| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
114,049 |
90,158 |
$19.34M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48,804 |
39,301 |
$1.45M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,853 |
9,783 |
$518K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,873 |
12,165 |
$495K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,673 |
8,561 |
$456K |
| D0999 |
Unspecified diagnostic procedure, by report |
1,994 |
1,652 |
$404K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,259 |
6,206 |
$365K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,335 |
10,405 |
$293K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,696 |
3,573 |
$239K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
286 |
286 |
$170K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
23,239 |
11,517 |
$151K |
| 99381 |
|
2,135 |
2,098 |
$124K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
38,783 |
23,076 |
$124K |
| 59430 |
|
1,535 |
1,470 |
$98K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13,144 |
12,559 |
$84K |
| 99383 |
|
954 |
941 |
$62K |
| 90837 |
Psychotherapy, 53 minutes with patient |
683 |
569 |
$57K |
| 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 |
1,459 |
1,340 |
$49K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,064 |
1,041 |
$46K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
780 |
766 |
$41K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
6,170 |
5,923 |
$36K |
| 99382 |
|
536 |
529 |
$33K |
| 59025 |
Fetal non-stress test |
1,583 |
912 |
$33K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,871 |
1,800 |
$29K |
| 99384 |
|
326 |
320 |
$25K |
| 90461 |
|
13,997 |
13,235 |
$23K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
570 |
562 |
$19K |
| 90834 |
Psychotherapy, 45 minutes with patient |
352 |
306 |
$19K |
| 59514 |
|
26 |
25 |
$18K |
| 87807 |
|
3,842 |
3,663 |
$17K |
| 83655 |
|
4,729 |
4,670 |
$17K |
| 81003 |
|
16,978 |
10,416 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
175 |
166 |
$15K |
| 81025 |
|
3,507 |
3,179 |
$9K |
| 90832 |
Psychotherapy, 30 minutes with patient |
147 |
129 |
$7K |
| 90791 |
Psychiatric diagnostic evaluation |
94 |
90 |
$6K |
| 83037 |
|
1,080 |
1,057 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,301 |
1,105 |
$4K |
| 0071A |
|
131 |
131 |
$3K |
| 90480 |
|
120 |
120 |
$2K |
| 0072A |
|
113 |
112 |
$2K |
| 0081A |
|
63 |
61 |
$1K |
| 90651 |
|
1,697 |
1,669 |
$1K |
| 99215 |
Prolong outpt/office vis |
16 |
16 |
$1K |
| 88720 |
|
2,536 |
1,788 |
$996.97 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,237 |
1,067 |
$845.49 |
| 85018 |
|
8,496 |
8,302 |
$707.96 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,634 |
2,558 |
$667.65 |
| 90715 |
|
2,527 |
2,489 |
$604.10 |
| 0082A |
|
27 |
27 |
$520.00 |
| 90621 |
|
632 |
615 |
$503.94 |
| 90688 |
|
1,433 |
1,417 |
$473.22 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
467 |
461 |
$463.50 |
| 0173A |
|
14 |
13 |
$360.00 |
| 90658 |
|
143 |
143 |
$282.36 |
| 81002 |
|
234 |
228 |
$273.87 |
| 0011A |
|
14 |
13 |
$240.00 |
| 82043 |
|
70 |
69 |
$179.82 |
| J0558 |
Injection, penicillin g benzathine and penicillin g procaine, 100,000 units |
14 |
14 |
$166.92 |
| CP003 |
|
15 |
13 |
$119.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
305 |
250 |
$99.46 |
| 90723 |
|
2,328 |
2,299 |
$95.28 |
| D1206 |
Topical application of fluoride varnish |
423 |
416 |
$14.70 |
| 91317 |
|
14 |
13 |
$13.10 |
| 82947 |
|
12 |
12 |
$9.90 |
| 90473 |
|
4,667 |
4,610 |
$7.84 |
| 90619 |
|
1,029 |
1,008 |
$5.78 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
74 |
73 |
$1.88 |
| 92551 |
|
451 |
451 |
$0.32 |
| 90686 |
|
7,039 |
6,953 |
$0.05 |
| 90633 |
|
4,574 |
4,524 |
$0.01 |
| 90648 |
|
3,974 |
3,925 |
$0.00 |
| 3078F |
|
3,935 |
2,924 |
$0.00 |
| 90681 |
|
898 |
896 |
$0.00 |
| 90707 |
|
1,721 |
1,696 |
$0.00 |
| 90649 |
|
1,154 |
1,137 |
$0.00 |
| 90734 |
|
927 |
907 |
$0.00 |
| 90670 |
|
6,331 |
6,244 |
$0.00 |
| 0502F |
|
6,216 |
3,298 |
$0.00 |
| 90685 |
|
239 |
238 |
$0.00 |
| 90710 |
|
2,134 |
2,109 |
$0.00 |
| J7610 |
Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg |
56 |
55 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
326 |
323 |
$0.00 |
| 90687 |
|
217 |
214 |
$0.00 |
| 90700 |
|
1,910 |
1,888 |
$0.00 |
| 90713 |
|
26 |
26 |
$0.00 |
| 3028F |
|
4,139 |
3,923 |
$0.00 |
| D0330 |
Panoramic radiographic image |
50 |
48 |
$0.00 |
| D1120 |
Prophylaxis - child |
253 |
247 |
$0.00 |
| 91308 |
|
30 |
29 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
91 |
87 |
$0.00 |
| 3077F |
|
252 |
237 |
$0.00 |
| 99188 |
|
68 |
67 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
41 |
41 |
$0.00 |
| 90716 |
|
1,815 |
1,790 |
$0.00 |
| 90696 |
|
1,733 |
1,707 |
$0.00 |
| 90697 |
|
1,499 |
1,495 |
$0.00 |
| 3075F |
|
342 |
321 |
$0.00 |
| 3079F |
|
1,345 |
1,196 |
$0.00 |
| 90677 |
|
1,992 |
1,987 |
$0.00 |
| 0500F |
|
548 |
511 |
$0.00 |
| 3074F |
|
4,769 |
3,506 |
$0.00 |
| D0601 |
|
687 |
655 |
$0.00 |
| 90698 |
|
2,495 |
2,473 |
$0.00 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
922 |
906 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
362 |
356 |
$0.00 |
| 99174 |
|
551 |
546 |
$0.00 |
| 90680 |
|
3,727 |
3,678 |
$0.00 |
| D0603 |
|
159 |
154 |
$0.00 |
| 90744 |
|
518 |
511 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
404 |
391 |
$0.00 |
| 0503F |
|
743 |
704 |
$0.00 |
| 99024 |
|
228 |
177 |
$0.00 |
| 3080F |
|
87 |
81 |
$0.00 |
| 90656 |
|
666 |
664 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
171 |
168 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 90647 |
|
26 |
23 |
$0.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
13 |
13 |
$0.00 |
| 91318 |
|
24 |
24 |
$0.00 |
| 91319 |
|
13 |
13 |
$0.00 |