| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
22,396 |
19,921 |
$1.91M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
184,657 |
165,062 |
$49K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
611 |
598 |
$36K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,779 |
2,778 |
$7K |
| 92250 |
|
1,612 |
1,598 |
$5K |
| 90834 |
Psychotherapy, 45 minutes with patient |
512 |
282 |
$4K |
| 99401 |
|
3,260 |
2,838 |
$886.68 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
11,853 |
11,838 |
$758.81 |
| 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 |
109 |
93 |
$563.24 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,584 |
8,138 |
$484.91 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
564 |
564 |
$448.02 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,988 |
4,947 |
$355.54 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
152 |
133 |
$311.63 |
| 92015 |
Determination of refractive state |
9,085 |
9,049 |
$254.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,482 |
4,260 |
$165.08 |
| 99386 |
|
1,781 |
1,776 |
$135.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
606 |
605 |
$128.64 |
| 90686 |
|
195 |
195 |
$109.44 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
743 |
741 |
$101.87 |
| 0012A |
|
1,270 |
1,265 |
$92.51 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
3,080 |
3,053 |
$79.25 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
273 |
273 |
$74.04 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,158 |
4,133 |
$67.77 |
| 99215 |
Prolong outpt/office vis |
5,882 |
5,623 |
$56.63 |
| 99406 |
|
1,161 |
1,140 |
$41.24 |
| 81002 |
|
2,636 |
2,413 |
$37.93 |
| 90688 |
|
1,459 |
1,447 |
$32.39 |
| 81025 |
|
94 |
93 |
$28.00 |
| 82962 |
|
10,719 |
9,877 |
$5.94 |
| 3075F |
|
8,361 |
8,216 |
$0.00 |
| 3044F |
|
13,058 |
12,896 |
$0.00 |
| 3008F |
|
135,560 |
122,351 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
27,704 |
27,244 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
2,381 |
2,381 |
$0.00 |
| 81001 |
|
14,826 |
14,481 |
$0.00 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
738 |
591 |
$0.00 |
| 82607 |
|
1,160 |
1,160 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15,633 |
15,424 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
1,963 |
1,961 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
10,647 |
10,632 |
$0.00 |
| 86803 |
|
51 |
51 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
18,405 |
18,228 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
31,368 |
30,808 |
$0.00 |
| 88142 |
|
1,999 |
1,998 |
$0.00 |
| 85018 |
|
4,148 |
3,877 |
$0.00 |
| 84436 |
|
2,422 |
2,405 |
$0.00 |
| 86592 |
|
1,755 |
1,752 |
$0.00 |
| 3080F |
|
2,989 |
2,905 |
$0.00 |
| 1036F |
|
12,397 |
12,099 |
$0.00 |
| 3079F |
|
16,435 |
16,057 |
$0.00 |
| 3017F |
|
417 |
403 |
$0.00 |
| 3048F |
|
1,069 |
1,063 |
$0.00 |
| 82043 |
|
1,929 |
1,899 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
174 |
173 |
$0.00 |
| 85027 |
|
11,090 |
10,998 |
$0.00 |
| 3074F |
|
36,102 |
34,576 |
$0.00 |
| 3049F |
|
492 |
489 |
$0.00 |
| 1034F |
|
1,130 |
1,108 |
$0.00 |
| 84479 |
|
2,425 |
2,408 |
$0.00 |
| 1000F |
|
14,146 |
13,812 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
230 |
230 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
305 |
299 |
$0.00 |
| 2023F |
|
415 |
413 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
88 |
83 |
