| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
74,019 |
49,570 |
$13.38M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,773 |
17,256 |
$130K |
| 90832 |
Psychotherapy, 30 minutes with patient |
12,974 |
6,591 |
$122K |
| T1016 |
Case management, each 15 minutes |
2,460 |
503 |
$79K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,977 |
1,729 |
$71K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,479 |
11,378 |
$53K |
| 80061 |
Lipid panel |
5,258 |
4,661 |
$53K |
| 80050 |
General health panel |
2,432 |
2,221 |
$43K |
| 36415 |
Collection of venous blood by venipuncture |
5,810 |
5,165 |
$36K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,877 |
1,816 |
$33K |
| 99000 |
|
3,571 |
3,150 |
$32K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,021 |
3,524 |
$26K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,509 |
1,454 |
$26K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,327 |
2,878 |
$23K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,036 |
1,760 |
$19K |
| 80053 |
Comprehensive metabolic panel |
3,447 |
3,010 |
$18K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,473 |
2,220 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,368 |
1,210 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,640 |
1,214 |
$11K |
| 84443 |
Thyroid stimulating hormone (TSH) |
942 |
833 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,352 |
1,957 |
$8K |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
718 |
628 |
$7K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
956 |
876 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
392 |
357 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,077 |
939 |
$4K |
| 90686 |
|
555 |
499 |
$4K |
| 99441 |
|
50 |
45 |
$3K |
| 99442 |
|
96 |
76 |
$3K |
| 81001 |
|
832 |
755 |
$2K |
| 87428 |
|
60 |
56 |
$2K |
| 82607 |
|
468 |
429 |
$2K |
| H0031 |
Mental health assessment, by non-physician |
269 |
200 |
$2K |
| 83735 |
|
709 |
666 |
$1K |
| 81025 |
|
251 |
225 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
24 |
24 |
$1K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
260 |
220 |
$1K |
| 90674 |
|
13 |
13 |
$1K |
| 99173 |
|
859 |
773 |
$889.04 |
| 90791 |
Psychiatric diagnostic evaluation |
186 |
149 |
$787.11 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
627 |
533 |
$721.44 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
410 |
375 |
$607.65 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
848 |
586 |
$532.08 |
| 87400 |
|
46 |
31 |
$501.28 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
56 |
51 |
$466.42 |
| 86756 |
|
216 |
194 |
$460.78 |
| 81003 |
|
130 |
110 |
$329.45 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
95 |
86 |
$300.73 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
154 |
136 |
$185.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
12 |
12 |
$156.40 |
| 90656 |
|
18 |
13 |
$44.70 |
| 92551 |
|
606 |
542 |
$37.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
141 |
125 |
$5.00 |
| 3044F |
|
12 |
12 |
$0.11 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
299 |
264 |
$0.00 |
| 90662 |
|
101 |
94 |
$0.00 |
| 98960 |
|
500 |
252 |
$0.00 |
| 99490 |
Ccm add 20min |
128 |
111 |
$0.00 |
| 90715 |
|
39 |
30 |
$0.00 |
| 90685 |
|
44 |
27 |
$0.00 |
| 0002A |
|
27 |
27 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28 |
26 |
$0.00 |
| 90734 |
|
63 |
47 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
23 |
18 |
$0.00 |
| 92552 |
|
17 |
17 |
$0.00 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
13 |
13 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
132 |
95 |
$0.00 |
| 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 |
6,854 |
5,336 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
126 |
125 |
$0.00 |
| 0001A |
|
32 |
32 |
$0.00 |
| 90651 |
|
50 |
45 |
$0.00 |
| 98967 |
|
16 |
15 |
$0.00 |
| 96127 |
|
28 |
26 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
17 |
16 |
$0.00 |
| 99406 |
|
17 |
14 |
$0.00 |
| 99172 |
|
13 |
12 |
$0.00 |