| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
96,725 |
80,595 |
$3.28M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44,452 |
40,083 |
$1.45M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,975 |
25,707 |
$1.12M |
| J0578 |
Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy |
116 |
99 |
$744K |
| Q9992 |
Injection, buprenorphine extended-release (sublocade), greater than 100 mg |
130 |
125 |
$146K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,870 |
2,869 |
$141K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,371 |
3,360 |
$140K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,249 |
3,032 |
$121K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,301 |
1,291 |
$96K |
| 99215 |
Prolong outpt/office vis |
1,301 |
1,114 |
$91K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,757 |
1,757 |
$91K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,928 |
3,922 |
$71K |
| Q9991 |
Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg |
34 |
25 |
$64K |
| 59426 |
|
44 |
43 |
$53K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,967 |
6,927 |
$48K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
800 |
799 |
$46K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,168 |
2,134 |
$38K |
| 90837 |
Psychotherapy, 53 minutes with patient |
310 |
210 |
$25K |
| 90686 |
|
3,419 |
3,412 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
219 |
219 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,547 |
2,301 |
$13K |
| 99205 |
Prolong outpt/office vis |
119 |
117 |
$13K |
| 59430 |
|
64 |
63 |
$12K |
| 90832 |
Psychotherapy, 30 minutes with patient |
865 |
553 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
662 |
660 |
$7K |
| 90834 |
Psychotherapy, 45 minutes with patient |
122 |
98 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
663 |
578 |
$6K |
| 59025 |
Fetal non-stress test |
240 |
95 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
67 |
67 |
$5K |
| 90473 |
|
925 |
925 |
$5K |
| 0012A |
|
107 |
107 |
$4K |
| 0001A |
|
96 |
96 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
53 |
53 |
$3K |
| 0011A |
|
108 |
108 |
$3K |
| 0002A |
|
74 |
74 |
$3K |
| 90715 |
|
158 |
157 |
$2K |
| 0004A |
|
53 |
53 |
$2K |
| 90656 |
|
90 |
90 |
$2K |
| 99441 |
|
159 |
108 |
$2K |
| 0071A |
|
40 |
40 |
$2K |
| 99442 |
|
132 |
88 |
$1K |
| 90670 |
|
1,957 |
1,957 |
$1K |
| 96127 |
|
358 |
286 |
$1K |
| 0124A |
|
31 |
31 |
$1K |
| 99443 |
|
80 |
46 |
$1K |
| 0031A |
|
27 |
27 |
$899.63 |
| 0072A |
|
17 |
17 |
$643.45 |
| 90651 |
|
146 |
146 |
$458.68 |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
24 |
24 |
$450.38 |
| 90716 |
|
647 |
647 |
$408.78 |
| 90707 |
|
674 |
673 |
$231.45 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
420 |
412 |
$158.56 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
25 |
25 |
$127.75 |
| 81025 |
|
13 |
13 |
$92.69 |
| 90633 |
|
950 |
950 |
$51.31 |
| 90474 |
|
188 |
188 |
$49.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
26 |
25 |
$27.85 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
131 |
128 |
$27.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
227 |
224 |
$0.00 |
| 90723 |
|
1,792 |
1,792 |
$0.00 |
| 90680 |
|
1,403 |
1,403 |
$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 |
29 |
29 |
$0.00 |
| 90696 |
|
68 |
68 |
$0.00 |
| 91301 |
|
170 |
165 |
$0.00 |
| 91307 |
|
74 |
71 |
$0.00 |
| 90732 |
|
64 |
64 |
$0.00 |
| 90681 |
|
78 |
78 |
$0.00 |
| 91300 |
|
342 |
308 |
$0.00 |
| 90648 |
|
2,311 |
2,311 |
$0.00 |
| 90685 |
|
62 |
61 |
$0.00 |
| 91312 |
|
31 |
31 |
$0.00 |
| 90734 |
|
104 |
104 |
$0.00 |
| 99177 |
|
134 |
134 |
$0.00 |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
13 |
13 |
$0.00 |
| 90700 |
|
80 |
80 |
$0.00 |