| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
102,302 |
73,562 |
$13.57M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48,089 |
34,904 |
$1.59M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13,250 |
12,533 |
$559K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
10,360 |
10,283 |
$357K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,532 |
7,856 |
$334K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,363 |
5,858 |
$204K |
| 99381 |
|
3,574 |
3,478 |
$149K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,872 |
3,849 |
$134K |
| 59430 |
|
2,101 |
1,964 |
$66K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,850 |
1,794 |
$56K |
| 81000 |
|
17,465 |
11,001 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,111 |
1,104 |
$33K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
845 |
823 |
$29K |
| D0999 |
Unspecified diagnostic procedure, by report |
225 |
212 |
$26K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
399 |
388 |
$21K |
| 90837 |
Psychotherapy, 53 minutes with patient |
804 |
511 |
$21K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
383 |
329 |
$14K |
| 99383 |
|
358 |
354 |
$14K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
27 |
27 |
$10K |
| 90834 |
Psychotherapy, 45 minutes with patient |
332 |
251 |
$8K |
| 96112 |
|
5,840 |
5,811 |
$8K |
| 90791 |
Psychiatric diagnostic evaluation |
234 |
229 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,332 |
1,294 |
$6K |
| 90686 |
|
4,287 |
4,236 |
$6K |
| 99382 |
|
198 |
195 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
226 |
222 |
$4K |
| 90670 |
|
6,052 |
5,976 |
$4K |
| 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 |
145 |
123 |
$4K |
| 84030 |
|
1,931 |
1,890 |
$4K |
| 99385 |
|
60 |
58 |
$3K |
| 88720 |
|
2,502 |
2,004 |
$3K |
| 92551 |
|
3,505 |
3,484 |
$2K |
| 99384 |
|
62 |
60 |
$2K |
| 90648 |
|
1,790 |
1,777 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14,716 |
10,599 |
$2K |
| 90633 |
|
2,654 |
2,632 |
$1K |
| 97803 |
|
6,510 |
6,356 |
$947.39 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
229 |
221 |
$890.26 |
| 90710 |
|
645 |
644 |
$871.60 |
| 99205 |
Prolong outpt/office vis |
79 |
72 |
$828.72 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
283 |
280 |
$809.60 |
| 90756 |
|
576 |
571 |
$807.48 |
| 90715 |
|
991 |
978 |
$777.62 |
| 76801 |
|
105 |
101 |
$769.08 |
| 81025 |
|
1,742 |
1,647 |
$710.37 |
| 90461 |
|
7,126 |
6,211 |
$706.53 |
| 90681 |
|
471 |
465 |
$673.92 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
518 |
412 |
$576.68 |
| 90651 |
|
412 |
411 |
$546.32 |
| 90696 |
|
626 |
625 |
$522.96 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
87 |
60 |
$449.28 |
| 90716 |
|
1,350 |
1,337 |
$410.64 |
| 90680 |
|
5,212 |
3,752 |
$224.63 |
| 90744 |
|
2,111 |
2,083 |
$186.00 |
| 87428 |
|
701 |
674 |
$143.00 |
| 90707 |
|
1,323 |
1,310 |
$135.68 |
| 87807 |
|
308 |
298 |
$135.00 |
| 90723 |
|
710 |
705 |
$112.32 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
205 |
205 |
$112.32 |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
601 |
591 |
$112.32 |
| 90697 |
|
1,090 |
1,081 |
$112.31 |
| 90700 |
|
1,139 |
1,134 |
$73.68 |
| 90698 |
|
3,178 |
3,111 |
$62.00 |
| 92002 |
|
15 |
15 |
$62.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
152 |
140 |
$14.90 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
177 |
171 |
$0.19 |
| 87210 |
|
272 |
262 |
$0.04 |
| 82950 |
|
46 |
45 |
$0.01 |
| 36416 |
|
1,936 |
1,886 |
$0.01 |
| 17250 |
|
239 |
228 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
39 |
39 |
$0.00 |
| D0603 |
|
133 |
131 |
$0.00 |
| 96161 |
|
149 |
147 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
26 |
26 |
$0.00 |
| 99462 |
|
43 |
30 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
206 |
193 |
$0.00 |
| 90620 |
|
62 |
62 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
137 |
120 |
$0.00 |
| 91307 |
|
13 |
13 |
$0.00 |
| 99460 |
|
37 |
36 |
$0.00 |
| 99173 |
|
3,707 |
3,686 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
939 |
916 |
$0.00 |
| 3725F |
|
1,493 |
1,385 |
$0.00 |
| 90473 |
|
223 |
222 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
118 |
114 |
$0.00 |
| 0502F |
|
38 |
38 |
$0.00 |
| 11981 |
|
14 |
14 |
$0.00 |
| 90734 |
|
235 |
235 |
$0.00 |
| 81002 |
|
42 |
31 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
15 |
15 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
25 |
24 |
$0.00 |
| 2028F |
|
12 |
12 |
$0.00 |
| 90713 |
|
17 |
17 |
$0.00 |