| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
114,033 |
88,057 |
$10.03M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
106,296 |
55,546 |
$2.15M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,003 |
13,448 |
$795K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
44,140 |
18,322 |
$605K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
18,704 |
9,888 |
$440K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14,219 |
7,894 |
$403K |
| 90791 |
Psychiatric diagnostic evaluation |
5,006 |
2,797 |
$241K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,958 |
3,316 |
$168K |
| 99381 |
|
4,099 |
2,277 |
$104K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,075 |
3,601 |
$90K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,295 |
1,306 |
$73K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,835 |
915 |
$70K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,746 |
1,575 |
$57K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,513 |
806 |
$45K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
702 |
515 |
$41K |
| 81025 |
|
7,836 |
4,721 |
$28K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
412 |
307 |
$25K |
| 81003 |
|
19,373 |
9,915 |
$20K |
| 90670 |
|
9,876 |
5,722 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,880 |
1,526 |
$17K |
| 90834 |
Psychotherapy, 45 minutes with patient |
401 |
186 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,629 |
1,342 |
$15K |
| 92551 |
|
3,200 |
1,942 |
$12K |
| 99051 |
|
856 |
461 |
$9K |
| 90710 |
|
3,602 |
2,116 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
664 |
501 |
$7K |
| 90723 |
|
8,241 |
4,781 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
183 |
180 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
164 |
86 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
294 |
172 |
$5K |
| H1000 |
Prenatal care, at-risk assessment |
58 |
51 |
$4K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
203 |
185 |
$4K |
| 90633 |
|
5,132 |
3,039 |
$3K |
| 99215 |
Prolong outpt/office vis |
117 |
43 |
$3K |
| 90671 |
|
1,659 |
1,042 |
$3K |
| 99342 |
|
136 |
104 |
$3K |
| 99348 |
|
122 |
69 |
$3K |
| 99173 |
|
1,333 |
907 |
$2K |
| 90647 |
|
7,555 |
4,431 |
$2K |
| 99347 |
|
126 |
80 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
224 |
159 |
$1K |
| 88142 |
|
762 |
645 |
$1K |
| 99384 |
|
35 |
18 |
$1K |
| 0001A |
|
42 |
24 |
$1K |
| 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 |
513 |
304 |
$1K |
| 97803 |
|
59 |
58 |
$1K |
| 59430 |
|
23 |
13 |
$965.40 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
52 |
21 |
$787.96 |
| 99383 |
|
22 |
12 |
$749.96 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
55 |
26 |
$662.63 |
| 90734 |
|
1,003 |
578 |
$614.25 |
| 99382 |
|
44 |
38 |
$581.30 |
| 20610 |
|
32 |
12 |
$552.77 |
| 90661 |
|
450 |
431 |
$507.11 |
| 90715 |
|
315 |
204 |
$447.41 |
| 90688 |
|
1,782 |
1,128 |
$441.61 |
| 90685 |
|
385 |
237 |
$245.48 |
| 90651 |
|
664 |
422 |
$243.77 |
| 80305 |
|
166 |
96 |
$211.87 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
35 |
18 |
$208.63 |
| 90700 |
|
802 |
502 |
$204.49 |
| 87590 |
|
1,278 |
1,115 |
$202.61 |
| 90674 |
|
390 |
220 |
$193.12 |
| 87490 |
|
1,275 |
1,112 |
$188.51 |
| 90620 |
|
19 |
12 |
$171.29 |
| 90716 |
|
38 |
21 |
$160.91 |
| 87210 |
|
67 |
34 |
$142.65 |
| 81002 |
|
95 |
49 |
$120.77 |
| 86328 |
|
114 |
96 |
$91.43 |
| 90707 |
|
38 |
21 |
$91.19 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
24 |
12 |
$78.38 |
| 90687 |
|
263 |
158 |
$72.93 |
| 1036F |
|
62,545 |
38,254 |
$71.29 |
| 90696 |
|
537 |
323 |
$70.05 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
33 |
28 |
$65.64 |
| 90686 |
|
1,006 |
550 |
$63.22 |
| 90681 |
|
2,982 |
1,786 |
$52.05 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
33 |
12 |
$7.98 |
| 90648 |
|
350 |
176 |
$0.89 |
| 91300 |
|
53 |
28 |
$0.27 |
| 3078F |
|
61,128 |
38,180 |
$0.00 |
| 3077F |
|
6,338 |
3,491 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
72,901 |
44,059 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
6,048 |
3,322 |
$0.00 |
| 4004F |
|
4,800 |
3,182 |
$0.00 |
| 0502F |
|
1,608 |
816 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
546 |
494 |
$0.00 |
| S9529 |
Routine venipuncture for collection of specimen(s), single home bound, nursing home, or skilled nursing facility patient |
76 |
47 |
$0.00 |
| 1159F |
|
487 |
249 |
$0.00 |
| 3046F |
|
31 |
14 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
67 |
36 |
$0.00 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
27 |
15 |
$0.00 |
| 3074F |
|
71,301 |
44,302 |
$0.00 |
| 2001F |
|
95,445 |
57,404 |
$0.00 |
| 3079F |
|
22,106 |
13,423 |
$0.00 |
| 3008F |
|
95,315 |
57,402 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
74,978 |
45,175 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
4,273 |
2,381 |
$0.00 |
| 3075F |
|
7,344 |
4,405 |
$0.00 |
| 3044F |
|
143 |
64 |
$0.00 |
| 3080F |
|
3,303 |
1,816 |
$0.00 |
| 90680 |
|
201 |
121 |
$0.00 |
| 90697 |
|
1,061 |
677 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
226 |
216 |
$0.00 |
| 3048F |
|
17 |
12 |
$0.00 |
| 90694 |
|
44 |
41 |
$0.00 |