| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
65,195 |
47,866 |
$17.07M |
| T1016 |
Case management, each 15 minutes |
682 |
496 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,354 |
22,672 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
585 |
343 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,697 |
15,112 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,216 |
1,358 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,161 |
2,438 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,060 |
3,561 |
$700.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
982 |
592 |
$447.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
214 |
205 |
$320.00 |
| 80053 |
Comprehensive metabolic panel |
7,967 |
7,497 |
$277.08 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,464 |
2,214 |
$171.03 |
| 86480 |
|
223 |
219 |
$126.28 |
| 96150 |
|
65 |
32 |
$90.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
703 |
654 |
$81.35 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,822 |
1,503 |
$34.54 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,591 |
5,073 |
$33.98 |
| 90685 |
|
83 |
78 |
$15.59 |
| 36415 |
Collection of venous blood by venipuncture |
13,742 |
12,298 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,444 |
6,956 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
125 |
123 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,403 |
1,322 |
$0.00 |
| 86803 |
|
418 |
381 |
$0.00 |
| 82043 |
|
934 |
889 |
$0.00 |
| 3075F |
|
563 |
543 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
62 |
37 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
5,323 |
4,974 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,097 |
5,765 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
377 |
339 |
$0.00 |
| 82607 |
|
511 |
478 |
$0.00 |
| 87340 |
|
37 |
37 |
$0.00 |
| 90686 |
|
1,411 |
1,357 |
$0.00 |
| 81001 |
|
668 |
593 |
$0.00 |
| 90680 |
|
185 |
169 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
693 |
483 |
$0.00 |
| 86592 |
|
1,048 |
998 |
$0.00 |
| 82746 |
|
217 |
204 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,861 |
1,701 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
396 |
267 |
$0.00 |
| 85027 |
|
588 |
528 |
$0.00 |
| 1126F |
|
1,997 |
1,889 |
$0.00 |
| 3079F |
|
937 |
879 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
750 |
691 |
$0.00 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
5,728 |
2,812 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
3,053 |
2,876 |
$0.00 |
| 1125F |
|
632 |
603 |
$0.00 |
| 87536 |
|
490 |
456 |
$0.00 |
| 90697 |
|
180 |
171 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
202 |
159 |
$0.00 |
| 86780 |
|
474 |
398 |
$0.00 |
| 3074F |
|
2,076 |
1,937 |
$0.00 |
| 90474 |
|
232 |
205 |
$0.00 |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
843 |
526 |
$0.00 |
| 3080F |
|
305 |
290 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
36 |
26 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
132 |
121 |
$0.00 |
| 90674 |
|
349 |
286 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
184 |
180 |
$0.00 |
| 90656 |
|
109 |
82 |
$0.00 |
| 90723 |
|
202 |
174 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
135 |
90 |
$0.00 |
| 90732 |
|
26 |
26 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
129 |
118 |
$0.00 |
| 99417 |
Prolong home eval add 15m |
64 |
60 |
$0.00 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
238 |
204 |
$0.00 |
| 83550 |
|
83 |
79 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
226 |
98 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
91 |
90 |
$0.00 |
| 82728 |
|
130 |
119 |
$0.00 |
| 83001 |
|
12 |
12 |
$0.00 |
| 87430 |
|
48 |
45 |
$0.00 |
| 0064A |
|
29 |
26 |
$0.00 |
| 0031A |
|
24 |
19 |
$0.00 |
| 3044F |
|
27 |
27 |
$0.00 |
| 99385 |
|
47 |
25 |
$0.00 |
| 0012A |
|
15 |
15 |
$0.00 |
| 99381 |
|
24 |
14 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
31 |
31 |
$0.00 |
| 0011A |
|
12 |
12 |
$0.00 |
| 84270 |
|
13 |
13 |
$0.00 |
| 99384 |
|
20 |
12 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
15 |
15 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,862 |
1,702 |
$0.00 |
| 82570 |
|
1,015 |
958 |
$0.00 |
| 82274 |
|
153 |
136 |
$0.00 |
| 90715 |
|
369 |
357 |
$0.00 |
| D0270 |
|
42 |
27 |
$0.00 |
| 3077F |
|
441 |
419 |
$0.00 |
| D1110 |
Prophylaxis - adult |
15 |
13 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,339 |
608 |
$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 |
162 |
158 |
$0.00 |
| 86360 |
|
500 |
468 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
848 |
531 |
$0.00 |
| 80061 |
Lipid panel |
6,299 |
5,948 |
$0.00 |
| 3078F |
|
1,803 |
1,691 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
1,382 |
1,242 |
$0.00 |
| 1159F |
|
4,482 |
3,871 |
$0.00 |
| 84439 |
|
315 |
298 |
$0.00 |
| D0330 |
Panoramic radiographic image |
131 |
101 |
$0.00 |
| 86359 |
|
500 |
468 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,497 |
879 |
$0.00 |
| 85007 |
|
588 |
528 |
$0.00 |
| 81003 |
|
1,573 |
1,348 |
$0.00 |
| 90670 |
|
548 |
498 |
$0.00 |
| 1160F |
|
3,922 |
3,566 |
$0.00 |
| H2027 |
Psychoeducational service, per 15 minutes |
816 |
573 |
$0.00 |
| 90648 |
|
435 |
391 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
399 |
171 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
897 |
665 |
$0.00 |
| 81025 |
|
702 |
642 |
$0.00 |
| 80074 |
|
388 |
367 |
$0.00 |
| 85610 |
|
75 |
65 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
524 |
461 |
$0.00 |
| 86703 |
|
166 |
163 |
$0.00 |
| H2014 |
Skills training and development, per 15 minutes |
109 |
80 |
$0.00 |
| 90671 |
|
108 |
101 |
$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 |
204 |
201 |
$0.00 |
| 90681 |
|
52 |
42 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
131 |
129 |
$0.00 |
| 83540 |
|
97 |
93 |
$0.00 |
| H0031 |
Mental health assessment, by non-physician |
62 |
57 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
341 |
155 |
$0.00 |
| 90633 |
|
70 |
55 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
93 |
53 |
$0.00 |
| 87631 |
|
43 |
43 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
32 |
12 |
$0.00 |
| 83655 |
|
31 |
25 |
$0.00 |
| 82652 |
|
20 |
17 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
48 |
38 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
21 |
13 |
$0.00 |
| 84403 |
|
13 |
13 |
$0.00 |
| 90649 |
|
17 |
15 |
$0.00 |
| 91322 |
|
16 |
12 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
13 |
12 |
$0.00 |