| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
116,807 |
91,033 |
$12.85M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
83,288 |
69,686 |
$266K |
| 98940 |
|
10,988 |
5,743 |
$258K |
| 97802 |
|
1,613 |
1,560 |
$187K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
7,453 |
4,221 |
$151K |
| 90746 |
|
2,095 |
2,032 |
$146K |
| 90791 |
Psychiatric diagnostic evaluation |
3,778 |
2,377 |
$123K |
| 97803 |
|
1,945 |
1,791 |
$122K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,642 |
1,246 |
$99K |
| 90686 |
|
9,006 |
7,469 |
$88K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,072 |
2,614 |
$87K |
| 90832 |
Psychotherapy, 30 minutes with patient |
6,276 |
3,340 |
$83K |
| 96127 |
|
26,354 |
24,359 |
$73K |
| 90715 |
|
3,001 |
2,676 |
$65K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,336 |
24,093 |
$62K |
| D1206 |
Topical application of fluoride varnish |
5,407 |
5,296 |
$60K |
| G9920 |
Screening performed and negative |
3,211 |
2,188 |
$52K |
| G9012 |
Other specified case management service not elsewhere classified |
327 |
166 |
$51K |
| 90677 |
|
158 |
149 |
$42K |
| 90651 |
|
1,597 |
1,075 |
$41K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,346 |
1,305 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,413 |
7,971 |
$37K |
| 0011A |
|
527 |
525 |
$33K |
| 59425 |
|
507 |
411 |
$31K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,595 |
1,580 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,890 |
1,858 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,430 |
2,394 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,228 |
2,188 |
$17K |
| 90670 |
|
3,056 |
1,938 |
$17K |
| 0012A |
|
245 |
245 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,316 |
4,181 |
$16K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
4,195 |
4,043 |
$14K |
| J3490 |
Unclassified drugs |
221 |
199 |
$13K |
| 90698 |
|
2,191 |
1,355 |
$12K |
| 90632 |
|
168 |
166 |
$11K |
| 92552 |
|
13,021 |
9,943 |
$11K |
| 99381 |
|
732 |
562 |
$10K |
| 90633 |
|
1,838 |
1,175 |
$10K |
| 90744 |
|
1,780 |
1,171 |
$9K |
| 90662 |
|
187 |
181 |
$9K |
| 99385 |
|
600 |
597 |
$8K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
263 |
252 |
$8K |
| 99188 |
|
529 |
476 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,224 |
2,544 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,091 |
1,868 |
$7K |
| 90656 |
|
635 |
634 |
$7K |
| 81025 |
|
3,469 |
3,274 |
$7K |
| 0001A |
|
104 |
103 |
$6K |
| 11721 |
|
357 |
115 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,172 |
1,253 |
$5K |
| 90837 |
Psychotherapy, 53 minutes with patient |
235 |
182 |
$5K |
| 0064A |
|
131 |
131 |
$5K |
| 90734 |
|
927 |
565 |
$5K |
| 90681 |
|
891 |
548 |
$4K |
| 99383 |
|
506 |
317 |
$3K |
| H1000 |
Prenatal care, at-risk assessment |
25 |
24 |
$3K |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
122 |
119 |
$3K |
| 90710 |
|
574 |
326 |
$3K |
| 96156 |
|
195 |
180 |
$2K |
| 90700 |
|
476 |
271 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,744 |
2,717 |
$2K |
| 0002A |
|
32 |
32 |
$2K |
| 90716 |
|
419 |
258 |
$2K |
| 90696 |
|
376 |
206 |
$2K |
| 90648 |
|
293 |
194 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
943 |
748 |
$2K |
| 99386 |
|
143 |
143 |
$2K |
| 99384 |
|
231 |
148 |
$2K |
| 99382 |
|
224 |
126 |
$1K |
| 90707 |
|
226 |
131 |
$1K |
| 90732 |
|
13 |
13 |
$910.00 |
| 81003 |
|
3,305 |
2,993 |
$782.54 |
| 99201 |
|
118 |
118 |
$686.46 |
| 90619 |
|
130 |
73 |
$531.00 |
| 85018 |
|
7,556 |
7,354 |
$445.25 |
| 90723 |
|
43 |
42 |
$387.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
27 |
14 |
$377.00 |
| 90620 |
|
72 |
44 |
$261.00 |
| 90685 |
|
29 |
29 |
$252.00 |
| 90688 |
|
25 |
25 |
$238.30 |
| 99401 |
|
14 |
12 |
$235.51 |
| 99397 |
|
210 |
196 |
$176.76 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
964 |
897 |
$136.23 |
| 0071A |
|
12 |
12 |
$134.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
163 |
162 |
$112.17 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
809 |
796 |
$111.84 |
| 93000 |
|
51 |
43 |
$59.51 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
18 |
13 |
$41.22 |
| 88720 |
|
147 |
85 |
$38.41 |
| 82947 |
|
322 |
298 |
$9.90 |
| 86580 |
|
43 |
42 |
$6.72 |
| 3075F |
|
2,960 |
2,886 |
$0.00 |
| 3079F |
|
3,906 |
3,760 |
$0.00 |
| 3074F |
|
15,727 |
14,795 |
$0.00 |
| 97010 |
|
5,614 |
3,100 |
$0.00 |
| 96161 |
|
869 |
834 |
$0.00 |
| Z1034 |
|
1,542 |
1,225 |
$0.00 |
| 3080F |
|
633 |
600 |
$0.00 |
| 97014 |
|
5,579 |
3,079 |
$0.00 |
| 88142 |
|
736 |
736 |
$0.00 |
| 0500F |
|
25 |
25 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
287 |
286 |
$0.00 |
| 91301 |
|
41 |
40 |
$0.00 |
| Z1032 |
|
98 |
97 |
$0.00 |
| Z6204 |
|
116 |
107 |
$0.00 |
| 36416 |
|
106 |
106 |
$0.00 |
| Z6402 |
|
13 |
12 |
$0.00 |
| 99173 |
|
5,316 |
5,305 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$0.00 |
| 97012 |
|
450 |
329 |
$0.00 |
| 3078F |
|
15,758 |
14,834 |
$0.00 |
| 3077F |
|
2,007 |
1,880 |
$0.00 |
| 2028F |
|
347 |
347 |
$0.00 |
| 87210 |
|
108 |
102 |
$0.00 |
| 0502F |
|
1,144 |
886 |
$0.00 |
| 96160 |
|
563 |
563 |
$0.00 |
| Z6400 |
|
281 |
275 |
$0.00 |
| Z6300 |
|
13 |
12 |
$0.00 |
| Z6200 |
|
13 |
12 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
17 |
17 |
$0.00 |