| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
40,229 |
32,292 |
$5.91M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,288 |
19,000 |
$197K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,099 |
4,538 |
$41K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,966 |
1,786 |
$35K |
| D9999 |
Unspecified adjunctive procedure, by report |
136 |
114 |
$24K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,211 |
1,697 |
$22K |
| 90686 |
|
1,028 |
969 |
$21K |
| 96127 |
|
1,962 |
1,600 |
$14K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
707 |
462 |
$14K |
| 90834 |
Psychotherapy, 45 minutes with patient |
486 |
447 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,000 |
874 |
$4K |
| D0140 |
Limited oral evaluation - problem focused |
111 |
87 |
$4K |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
501 |
391 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,391 |
1,311 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
188 |
180 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
782 |
367 |
$2K |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
76 |
73 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
29 |
29 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
110 |
100 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
332 |
321 |
$1K |
| 90670 |
|
31 |
31 |
$1K |
| 90698 |
|
12 |
12 |
$1K |
| 90632 |
|
16 |
16 |
$773.98 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
260 |
243 |
$708.09 |
| D0220 |
Intraoral - periapical first radiographic image |
56 |
42 |
$630.00 |
| 81002 |
|
238 |
229 |
$604.29 |
| 80305 |
|
655 |
351 |
$498.87 |
| G0008 |
Administration of influenza virus vaccine |
84 |
84 |
$182.69 |
| 81025 |
|
33 |
26 |
$88.37 |
| 0071A |
|
19 |
12 |
$40.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
215 |
214 |
$5.00 |
| 1160F |
|
3,762 |
3,369 |
$0.00 |
| 3078F |
|
1,673 |
1,536 |
$0.00 |
| 1159F |
|
3,322 |
2,999 |
$0.00 |
| 3725F |
|
506 |
483 |
$0.00 |
| 3077F |
|
127 |
123 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
79 |
73 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
31 |
26 |
$0.00 |
| 3079F |
|
1,063 |
992 |
$0.00 |
| 1034F |
|
521 |
461 |
$0.00 |
| 3075F |
|
516 |
479 |
$0.00 |
| 3074F |
|
2,264 |
2,092 |
$0.00 |
| 3080F |
|
62 |
59 |
$0.00 |
| 3008F |
|
4,312 |
3,933 |
$0.00 |
| 90680 |
|
14 |
14 |
$0.00 |
| 1036F |
|
1,916 |
1,735 |
$0.00 |
| 99406 |
|
161 |
145 |
$0.00 |
| 87428 |
|
344 |
322 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
330 |
318 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
389 |
196 |
$0.00 |
| 1035F |
|
92 |
76 |
$0.00 |
| 90656 |
|
34 |
34 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
17 |
13 |
$0.00 |