| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
65,587 |
58,608 |
$3.75M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,000 |
25,957 |
$157K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,681 |
15,840 |
$136K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,312 |
5,285 |
$48K |
| 90670 |
|
1,958 |
1,943 |
$45K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,009 |
2,998 |
$40K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,682 |
3,485 |
$32K |
| 90686 |
|
3,404 |
3,389 |
$23K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,856 |
4,825 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,354 |
1,353 |
$16K |
| 90651 |
|
263 |
263 |
$15K |
| 90671 |
|
671 |
671 |
$14K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
240 |
240 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
779 |
777 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
670 |
669 |
$10K |
| 91322 |
|
92 |
92 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,141 |
4,089 |
$7K |
| 87428 |
|
1,523 |
1,501 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,921 |
3,871 |
$6K |
| 90715 |
|
449 |
446 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
448 |
447 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
490 |
488 |
$5K |
| 90480 |
|
186 |
186 |
$4K |
| 0054A |
|
156 |
155 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,068 |
1,045 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,226 |
1,205 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,087 |
1,902 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,004 |
799 |
$3K |
| 90739 |
|
25 |
25 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
879 |
867 |
$2K |
| 0001A |
|
79 |
78 |
$2K |
| 98966 |
|
267 |
198 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
694 |
429 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
183 |
183 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
578 |
422 |
$1K |
| 0124A |
|
141 |
141 |
$1K |
| 0004A |
|
37 |
37 |
$1K |
| 90656 |
|
163 |
163 |
$1K |
| 96127 |
|
2,019 |
1,484 |
$1K |
| 0002A |
|
32 |
32 |
$1K |
| 81025 |
|
726 |
722 |
$670.22 |
| 81003 |
|
2,605 |
2,554 |
$591.08 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
127 |
126 |
$509.96 |
| 87807 |
|
178 |
176 |
$444.85 |
| 90716 |
|
71 |
69 |
$408.78 |
| 90707 |
|
81 |
81 |
$385.75 |
| G9002 |
Coordinated care fee, maintenance rate |
15 |
13 |
$323.52 |
| 0051A |
|
12 |
12 |
$300.24 |
| 99385 |
|
12 |
12 |
$298.11 |
| 0071A |
|
12 |
12 |
$264.95 |
| 92551 |
|
294 |
294 |
$254.64 |
| 90732 |
|
27 |
24 |
$215.50 |
| 99381 |
|
73 |
73 |
$173.44 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
226 |
217 |
$164.93 |
| 96380 |
|
29 |
29 |
$138.04 |
| 85018 |
|
301 |
301 |
$121.52 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
54 |
53 |
$43.55 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
140 |
136 |
$39.90 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
37 |
37 |
$16.08 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
54 |
52 |
$12.85 |
| 90473 |
|
27 |
27 |
$9.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$7.06 |
| 96161 |
|
15 |
15 |
$3.96 |
| 90698 |
|
994 |
983 |
$0.00 |
| 90680 |
|
1,697 |
1,686 |
$0.00 |
| 36416 |
|
769 |
767 |
$0.00 |
| 90744 |
|
660 |
652 |
$0.00 |
| 90723 |
|
894 |
894 |
$0.00 |
| 90696 |
|
37 |
37 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
15 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
12 |
12 |
$0.00 |
| 90648 |
|
1,187 |
1,187 |
$0.00 |
| 90461 |
|
3,005 |
2,994 |
$0.00 |
| 90633 |
|
819 |
817 |
$0.00 |
| 99173 |
|
160 |
160 |
$0.00 |
| 91300 |
|
230 |
218 |
$0.00 |
| 90710 |
|
27 |
27 |
$0.00 |
| 90685 |
|
173 |
165 |
$0.00 |
| 90700 |
|
117 |
117 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
17 |
12 |
$0.00 |
| 90734 |
|
26 |
26 |
$0.00 |