| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
98,641 |
88,002 |
$6.02M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43,513 |
40,365 |
$130K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,343 |
24,395 |
$115K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,438 |
6,431 |
$45K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,291 |
5,286 |
$32K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,262 |
6,196 |
$30K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
725 |
724 |
$29K |
| 90651 |
|
1,543 |
1,543 |
$17K |
| 99215 |
Prolong outpt/office vis |
2,736 |
2,701 |
$17K |
| 90677 |
|
934 |
934 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,889 |
1,888 |
$10K |
| 90686 |
|
4,855 |
4,842 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,042 |
1,960 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,942 |
2,940 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,508 |
1,502 |
$9K |
| 91320 |
|
289 |
289 |
$8K |
| 99381 |
|
1,238 |
1,230 |
$7K |
| 90715 |
|
1,407 |
1,405 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,752 |
2,710 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
839 |
834 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,225 |
1,214 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17,710 |
17,584 |
$4K |
| 98966 |
|
1,927 |
1,808 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
9,277 |
9,227 |
$3K |
| 90480 |
|
330 |
330 |
$3K |
| 98967 |
|
843 |
778 |
$2K |
| 90750 |
|
29 |
29 |
$2K |
| 90670 |
|
4,030 |
4,022 |
$2K |
| 0002A |
|
51 |
51 |
$2K |
| G9002 |
Coordinated care fee, maintenance rate |
194 |
189 |
$1K |
| 0054A |
|
140 |
140 |
$1K |
| 0001A |
|
96 |
96 |
$1K |
| 90656 |
|
425 |
425 |
$969.39 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,587 |
2,583 |
$834.98 |
| 90688 |
|
731 |
725 |
$701.45 |
| 0124A |
|
194 |
194 |
$624.52 |
| 0004A |
|
47 |
47 |
$605.32 |
| 90834 |
Psychotherapy, 45 minutes with patient |
96 |
79 |
$479.25 |
| 90732 |
|
57 |
57 |
$433.83 |
| 0051A |
|
25 |
25 |
$412.86 |
| 90791 |
Psychiatric diagnostic evaluation |
59 |
59 |
$400.70 |
| 90620 |
|
314 |
313 |
$360.47 |
| 90716 |
|
1,919 |
1,918 |
$278.10 |
| 90474 |
|
3,156 |
3,149 |
$205.06 |
| 99442 |
|
34 |
34 |
$203.95 |
| 99383 |
|
38 |
38 |
$202.00 |
| 0071A |
|
12 |
12 |
$188.96 |
| 98968 |
|
58 |
54 |
$161.20 |
| 90707 |
|
1,935 |
1,934 |
$154.33 |
| 90734 |
|
924 |
924 |
$128.86 |
| 99385 |
|
14 |
14 |
$103.34 |
| 90744 |
|
1,698 |
1,691 |
$56.46 |
| 96127 |
|
1,720 |
1,711 |
$50.28 |
| 99443 |
|
15 |
15 |
$46.96 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
14 |
$32.30 |
| 99441 |
|
23 |
23 |
$23.76 |
| 92551 |
|
111 |
111 |
$21.52 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
151 |
145 |
$19.83 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
28 |
26 |
$17.35 |
| 96381 |
|
44 |
44 |
$16.21 |
| 96161 |
|
1,397 |
1,330 |
$2.86 |
| 90619 |
|
517 |
516 |
$0.05 |
| 36416 |
|
139 |
137 |
$0.02 |
| 90633 |
|
2,479 |
2,474 |
$0.01 |
| 99205 |
Prolong outpt/office vis |
16 |
16 |
$0.01 |
| 90710 |
|
166 |
166 |
$0.00 |
| 90700 |
|
1,514 |
1,511 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
28 |
13 |
$0.00 |
| 90685 |
|
641 |
640 |
$0.00 |
| 90648 |
|
887 |
887 |
$0.00 |
| 90713 |
|
382 |
377 |
$0.00 |
| 99173 |
|
311 |
311 |
$0.00 |
| 0121A |
|
13 |
13 |
$0.00 |
| 90680 |
|
3,203 |
3,195 |
$0.00 |
| 90696 |
|
384 |
383 |
$0.00 |
| 90698 |
|
2,693 |
2,682 |
$0.00 |
| 90381 |
|
35 |
35 |
$0.00 |
| 90697 |
|
855 |
855 |
$0.00 |
| 99174 |
|
166 |
166 |
$0.00 |
| 99496 |
|
12 |
12 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
12 |
12 |
$0.00 |
| 1111F |
|
13 |
13 |
$0.00 |