| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
59,092 |
52,565 |
$5.66M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52,999 |
47,739 |
$198K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,570 |
2,569 |
$126K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,803 |
2,800 |
$120K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,541 |
15,672 |
$103K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,512 |
2,499 |
$97K |
| 59425 |
|
1,125 |
683 |
$84K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,226 |
1,223 |
$71K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
975 |
974 |
$67K |
| 90686 |
|
5,855 |
5,849 |
$60K |
| 76830 |
Ultrasound, transvaginal |
1,005 |
1,003 |
$59K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,129 |
1,112 |
$46K |
| 90715 |
|
1,573 |
1,570 |
$40K |
| 90651 |
|
1,657 |
1,656 |
$40K |
| 92551 |
|
6,127 |
6,111 |
$36K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,391 |
1,391 |
$36K |
| 90750 |
|
219 |
219 |
$35K |
| 93975 |
|
164 |
163 |
$28K |
| 76536 |
|
465 |
464 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
317 |
316 |
$24K |
| 99406 |
|
2,085 |
1,929 |
$23K |
| 90670 |
|
1,309 |
1,287 |
$19K |
| 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 |
4,180 |
3,682 |
$18K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
721 |
649 |
$17K |
| 92250 |
|
167 |
167 |
$9K |
| 90734 |
|
729 |
727 |
$9K |
| 0064A |
|
166 |
103 |
$9K |
| 82274 |
|
431 |
431 |
$7K |
| 0969 |
|
101 |
58 |
$7K |
| 90633 |
|
845 |
836 |
$7K |
| 0071A |
|
137 |
86 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,042 |
3,976 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,648 |
3,434 |
$6K |
| 90685 |
|
1,177 |
1,175 |
$6K |
| 0072A |
|
117 |
60 |
$6K |
| 81025 |
|
1,905 |
1,852 |
$6K |
| 90698 |
|
651 |
635 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
291 |
284 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
272 |
253 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
39 |
39 |
$5K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
61 |
40 |
$5K |
| 0054A |
|
88 |
52 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
86 |
86 |
$5K |
| 90710 |
|
554 |
550 |
$5K |
| 0124A |
|
66 |
66 |
$4K |
| 90677 |
|
91 |
91 |
$4K |
| 90744 |
|
445 |
438 |
$4K |
| 90480 |
|
104 |
104 |
$4K |
| 90688 |
|
229 |
229 |
$3K |
| 81002 |
|
4,939 |
4,039 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
51 |
50 |
$2K |
| 99173 |
|
2,338 |
2,337 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
155 |
155 |
$2K |
| 0134A |
|
27 |
27 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| D1206 |
Topical application of fluoride varnish |
71 |
71 |
$2K |
| 86580 |
|
554 |
536 |
$1K |
| 97802 |
|
32 |
32 |
$1K |
| 90696 |
|
126 |
123 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
24 |
24 |
$1K |
| 90662 |
|
83 |
83 |
$1K |
| 76801 |
|
16 |
15 |
$990.26 |
| J3490 |
Unclassified drugs |
40 |
40 |
$878.20 |
| 76770 |
|
12 |
12 |
$863.35 |
| 90680 |
|
84 |
84 |
$836.15 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
301 |
299 |
$785.24 |
| 90700 |
|
81 |
80 |
$729.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
37 |
37 |
$657.12 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
746 |
739 |
$502.65 |
| 96127 |
|
65 |
65 |
$381.77 |
| 90648 |
|
38 |
38 |
$342.00 |
| 90707 |
|
13 |
13 |
$284.73 |
| 72100 |
|
13 |
13 |
$280.21 |
| 85018 |
|
26 |
26 |
$112.06 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
108 |
108 |
$50.40 |
| 90656 |
|
271 |
271 |
$0.00 |
| Z1034 |
|
71 |
52 |
$0.00 |
| 17000 |
|
12 |
12 |
$0.00 |
| 96160 |
|
321 |
321 |
$0.00 |
| 91322 |
|
42 |
42 |
$0.00 |