| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
54,916 |
44,102 |
$15.76M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,641 |
24,701 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,220 |
2,856 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,325 |
16,075 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,071 |
1,793 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,182 |
700 |
$1K |
| T1016 |
Case management, each 15 minutes |
36 |
32 |
$617.95 |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,021 |
799 |
$600.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,278 |
1,338 |
$491.96 |
| H2027 |
Psychoeducational service, per 15 minutes |
76 |
61 |
$274.34 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,043 |
2,751 |
$115.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,102 |
6,441 |
$100.75 |
| 0064A |
|
79 |
68 |
$83.00 |
| 90480 |
|
73 |
63 |
$80.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
5,223 |
4,810 |
$54.64 |
| 80053 |
Comprehensive metabolic panel |
7,649 |
7,151 |
$50.05 |
| 0012A |
|
49 |
49 |
$40.28 |
| 0011A |
|
36 |
32 |
$40.00 |
| 86703 |
|
234 |
232 |
$28.72 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,197 |
6,742 |
$26.76 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
744 |
436 |
$0.00 |
| 82274 |
|
230 |
223 |
$0.00 |
| 85007 |
|
268 |
250 |
$0.00 |
| 3078F |
|
2,089 |
1,985 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,050 |
2,485 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,910 |
1,609 |
$0.00 |
| 84439 |
|
886 |
805 |
$0.00 |
| 83655 |
|
135 |
135 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,925 |
1,801 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
434 |
252 |
$0.00 |
| 80061 |
Lipid panel |
6,690 |
6,274 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
638 |
595 |
$0.00 |
| 90670 |
|
724 |
653 |
$0.00 |
| 3077F |
|
417 |
395 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
611 |
568 |
$0.00 |
| 82570 |
|
1,493 |
1,400 |
$0.00 |
| 90734 |
|
33 |
31 |
$0.00 |
| 90715 |
|
647 |
608 |
$0.00 |
| 84460 |
|
265 |
249 |
$0.00 |
| 90671 |
|
355 |
333 |
$0.00 |
| 1160F |
|
2,941 |
2,641 |
$0.00 |
| 80074 |
|
480 |
472 |
$0.00 |
| 86480 |
|
323 |
310 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
845 |
723 |
$0.00 |
| 81025 |
|
753 |
712 |
$0.00 |
| 81003 |
|
1,535 |
1,327 |
$0.00 |
| 84450 |
|
277 |
261 |
$0.00 |
| 1159F |
|
3,644 |
3,099 |
$0.00 |
| 87631 |
|
53 |
51 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
198 |
110 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
39 |
36 |
$0.00 |
| 90633 |
|
166 |
159 |
$0.00 |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
209 |
194 |
$0.00 |
| 90649 |
|
128 |
113 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 91322 |
|
28 |
28 |
$0.00 |
| 85610 |
|
15 |
13 |
$0.00 |
| 87338 |
|
15 |
14 |
$0.00 |
| 84481 |
|
15 |
13 |
$0.00 |
| 87481 |
|
34 |
33 |
$0.00 |
| 90681 |
|
22 |
16 |
$0.00 |
| 81513 |
|
34 |
33 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
12 |
12 |
$0.00 |
| 84146 |
|
12 |
12 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
15 |
15 |
$0.00 |
| 85014 |
|
24 |
15 |
$0.00 |
| 83540 |
|
20 |
20 |
$0.00 |
| H0031 |
Mental health assessment, by non-physician |
24 |
21 |
$0.00 |
| 82043 |
|
1,427 |
1,343 |
$0.00 |
| 86592 |
|
1,045 |
985 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,500 |
1,392 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
748 |
669 |
$0.00 |
| 3074F |
|
2,193 |
2,068 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
346 |
302 |
$0.00 |
| 87430 |
|
67 |
64 |
$0.00 |
| 90698 |
|
205 |
179 |
$0.00 |
| 90686 |
|
1,955 |
1,859 |
$0.00 |
| 90656 |
|
204 |
148 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,925 |
1,800 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,114 |
1,036 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,518 |
6,087 |
$0.00 |
| 90680 |
|
411 |
399 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
14,529 |
13,009 |
$0.00 |
| 90474 |
|
478 |
457 |
$0.00 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
780 |
433 |
$0.00 |
| 90697 |
|
206 |
197 |
$0.00 |
| 86803 |
|
205 |
159 |
$0.00 |
| 86780 |
|
241 |
219 |
$0.00 |
| 3075F |
|
602 |
587 |
$0.00 |
| 1125F |
|
735 |
701 |
$0.00 |
| 81001 |
|
729 |
668 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,931 |
1,798 |
$0.00 |
| 82607 |
|
137 |
131 |
$0.00 |
| 3079F |
|
838 |
804 |
$0.00 |
| 87340 |
|
121 |
108 |
$0.00 |
| 90674 |
|
470 |
420 |
$0.00 |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
96 |
95 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
40 |
33 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
387 |
327 |
$0.00 |
| 85027 |
|
268 |
250 |
$0.00 |
| 90744 |
|
61 |
52 |
$0.00 |
| 1126F |
|
2,706 |
2,534 |
$0.00 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
195 |
171 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
99 |
98 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
48 |
44 |
$0.00 |
| 87081 |
|
12 |
12 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
441 |
259 |
$0.00 |
| 3080F |
|
238 |
224 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
29 |
25 |
$0.00 |
| 84153 |
|
26 |
26 |
$0.00 |
| 3048F |
|
30 |
30 |
$0.00 |
| 0134A |
|
12 |
12 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
34 |
33 |
$0.00 |
| 0031A |
|
44 |
32 |
$0.00 |
| 3044F |
|
47 |
47 |
$0.00 |
| 90732 |
|
12 |
12 |
$0.00 |
| 83550 |
|
20 |
20 |
$0.00 |
| 99385 |
|
47 |
25 |
$0.00 |
| 90677 |
|
13 |
13 |
$0.00 |
| 84480 |
|
16 |
13 |
$0.00 |
| T1002 |
Rn services, up to 15 minutes |
13 |
12 |
$0.00 |
| 85018 |
|
24 |
15 |
$0.00 |