2K |
| 96164 |
|
189 |
67 |
$2K |
| 90480 |
|
68 |
66 |
$2K |
| 92592 |
|
199 |
160 |
$2K |
| D1206 |
Topical application of fluoride varnish |
474 |
465 |
$2K |
| 81002 |
|
419 |
386 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
116 |
78 |
$1K |
| 0011A |
|
31 |
31 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
277 |
274 |
$852.39 |
| 90682 |
|
14 |
14 |
$817.41 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
33 |
30 |
$709.29 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
2,875 |
1,722 |
$692.65 |
| 0012A |
|
19 |
17 |
$600.00 |
| V5014 |
Repair/modification of a hearing aid |
60 |
52 |
$577.68 |
| 90715 |
|
137 |
124 |
$479.18 |
| 90688 |
|
60 |
42 |
$436.84 |
| 74018 |
|
13 |
12 |
$427.44 |
| 90734 |
|
288 |
226 |
$169.17 |
| Q4051 |
Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies) |
58 |
25 |
$93.63 |
| 96161 |
|
14 |
14 |
$29.90 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
33 |
30 |
$6.85 |
| 90633 |
|
432 |
358 |
$2.20 |
| 90723 |
|
48 |
37 |
$0.00 |
| 99024 |
|
224 |
205 |
$0.00 |
| 90698 |
|
78 |
63 |
$0.00 |
| D0603 |
|
35 |
34 |
$0.00 |
| 90696 |
|
165 |
126 |
$0.00 |
| 91305 |
|
85 |
56 |
$0.00 |
| 91307 |
|
280 |
247 |
$0.00 |
| 90680 |
|
61 |
53 |
$0.00 |
| 90744 |
|
64 |
56 |
$0.00 |
| 90619 |
|
43 |
34 |
$0.00 |
| 90677 |
|
29 |
26 |
$0.00 |
| 91301 |
|
49 |
34 |
$0.00 |
| D8670 |
Periodic orthodontic treatment visit |
14 |
14 |
$0.00 |
| 90648 |
|
180 |
129 |
$0.00 |
| 90710 |
|
156 |
122 |
$0.00 |
| 90685 |
|
95 |
58 |
$0.00 |
| 90681 |
|
33 |
25 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |