| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
125,888 |
86,317 |
$16.69M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58,042 |
42,528 |
$1.25M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,024 |
16,743 |
$344K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,629 |
4,792 |
$155K |
| 90834 |
Psychotherapy, 45 minutes with patient |
11,782 |
7,298 |
$152K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,958 |
4,972 |
$124K |
| 90686 |
|
3,274 |
2,898 |
$115K |
| 96127 |
|
10,860 |
9,022 |
$110K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
2,294 |
2,017 |
$101K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,583 |
1,407 |
$95K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,188 |
1,946 |
$81K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,411 |
2,834 |
$79K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,238 |
2,792 |
$78K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,782 |
2,368 |
$73K |
| 81002 |
|
2,050 |
1,811 |
$71K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,840 |
1,618 |
$61K |
| 3008F |
|
2,966 |
2,449 |
$53K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,482 |
1,335 |
$52K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,955 |
1,320 |
$45K |
| 81025 |
|
2,171 |
1,814 |
$44K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
53 |
50 |
$40K |
| 90715 |
|
907 |
759 |
$38K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
699 |
622 |
$36K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,144 |
1,730 |
$35K |
| 90649 |
|
767 |
651 |
$34K |
| 90791 |
Psychiatric diagnostic evaluation |
1,221 |
1,007 |
$33K |
| 90734 |
|
797 |
673 |
$32K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
974 |
902 |
$31K |
| 1090F |
|
653 |
565 |
$29K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,036 |
941 |
$28K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,979 |
2,522 |
$28K |
| 90633 |
|
633 |
582 |
$27K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
970 |
866 |
$26K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,636 |
1,294 |
$25K |
| 90670 |
|
851 |
790 |
$25K |
| 99406 |
|
2,091 |
1,852 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
756 |
631 |
$17K |
| 90648 |
|
472 |
436 |
$16K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
246 |
212 |
$15K |
| 90710 |
|
311 |
283 |
$14K |
| 82948 |
|
243 |
213 |
$14K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
280 |
256 |
$14K |
| 90723 |
|
273 |
256 |
$11K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
361 |
343 |
$9K |
| 90632 |
|
184 |
174 |
$9K |
| 90685 |
|
122 |
116 |
$9K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
502 |
475 |
$7K |
| 90473 |
|
255 |
253 |
$7K |
| 99385 |
|
65 |
58 |
$4K |
| 87210 |
|
99 |
81 |
$4K |
| 90680 |
|
118 |
109 |
$4K |
| 76830 |
Ultrasound, transvaginal |
51 |
48 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
40 |
40 |
$4K |
| 90681 |
|
91 |
91 |
$4K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
63 |
56 |
$4K |
| 3044F |
|
93 |
85 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
109 |
96 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
69 |
66 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
69 |
57 |
$3K |
| 99383 |
|
57 |
56 |
$3K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
51 |
48 |
$3K |
| 90698 |
|
60 |
58 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
47 |
47 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
251 |
237 |
$2K |
| D0330 |
Panoramic radiographic image |
103 |
102 |
$2K |
| 90636 |
|
13 |
13 |
$2K |
| T1016 |
Case management, each 15 minutes |
112 |
67 |
$2K |
| 99381 |
|
42 |
38 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
24 |
12 |
$2K |
| 90700 |
|
32 |
30 |
$1K |
| 85018 |
|
14 |
14 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
111 |
108 |
$892.86 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$741.94 |
| 99384 |
|
30 |
26 |
$727.40 |
| 92551 |
|
22 |
13 |
$727.40 |
| 90732 |
|
15 |
15 |
$726.00 |
| 3045F |
|
15 |
14 |
$717.70 |
| 0031A |
|
30 |
16 |
$640.00 |
| 99173 |
|
17 |
12 |
$581.92 |
| 59025 |
Fetal non-stress test |
18 |
13 |
$281.58 |
| 0072A |
|
33 |
27 |
$280.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
91 |
88 |
$211.89 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,090 |
856 |
$137.58 |
| D1110 |
Prophylaxis - adult |
118 |
115 |
$102.00 |
| 0071A |
|
54 |
47 |
$88.00 |
| 90656 |
|
76 |
71 |
$20.12 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
50 |
50 |
$0.00 |
| 3078F |
|
103 |
97 |
$0.00 |
| 11981 |
|
14 |
14 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
29 |
29 |
$0.00 |
| 90621 |
|
12 |
12 |
$0.00 |
| 90651 |
|
15 |
12 |
$0.00 |
| 90688 |
|
71 |
69 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
137 |
130 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
106 |
103 |
$0.00 |
| 3074F |
|
146 |
133 |
$0.00 |
| 1036F |
|
105 |
98 |
$0.00 |
| 3079F |
|
64 |
56 |
$0.00 |
| 3075F |
|
13 |
13 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
34 |
13 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
25 |
25 |
$0.00 |