| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
69,439 |
53,937 |
$19.55M |
| T1016 |
Case management, each 15 minutes |
657 |
564 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48,473 |
30,969 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31,170 |
21,718 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,950 |
3,219 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,662 |
2,188 |
$1K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,040 |
556 |
$824.87 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,861 |
1,018 |
$709.06 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
929 |
835 |
$549.77 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,197 |
1,968 |
$535.27 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
613 |
602 |
$451.31 |
| 0064A |
|
101 |
90 |
$326.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
435 |
251 |
$295.37 |
| H2014 |
Skills training and development, per 15 minutes |
1,734 |
1,380 |
$283.88 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,118 |
7,333 |
$102.29 |
| 90686 |
|
3,010 |
2,877 |
$99.34 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
558 |
316 |
$81.97 |
| 0012A |
|
59 |
56 |
$80.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,287 |
1,218 |
$67.52 |
| 99442 |
|
217 |
206 |
$60.84 |
| T1002 |
Rn services, up to 15 minutes |
76 |
74 |
$58.20 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,668 |
2,371 |
$57.01 |
| 96152 |
|
197 |
117 |
$49.67 |
| 80053 |
Comprehensive metabolic panel |
9,593 |
8,909 |
$47.06 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
842 |
510 |
$37.87 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
252 |
147 |
$37.26 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
263 |
149 |
$23.04 |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
435 |
368 |
$19.86 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
191 |
148 |
$15.63 |
| 80061 |
Lipid panel |
6,440 |
6,069 |
$0.00 |
| 91322 |
|
135 |
120 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,053 |
616 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
873 |
520 |
$0.00 |
| 90715 |
|
1,709 |
1,616 |
$0.00 |
| 1159F |
|
3,007 |
2,544 |
$0.00 |
| 86480 |
|
502 |
451 |
$0.00 |
| 81003 |
|
2,627 |
2,348 |
$0.00 |
| 80074 |
|
956 |
879 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
3,316 |
3,104 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
593 |
573 |
$0.00 |
| 81025 |
|
2,004 |
1,848 |
$0.00 |
| 82570 |
|
1,823 |
1,733 |
$0.00 |
| 90670 |
|
391 |
336 |
$0.00 |
| 82274 |
|
139 |
133 |
$0.00 |
| 1160F |
|
2,037 |
1,880 |
$0.00 |
| 90649 |
|
166 |
152 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
41 |
40 |
$0.00 |
| 85007 |
|
506 |
484 |
$0.00 |
| H2027 |
Psychoeducational service, per 15 minutes |
210 |
192 |
$0.00 |
| 83655 |
|
69 |
54 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
800 |
684 |
$0.00 |
| 3078F |
|
2,062 |
1,931 |
$0.00 |
| 90734 |
|
25 |
25 |
$0.00 |
| 3077F |
|
465 |
438 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
30 |
30 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
423 |
250 |
$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 |
1,420 |
1,374 |
$0.00 |
| 84439 |
|
634 |
596 |
$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 |
940 |
900 |
$0.00 |
| 86682 |
|
18 |
15 |
$0.00 |
| 83721 |
|
85 |
81 |
$0.00 |
| 90671 |
|
12 |
12 |
$0.00 |
| 83540 |
|
89 |
85 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
71 |
58 |
$0.00 |
| 99201 |
|
47 |
31 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
31 |
25 |
$0.00 |
| 85610 |
|
28 |
26 |
$0.00 |
| H0031 |
Mental health assessment, by non-physician |
69 |
69 |
$0.00 |
| 87338 |
|
49 |
37 |
$0.00 |
| 96158 |
|
75 |
47 |
$0.00 |
| 90662 |
|
39 |
37 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
42 |
39 |
$0.00 |
| 87481 |
|
48 |
43 |
$0.00 |
| 90653 |
|
25 |
25 |
$0.00 |
| 86703 |
|
46 |
44 |
$0.00 |
| 87631 |
|
118 |
113 |
$0.00 |
| 81513 |
|
48 |
43 |
$0.00 |
| 87186 |
|
27 |
24 |
$0.00 |
| 90750 |
|
16 |
16 |
$0.00 |
| 87430 |
|
95 |
92 |
$0.00 |
| 90732 |
|
353 |
339 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,314 |
1,247 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,769 |
2,605 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
5,340 |
4,981 |
$0.00 |
| 86592 |
|
2,165 |
2,046 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
3,316 |
3,104 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,261 |
1,174 |
$0.00 |
| 1125F |
|
640 |
608 |
$0.00 |
| 82043 |
|
1,756 |
1,685 |
$0.00 |
| 1126F |
|
2,066 |
1,943 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
4,033 |
3,789 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,098 |
1,011 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,552 |
6,977 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
8,448 |
7,944 |
$0.00 |
| 81001 |
|
928 |
862 |
$0.00 |
| 3048F |
|
42 |
42 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
71 |
68 |
$0.00 |
| 86780 |
|
708 |
601 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
152 |
148 |
$0.00 |
| 82607 |
|
244 |
219 |
$0.00 |
| 86704 |
|
265 |
213 |
$0.00 |
| 87340 |
|
263 |
237 |
$0.00 |
| 83550 |
|
88 |
84 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
181 |
172 |
$0.00 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
203 |
179 |
$0.00 |
| 3079F |
|
460 |
448 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
18,797 |
16,816 |
$0.00 |
| 86803 |
|
1,083 |
1,023 |
$0.00 |
| 3074F |
|
1,556 |
1,480 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
679 |
401 |
$0.00 |
| 85027 |
|
507 |
485 |
$0.00 |
| 87205 |
|
14 |
12 |
$0.00 |
| 90674 |
|
534 |
461 |
$0.00 |
| 82728 |
|
88 |
87 |
$0.00 |
| 90656 |
|
315 |
199 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
102 |
95 |
$0.00 |
| 87081 |
|
31 |
29 |
$0.00 |
| 3075F |
|
682 |
665 |
$0.00 |
| 86706 |
|
280 |
220 |
$0.00 |
| 84480 |
|
83 |
74 |
$0.00 |
| 90480 |
|
136 |
120 |
$0.00 |
| 3044F |
|
79 |
79 |
$0.00 |
| 87077 |
|
27 |
24 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
48 |
43 |
$0.00 |
| 82746 |
|
92 |
79 |
$0.00 |
| 0011A |
|
25 |
25 |
$0.00 |
| 90474 |
|
12 |
12 |
$0.00 |
| 3080F |
|
13 |
12 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
13 |
13 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
13 |
12 |
$0.00 |
| 85652 |
|
38 |
31 |
$0.00 |
| 90677 |
|
18 |
18 |
$0.00 |
| 0031A |
|
25 |
15 |
$0.00 |