| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
85,246 |
68,391 |
$24.86M |
| T1016 |
Case management, each 15 minutes |
1,182 |
915 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45,025 |
29,100 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16,331 |
9,812 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13,782 |
8,164 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12,427 |
7,384 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,434 |
6,303 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,260 |
12,419 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
9,541 |
5,582 |
$996.29 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12,030 |
10,628 |
$853.67 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22,906 |
20,039 |
$524.00 |
| 80053 |
Comprehensive metabolic panel |
3,102 |
2,882 |
$376.82 |
| 90474 |
|
4,769 |
4,274 |
$318.07 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,730 |
2,298 |
$182.46 |
| 99215 |
Prolong outpt/office vis |
2,604 |
2,175 |
$140.99 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
768 |
642 |
$112.06 |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,287 |
1,192 |
$50.43 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,909 |
8,365 |
$46.39 |
| 86850 |
|
487 |
442 |
$0.00 |
| 90723 |
|
2,199 |
1,879 |
$0.00 |
| 87430 |
|
1,036 |
956 |
$0.00 |
| 90686 |
|
8,171 |
7,155 |
$0.00 |
| 1125F |
|
55 |
55 |
$0.00 |
| 3074F |
|
4,477 |
4,084 |
$0.00 |
| 86780 |
|
474 |
420 |
$0.00 |
| 86803 |
|
661 |
639 |
$0.00 |
| 85027 |
|
2,346 |
2,216 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,858 |
1,705 |
$0.00 |
| 87340 |
|
1,026 |
949 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,439 |
1,325 |
$0.00 |
| 90680 |
|
4,741 |
4,240 |
$0.00 |
| 90698 |
|
3,043 |
2,747 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
17,507 |
15,766 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,769 |
3,573 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
414 |
383 |
$0.00 |
| 86580 |
|
1,903 |
1,786 |
$0.00 |
| 1126F |
|
6,477 |
5,756 |
$0.00 |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
962 |
866 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
3,635 |
3,418 |
$0.00 |
| 86592 |
|
1,577 |
1,457 |
$0.00 |
| 90716 |
|
1,378 |
1,242 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
344 |
343 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
611 |
555 |
$0.00 |
| 3079F |
|
444 |
422 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
281 |
248 |
$0.00 |
| 90696 |
|
1,301 |
1,165 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
908 |
876 |
$0.00 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
2,273 |
1,082 |
$0.00 |
| 99383 |
|
365 |
203 |
$0.00 |
| 87081 |
|
769 |
718 |
$0.00 |
| 86901 |
|
458 |
414 |
$0.00 |
| 86762 |
|
337 |
316 |
$0.00 |
| 82950 |
|
109 |
107 |
$0.00 |
| 90697 |
|
748 |
723 |
$0.00 |
| 90677 |
|
162 |
121 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
64 |
54 |
$0.00 |
| 99384 |
|
154 |
89 |
$0.00 |
| 3075F |
|
141 |
136 |
$0.00 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
415 |
385 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
239 |
127 |
$0.00 |
| 99381 |
|
106 |
61 |
$0.00 |
| 90674 |
|
167 |
147 |
$0.00 |
| 90733 |
|
149 |
93 |
$0.00 |
| 82728 |
|
77 |
57 |
$0.00 |
| 76830 |
Ultrasound, transvaginal |
31 |
27 |
$0.00 |
| 3044F |
|
18 |
18 |
$0.00 |
| 90744 |
|
25 |
19 |
$0.00 |
| 90656 |
|
292 |
251 |
$0.00 |
| 90688 |
|
149 |
139 |
$0.00 |
| 87205 |
|
13 |
12 |
$0.00 |
| 83655 |
|
3,672 |
3,465 |
$0.00 |
| 86480 |
|
1,605 |
1,527 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
687 |
568 |
$0.00 |
| 81025 |
|
3,178 |
2,910 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
3,637 |
3,420 |
$0.00 |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
245 |
242 |
$0.00 |
| 84030 |
|
1,328 |
1,274 |
$0.00 |
| 85007 |
|
2,347 |
2,216 |
$0.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
44 |
40 |
$0.00 |
| 81003 |
|
4,973 |
3,654 |
$0.00 |
| 1159F |
|
6,593 |
5,160 |
$0.00 |
| 87481 |
|
281 |
248 |
$0.00 |
| 90734 |
|
1,196 |
1,061 |
$0.00 |
| H2027 |
Psychoeducational service, per 15 minutes |
13 |
13 |
$0.00 |
| 80061 |
Lipid panel |
4,487 |
4,262 |
$0.00 |
| 90633 |
|
3,059 |
2,734 |
$0.00 |
| 90710 |
|
1,354 |
1,215 |
$0.00 |
| 90671 |
|
903 |
857 |
$0.00 |
| 90648 |
|
2,308 |
1,975 |
$0.00 |
| 93975 |
|
103 |
88 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
264 |
127 |
$0.00 |
| 90649 |
|
2,182 |
1,989 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
223 |
139 |
$0.00 |
| 90670 |
|
5,473 |
4,874 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
297 |
281 |
$0.00 |
| 90715 |
|
1,540 |
1,406 |
$0.00 |
| 93976 |
|
39 |
38 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
1,081 |
972 |
$0.00 |
| 90707 |
|
1,528 |
1,380 |
$0.00 |
| 87653 |
|
27 |
27 |
$0.00 |
| 3078F |
|
4,269 |
3,917 |
$0.00 |
| 1160F |
|
4,161 |
3,742 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
224 |
114 |
$0.00 |
| H2014 |
Skills training and development, per 15 minutes |
222 |
112 |
$0.00 |
| 82247 |
|
505 |
364 |
$0.00 |
| 82248 |
|
535 |
387 |
$0.00 |
| 86900 |
|
458 |
414 |
$0.00 |
| H0031 |
Mental health assessment, by non-physician |
211 |
194 |
$0.00 |
| 99382 |
|
24 |
14 |
$0.00 |
| 81513 |
|
281 |
248 |
$0.00 |
| 83540 |
|
169 |
163 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
214 |
95 |
$0.00 |
| 84439 |
|
77 |
70 |
$0.00 |
| 90700 |
|
132 |
119 |
$0.00 |
| 87631 |
|
111 |
110 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
177 |
85 |
$0.00 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
113 |
111 |
$0.00 |
| 84702 |
|
59 |
44 |
$0.00 |