| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
121,346 |
101,436 |
$12.18M |
| 99199 |
Unlisted special service, procedure or report |
416,121 |
242,105 |
$2.28M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,855 |
6,808 |
$618K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,540 |
5,748 |
$506K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,900 |
5,080 |
$452K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34,410 |
29,133 |
$402K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,362 |
3,689 |
$337K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16,667 |
14,106 |
$312K |
| D0145 |
Oral evaluation for a patient under three years of age |
4,685 |
4,194 |
$147K |
| 80061 |
Lipid panel |
7,541 |
6,610 |
$90K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13,319 |
11,983 |
$86K |
| 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 |
1,126 |
823 |
$81K |
| D1206 |
Topical application of fluoride varnish |
4,635 |
4,153 |
$64K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
11,756 |
10,316 |
$61K |
| 80053 |
Comprehensive metabolic panel |
6,365 |
5,691 |
$44K |
| 0071A |
|
1,147 |
574 |
$43K |
| 0002A |
|
977 |
550 |
$43K |
| 0072A |
|
1,019 |
511 |
$41K |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
2,166 |
1,758 |
$40K |
| 0001A |
|
866 |
525 |
$39K |
| 96127 |
|
21,029 |
16,704 |
$35K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
508 |
421 |
$26K |
| 0011A |
|
602 |
562 |
$23K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
537 |
497 |
$23K |
| U0005 |
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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
1,206 |
904 |
$23K |
| 0012A |
|
434 |
404 |
$21K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,674 |
1,429 |
$21K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
764 |
655 |
$20K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,824 |
2,515 |
$20K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
765 |
656 |
$19K |
| 99442 |
|
515 |
371 |
$16K |
| 82948 |
|
8,133 |
7,331 |
$16K |
| 0003A |
|
435 |
254 |
$15K |
| 83655 |
|
1,014 |
926 |
$15K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
644 |
551 |
$15K |
| 0013A |
|
468 |
343 |
$14K |
| 99384 |
|
167 |
140 |
$11K |
| 87536 |
|
438 |
379 |
$11K |
| 84439 |
|
826 |
689 |
$9K |
| 92551 |
|
13,435 |
11,466 |
$8K |
| 90474 |
|
807 |
687 |
$8K |
| 96161 |
|
2,263 |
1,914 |
$7K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
573 |
518 |
$7K |
| 99383 |
|
60 |
53 |
$6K |
| 84460 |
|
674 |
623 |
$5K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
718 |
641 |
$5K |
| 90686 |
|
21,126 |
17,852 |
$5K |
| 86803 |
|
298 |
269 |
$4K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
108 |
102 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
570 |
518 |
$3K |
| 87428 |
|
92 |
85 |
$3K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
4,551 |
3,468 |
$3K |
| 99173 |
|
13,685 |
11,693 |
$2K |
| 99381 |
|
35 |
29 |
$2K |
| 99441 |
|
84 |
58 |
$2K |
| 90480 |
|
205 |
187 |
$2K |
| 86361 |
|
75 |
65 |
$2K |
| 96160 |
|
616 |
530 |
$2K |
| 87081 |
|
237 |
237 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
156 |
145 |
$1K |
| 86780 |
|
245 |
200 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
103 |
98 |
$1K |
| 0031A |
|
21 |
20 |
$975.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
42 |
39 |
$714.85 |
| D0140 |
Limited oral evaluation - problem focused |
13 |
12 |
$402.73 |
| 91322 |
|
19 |
12 |
$395.52 |
| D0330 |
Panoramic radiographic image |
18 |
15 |
$309.75 |
| G9919 |
Screening performed and positive and provision of recommendations |
25 |
13 |
$264.74 |
| 90651 |
|
2,151 |
1,827 |
$246.34 |
| 82465 |
|
41 |
41 |
$228.13 |
| 84153 |
|
12 |
12 |
$204.12 |
| 0064A |
|
17 |
17 |
$192.00 |
| D0220 |
Intraoral - periapical first radiographic image |
18 |
16 |
$190.80 |
| 82728 |
|
12 |
12 |
$190.52 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
88 |
76 |
$159.31 |
| 83550 |
|
14 |
12 |
$111.10 |
| 83540 |
|
14 |
12 |
$82.40 |
| 85610 |
|
58 |
50 |
$80.00 |
| 84703 |
|
13 |
12 |
$66.41 |
| 90656 |
|
2,412 |
2,123 |
$39.10 |
| 91300 |
|
594 |
302 |
$12.86 |
| 91307 |
|
439 |
188 |
$8.40 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
16 |
12 |
$4.08 |
| 90723 |
|
3,427 |
2,968 |
$1.29 |
| 90647 |
|
3,247 |
2,786 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
168 |
152 |
$0.00 |
| 90619 |
|
459 |
377 |
$0.00 |
| 1000F |
|
804 |
733 |
$0.00 |
| 91301 |
|
731 |
705 |
$0.00 |
| 90677 |
|
835 |
774 |
$0.00 |
| 90716 |
|
111 |
97 |
$0.00 |
| 90696 |
|
37 |
29 |
$0.00 |
| 90744 |
|
16 |
14 |
$0.00 |
| 76830 |
Ultrasound, transvaginal |
15 |
13 |
$0.00 |
| 91303 |
|
18 |
16 |
$0.00 |
| 90670 |
|
5,034 |
4,328 |
$0.00 |
| 90715 |
|
356 |
283 |
$0.00 |
| 90633 |
|
1,441 |
1,173 |
$0.00 |
| 90681 |
|
848 |
722 |
$0.00 |
| 90734 |
|
930 |
718 |
$0.00 |
| 1003F |
|
4,375 |
3,799 |
$0.00 |
| 90685 |
|
193 |
184 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
254 |
225 |
$0.00 |
| G9920 |
Screening performed and negative |
84 |
75 |
$0.00 |
| 90713 |
|
14 |
14 |
$0.00 |
| 99078 |
|
146 |
121 |
$0.00 |
| 90710 |
|
38 |
30 |
$0.00 |
| 90707 |
|
43 |
43 |
$0.00 |
| 99408 |
|
19 |
12 |
$0.00 |
| 90700 |
|
70 |
65 |
$0.00 |