| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
67,958 |
54,303 |
$15.08M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29,235 |
26,057 |
$582K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,926 |
22,304 |
$452K |
| 99215 |
Prolong outpt/office vis |
2,560 |
2,157 |
$64K |
| G0008 |
Administration of influenza virus vaccine |
4,157 |
4,116 |
$58K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,863 |
2,787 |
$57K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
744 |
616 |
$53K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,877 |
2,690 |
$53K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,237 |
2,194 |
$45K |
| G0009 |
Administration of pneumococcal vaccine |
2,203 |
2,154 |
$26K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,220 |
945 |
$26K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
787 |
779 |
$21K |
| 90656 |
|
377 |
371 |
$16K |
| 20610 |
|
939 |
866 |
$14K |
| 11721 |
|
714 |
687 |
$13K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,416 |
1,016 |
$13K |
| 90791 |
Psychiatric diagnostic evaluation |
727 |
715 |
$11K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,040 |
1,001 |
$11K |
| 90677 |
|
686 |
635 |
$11K |
| 91322 |
|
87 |
76 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,390 |
1,348 |
$7K |
| 96127 |
|
3,012 |
2,891 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,810 |
5,727 |
$6K |
| 90480 |
|
236 |
224 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,820 |
3,788 |
$6K |
| 90834 |
Psychotherapy, 45 minutes with patient |
479 |
412 |
$5K |
| 90686 |
|
3,861 |
3,848 |
$5K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
1,021 |
972 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
138 |
138 |
$5K |
| 0124A |
|
122 |
121 |
$4K |
| 90715 |
|
1,600 |
1,570 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,920 |
1,711 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,661 |
2,575 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
2,365 |
2,293 |
$3K |
| 90474 |
|
1,513 |
1,481 |
$3K |
| 0064A |
|
157 |
148 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,561 |
3,470 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,832 |
1,791 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,180 |
1,057 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
787 |
751 |
$2K |
| 90619 |
|
495 |
495 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
738 |
728 |
$1K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
43 |
43 |
$1K |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
186 |
182 |
$946.55 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,301 |
3,138 |
$889.84 |
| 92583 |
|
625 |
623 |
$838.50 |
| 99495 |
|
12 |
12 |
$827.61 |
| 99205 |
Prolong outpt/office vis |
107 |
107 |
$817.76 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,623 |
1,488 |
$745.04 |
| 96160 |
|
1,086 |
1,083 |
$744.78 |
| D0191 |
|
61 |
55 |
$734.12 |
| 0072A |
|
35 |
35 |
$665.64 |
| 0134A |
|
15 |
15 |
$554.70 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
134 |
123 |
$552.01 |
| 99188 |
|
1,183 |
1,121 |
$540.06 |
| D0145 |
Oral evaluation for a patient under three years of age |
602 |
595 |
$465.47 |
| 96161 |
|
1,006 |
995 |
$464.65 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
106 |
101 |
$418.42 |
| 69209 |
|
41 |
38 |
$394.49 |
| 96381 |
|
85 |
83 |
$250.67 |
| 90680 |
|
1,219 |
1,213 |
$226.13 |
| 90633 |
|
1,164 |
1,157 |
$223.01 |
| 0071A |
|
38 |
37 |
$148.54 |
| 99459 |
|
74 |
62 |
$129.64 |
| 90651 |
|
1,175 |
1,169 |
$119.83 |
| 99443 |
|
101 |
97 |
$101.97 |
| 36416 |
|
1,401 |
1,333 |
$91.42 |
| 99442 |
|
283 |
264 |
$80.97 |
| 0011A |
|
15 |
14 |
$74.58 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
17 |
16 |
$62.90 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
58 |
55 |
$60.10 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
19 |
18 |
$46.02 |
| 99177 |
|
2,048 |
1,979 |
$45.04 |
| 90734 |
|
388 |
384 |
$13.04 |
| 99441 |
|
119 |
117 |
$11.89 |
| D1206 |
Topical application of fluoride varnish |
831 |
810 |
$1.14 |
| 90670 |
|
1,563 |
1,554 |
$0.00 |
| 90707 |
|
264 |
263 |
$0.00 |
| 90710 |
|
275 |
275 |
$0.00 |
| 90681 |
|
323 |
289 |
$0.00 |
| 90671 |
|
219 |
217 |
$0.00 |
| 91300 |
|
37 |
32 |
$0.00 |
| 90682 |
|
14 |
14 |
$0.00 |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
17 |
13 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
32 |
15 |
$0.00 |
| 98968 |
|
36 |
25 |
$0.00 |
| 90698 |
|
962 |
958 |
$0.00 |
| 90744 |
|
419 |
416 |
$0.00 |
| 90716 |
|
293 |
290 |
$0.00 |
| 90697 |
|
278 |
275 |
$0.00 |
| 90696 |
|
185 |
185 |
$0.00 |
| 90381 |
|
39 |
39 |
$0.00 |
| 92551 |
|
166 |
142 |
$0.00 |
| 99024 |
|
60 |
51 |
$0.00 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
13 |
12 |
$0.00 |
| 91301 |
|
20 |
17 |
$0.00 |
| 0074A |
|
13 |
13 |
$0.00 |