| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
229,356 |
176,141 |
$33.34M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
100,531 |
77,831 |
$4.18M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
20,231 |
19,112 |
$1.85M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
18,973 |
18,711 |
$1.40M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,146 |
22,678 |
$1.32M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15,080 |
14,783 |
$1.12M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
10,794 |
10,498 |
$835K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,232 |
1,141 |
$631K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
90,777 |
41,012 |
$502K |
| 99381 |
|
4,326 |
4,129 |
$477K |
| 59430 |
|
4,907 |
4,519 |
$361K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,282 |
5,822 |
$240K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,028 |
2,481 |
$204K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,975 |
1,539 |
$179K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
4,154 |
3,274 |
$167K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,326 |
2,087 |
$141K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,059 |
1,948 |
$107K |
| 90791 |
Psychiatric diagnostic evaluation |
1,204 |
1,169 |
$106K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,767 |
1,660 |
$104K |
| 90461 |
|
60,524 |
23,213 |
$101K |
| 99383 |
|
1,224 |
1,187 |
$99K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
3,834 |
2,819 |
$91K |
| 99384 |
|
967 |
927 |
$80K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12,858 |
6,228 |
$72K |
| 99382 |
|
670 |
653 |
$54K |
| 99215 |
Prolong outpt/office vis |
793 |
698 |
$51K |
| 99460 |
|
659 |
635 |
$46K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
528 |
480 |
$43K |
| 90715 |
|
5,852 |
5,715 |
$42K |
| 59025 |
Fetal non-stress test |
2,711 |
1,412 |
$41K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
9,017 |
8,664 |
$37K |
| 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 |
1,065 |
959 |
$33K |
| 59514 |
|
41 |
37 |
$23K |
| 99221 |
|
509 |
374 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,429 |
3,301 |
$21K |
| 99385 |
|
322 |
284 |
$19K |
| 90651 |
|
4,913 |
4,820 |
$18K |
| D0999 |
Unspecified diagnostic procedure, by report |
156 |
134 |
$15K |
| 90677 |
|
3,767 |
3,677 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,044 |
2,764 |
$12K |
| 90686 |
|
14,165 |
13,928 |
$11K |
| 90832 |
Psychotherapy, 30 minutes with patient |
190 |
169 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
193 |
181 |
$8K |
| 87807 |
|
1,827 |
1,767 |
$8K |
| 54150 |
|
63 |
62 |
$4K |
| 81025 |
|
2,774 |
2,636 |
$4K |
| 81003 |
|
5,417 |
4,451 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,179 |
5,969 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
113 |
109 |
$3K |
| 90682 |
|
153 |
152 |
$2K |
| 90656 |
|
2,228 |
2,196 |
$2K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
14 |
12 |
$2K |
| 90619 |
|
2,284 |
2,231 |
$1K |
| 99429 |
|
69 |
69 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
29 |
24 |
$1K |
| 90697 |
|
6,563 |
6,452 |
$921.85 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
80 |
64 |
$706.40 |
| 88720 |
|
300 |
219 |
$686.32 |
| 99406 |
|
181 |
171 |
$606.52 |
| 92551 |
|
604 |
589 |
$578.05 |
| 91320 |
|
25 |
25 |
$524.40 |
| 11982 |
|
13 |
13 |
$514.65 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
727 |
560 |
$428.84 |
| 99462 |
|
15 |
13 |
$427.02 |
| 11981 |
|
24 |
24 |
$425.79 |
| 90620 |
|
1,090 |
1,050 |
$390.48 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$327.30 |
| 96160 |
|
244 |
233 |
$288.17 |
| D0210 |
Intraoral - complete series of radiographic images |
16 |
13 |
$282.56 |
| 90707 |
|
3,138 |
3,113 |
$272.52 |
| D1208 |
Topical application of fluoride, excluding varnish |
46 |
41 |
$264.60 |
| D1120 |
Prophylaxis - child |
13 |
12 |
$257.25 |
| 90634 |
|
12 |
12 |
$153.59 |
| 90480 |
|
27 |
27 |
$147.53 |
| 90734 |
|
2,411 |
2,358 |
$129.01 |
| 58300 |
|
260 |
228 |
$82.86 |
| 86850 |
|
52 |
49 |
$49.62 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$37.68 |
| 82105 |
|
25 |
24 |
$28.18 |
| 90744 |
|
2,155 |
2,128 |
$26.58 |
| D1330 |
|
28 |
28 |
$24.50 |
| D0230 |
Intraoral - periapical each additional radiographic image |
13 |
13 |
$23.02 |
| 96161 |
|
35 |
31 |
$18.00 |
| 90688 |
|
106 |
106 |
$17.18 |
| 86900 |
|
51 |
47 |
$15.06 |
| 86901 |
|
51 |
47 |
$15.06 |
| 87210 |
|
14 |
13 |
$9.78 |
| 86580 |
|
13 |
12 |
$6.46 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
286 |
234 |
$1.39 |
| 96380 |
|
109 |
107 |
$0.47 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,579 |
1,395 |
$0.16 |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
12 |
12 |
$0.07 |
| 90670 |
|
11,521 |
11,361 |
$0.01 |
| 90681 |
|
7,364 |
7,210 |
$0.01 |
| 90698 |
|
6,501 |
6,425 |
$0.01 |
| 90633 |
|
7,250 |
7,164 |
$0.00 |
| 90710 |
|
3,797 |
3,733 |
$0.00 |
| 99173 |
|
602 |
589 |
$0.00 |
| 3078F |
|
1,582 |
1,483 |
$0.00 |
| 90648 |
|
261 |
259 |
$0.00 |
| 90380 |
|
86 |
83 |
$0.00 |
| 90700 |
|
619 |
614 |
$0.00 |
| 90658 |
|
34 |
34 |
$0.00 |
| 90672 |
|
85 |
84 |
$0.00 |
| 97803 |
|
16 |
16 |
$0.00 |
| 3077F |
|
47 |
46 |
$0.00 |
| 90716 |
|
3,153 |
3,126 |
$0.00 |
| 90696 |
|
3,123 |
3,077 |
$0.00 |
| 3080F |
|
17 |
17 |
$0.00 |
| 90723 |
|
356 |
355 |
$0.00 |
| 90680 |
|
426 |
418 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
28 |
28 |
$0.00 |
| 3079F |
|
163 |
154 |
$0.00 |
| 90647 |
|
347 |
347 |
$0.00 |
| 96127 |
|
219 |
186 |
$0.00 |
| 90381 |
|
71 |
69 |
$0.00 |
| D1310 |
|
40 |
40 |
$0.00 |
| 3074F |
|
1,661 |
1,557 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
224 |
205 |
$0.00 |
| D0603 |
|
156 |
132 |
$0.00 |
| 1111F |
|
63 |
48 |
$0.00 |
| 82962 |
|
13 |
12 |
$0.00 |
| 3075F |
|
58 |
57 |
$0.00 |
| 97802 |
|
39 |
31 |
$0.00 |