| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
51,822 |
32,471 |
$2.81M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39,220 |
19,302 |
$634K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,312 |
8,734 |
$354K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,568 |
1,477 |
$61K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
4,061 |
2,550 |
$33K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
889 |
546 |
$25K |
| 96127 |
|
15,600 |
9,336 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,120 |
653 |
$22K |
| 81025 |
|
7,371 |
4,211 |
$18K |
| 90837 |
Psychotherapy, 53 minutes with patient |
402 |
181 |
$17K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
553 |
310 |
$17K |
| 90791 |
Psychiatric diagnostic evaluation |
274 |
178 |
$17K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
318 |
203 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,312 |
703 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,805 |
1,020 |
$8K |
| 76830 |
Ultrasound, transvaginal |
222 |
137 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,265 |
713 |
$8K |
| 59430 |
|
210 |
118 |
$7K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
231 |
145 |
$7K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
141 |
85 |
$5K |
| 90834 |
Psychotherapy, 45 minutes with patient |
159 |
86 |
$5K |
| 99215 |
Prolong outpt/office vis |
144 |
76 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
315 |
117 |
$3K |
| 81002 |
|
2,978 |
1,747 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
106 |
62 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
84 |
55 |
$3K |
| 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 |
745 |
541 |
$3K |
| 0011A |
|
80 |
79 |
$2K |
| 0012A |
|
67 |
67 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
700 |
411 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,747 |
1,087 |
$1K |
| 99385 |
|
46 |
25 |
$957.84 |
| H1000 |
Prenatal care, at-risk assessment |
22 |
14 |
$900.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
108 |
67 |
$742.92 |
| 99406 |
|
237 |
156 |
$521.00 |
| 87210 |
|
187 |
105 |
$498.87 |
| 90715 |
|
21 |
12 |
$334.40 |
| 85018 |
|
514 |
319 |
$281.14 |
| 82962 |
|
298 |
180 |
$228.78 |
| 93000 |
|
13 |
12 |
$152.90 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
83 |
62 |
$148.80 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
555 |
327 |
$6.96 |
| 3078F |
|
15,156 |
8,763 |
$0.00 |
| 1159F |
|
24,807 |
14,227 |
$0.00 |
| 3077F |
|
696 |
417 |
$0.00 |
| 0502F |
|
903 |
441 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
157 |
151 |
$0.00 |
| 3075F |
|
1,723 |
1,101 |
$0.00 |
| 3074F |
|
22,706 |
12,817 |
$0.00 |
| 1036F |
|
3,301 |
2,258 |
$0.00 |
| 3079F |
|
7,387 |
4,628 |
$0.00 |
| 0501F |
|
2,309 |
954 |
$0.00 |
| 3080F |
|
771 |
457 |
$0.00 |
| 99000 |
|
293 |
197 |
$0.00 |
| 0503F |
|
164 |
107 |
$0.00 |
| 1126F |
|
32 |
21 |
$0.00 |