| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
146,310 |
127,934 |
$19.98M |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14,156 |
13,881 |
$227K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
74,316 |
68,616 |
$158K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
872 |
870 |
$129K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,341 |
2,331 |
$126K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
737 |
735 |
$121K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,277 |
2,032 |
$110K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35,072 |
33,146 |
$106K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,025 |
1,021 |
$99K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
679 |
678 |
$93K |
| 90686 |
|
5,624 |
5,307 |
$81K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
392 |
392 |
$54K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
525 |
510 |
$48K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,967 |
2,638 |
$44K |
| 99050 |
|
815 |
779 |
$42K |
| 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 |
2,411 |
2,157 |
$40K |
| 97802 |
|
367 |
367 |
$37K |
| 92015 |
Determination of refractive state |
2,828 |
2,825 |
$37K |
| 97803 |
|
519 |
454 |
$34K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,960 |
2,906 |
$32K |
| 0001A |
|
635 |
635 |
$26K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
374 |
374 |
$26K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,042 |
1,013 |
$24K |
| 0002A |
|
411 |
410 |
$19K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
408 |
390 |
$12K |
| 0012A |
|
244 |
244 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
825 |
415 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18,381 |
15,124 |
$10K |
| 0011A |
|
276 |
276 |
$10K |
| 90715 |
|
340 |
340 |
$10K |
| 90746 |
|
160 |
158 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,054 |
1,027 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
635 |
626 |
$8K |
| 99173 |
|
528 |
528 |
$5K |
| 99383 |
|
43 |
43 |
$4K |
| 99000 |
|
3,880 |
3,772 |
$4K |
| 90480 |
|
169 |
167 |
$3K |
| 91320 |
|
25 |
24 |
$3K |
| 92551 |
|
209 |
209 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
18 |
18 |
$2K |
| 81003 |
|
620 |
593 |
$1K |
| 0031A |
|
25 |
25 |
$1K |
| 90716 |
|
98 |
98 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
33 |
33 |
$997.92 |
| 99382 |
|
14 |
14 |
$888.00 |
| 93000 |
|
58 |
55 |
$744.38 |
| 99384 |
|
12 |
12 |
$666.00 |
| 99188 |
|
27 |
27 |
$642.60 |
| 81025 |
|
86 |
84 |
$529.07 |
| 96127 |
|
34 |
15 |
$296.82 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$221.02 |
| 90651 |
|
39 |
39 |
$208.84 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
17 |
16 |
$184.86 |
| 91322 |
|
47 |
47 |
$145.92 |
| G0008 |
Administration of influenza virus vaccine |
209 |
209 |
$124.66 |
| 90707 |
|
41 |
41 |
$85.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,176 |
1,135 |
$63.43 |
| 0124A |
|
18 |
18 |
$45.87 |
| 90662 |
|
67 |
67 |
$43.95 |
| 0054A |
|
12 |
12 |
$40.00 |
| 81002 |
|
13 |
13 |
$31.32 |
| 90656 |
|
220 |
215 |
$30.11 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
106 |
95 |
$29.23 |
| 90474 |
|
14 |
13 |
$9.84 |
| 90697 |
|
117 |
110 |
$0.00 |
| 90677 |
|
184 |
175 |
$0.00 |
| 0064A |
|
24 |
24 |
$0.00 |
| 90744 |
|
42 |
41 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
45 |
45 |
$0.00 |
| 36416 |
|
14 |
14 |
$0.00 |
| 1111F |
|
42 |
38 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 0134A |
|
24 |
24 |
$0.00 |
| 90633 |
|
261 |
260 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
532 |
528 |
$0.00 |
| 90670 |
|
46 |
45 |
$0.00 |
| 90648 |
|
47 |
46 |
$0.00 |
| 90681 |
|
17 |
12 |
$0.00 |
| 90713 |
|
27 |
27 |
$0.00 |
| J2315 |
Injection, naltrexone, depot form, 1 mg |
27 |
25 |
$0.00 |