$0.00 |
| 99443 |
|
14,371 |
13,586 |
$0.00 |
| 93000 |
|
76 |
76 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,271 |
959 |
$0.00 |
| 3014F |
|
156 |
155 |
$0.00 |
| 84153 |
|
506 |
495 |
$0.00 |
| 3072F |
|
2,189 |
2,133 |
$0.00 |
| 99385 |
|
833 |
832 |
$0.00 |
| 85652 |
|
88 |
88 |
$0.00 |
| 92002 |
|
707 |
701 |
$0.00 |
| 82746 |
|
642 |
642 |
$0.00 |
| 86704 |
|
195 |
195 |
$0.00 |
| 90674 |
|
263 |
263 |
$0.00 |
| 82728 |
|
54 |
53 |
$0.00 |
| 87480 |
|
305 |
305 |
$0.00 |
| 87340 |
|
74 |
74 |
$0.00 |
| 90480 |
|
43 |
43 |
$0.00 |
| 87510 |
|
305 |
305 |
$0.00 |
| 84154 |
|
13 |
13 |
$0.00 |
| 91301 |
|
3,137 |
2,714 |
$0.00 |
| 86762 |
|
184 |
184 |
$0.00 |
| 3061F |
|
13 |
13 |
$0.00 |
| 97610 |
|
95 |
60 |
$0.00 |
| 86706 |
|
127 |
127 |
$0.00 |
| 97124 |
|
95 |
60 |
$0.00 |
| 83550 |
|
76 |
75 |
$0.00 |
| 90619 |
|
113 |
113 |
$0.00 |
| 90651 |
|
124 |
124 |
$0.00 |
| 96127 |
|
82 |
82 |
$0.00 |
| 86021 |
|
15 |
15 |
$0.00 |
| 97016 |
|
95 |
60 |
$0.00 |
| 4010F |
|
29 |
28 |
$0.00 |
| 86317 |
|
54 |
54 |
$0.00 |
| 96161 |
|
56 |
56 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90677 |
|
42 |
42 |
$0.00 |
| 84703 |
|
28 |
28 |
$0.00 |
| 94760 |
|
60 |
58 |
$0.00 |
| 0031A |
|
123 |
123 |
$0.00 |
| 97802 |
|
18 |
18 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
19 |
19 |
$0.00 |
| 86140 |
|
39 |
39 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 0011A |
|
1,861 |
1,854 |
$0.00 |
| 82270 |
|
38 |
38 |
$0.00 |
| 3052F |
|
27 |
26 |
$0.00 |
| 81528 |
Oncology (colorectal) screening, quantitative real-time target and signal amplification |
28 |
28 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
27 |
27 |
$0.00 |
| 91303 |
|
123 |
123 |
$0.00 |
| 3078F |
|
32,704 |
31,353 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
2,940 |
2,934 |
$0.00 |
| 80061 |
Lipid panel |
27,707 |
27,288 |
$0.00 |
| 3077F |
|
8,294 |
7,976 |
$0.00 |
| 3725F |
|
122,373 |
108,779 |
$0.00 |
| 80074 |
|
10,822 |
10,662 |
$0.00 |
| 86703 |
|
6,671 |
6,554 |
$0.00 |
| 86480 |
|
832 |
831 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
328 |
326 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
99 |
99 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
3,199 |
3,172 |
$0.00 |
| 99499 |
|
655 |
639 |
$0.00 |
| 97811 |
|
1,359 |
1,011 |
$0.00 |
| 80076 |
|
1,178 |
1,084 |
$0.00 |
| 99442 |
|
2,724 |
2,598 |
$0.00 |
| 85007 |
|
185 |
184 |
$0.00 |
| 3046F |
|
155 |
146 |
$0.00 |
| 87634 |
|
303 |
242 |
$0.00 |
| 82274 |
|
2,156 |
2,123 |
$0.00 |
| 3050F |
|
371 |
371 |
$0.00 |
| 82652 |
|
290 |
279 |
$0.00 |
| 86735 |
|
184 |
184 |
$0.00 |
| 83013 |
|
992 |
975 |
$0.00 |
| 90661 |
|
1,423 |
1,421 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
294 |
293 |
$0.00 |
| 97810 |
|
1,367 |
1,014 |
$0.00 |
| 87660 |
|
305 |
305 |
$0.00 |
| 87338 |
|
167 |
166 |
$0.00 |
| 97039 |
|
95 |
60 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
542 |
537 |
$0.00 |
| 2028F |
|
202 |
200 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
359 |
359 |
$0.00 |
| 96160 |
|
89 |
87 |
$0.00 |
| 3015F |
|
247 |
245 |
$0.00 |
| 3051F |
|
359 |
352 |
$0.00 |
| 2022F |
|
101 |
101 |
$0.00 |
| 82627 |
|
12 |
12 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
74 |
74 |
$0.00 |
| 84460 |
|
25 |
24 |
$0.00 |
| 86003 |
|
105 |
105 |
$0.00 |
| 86787 |
|
167 |
167 |
$0.00 |
| 99188 |
|
63 |
63 |
$0.00 |
| 90633 |
|
64 |
64 |
$0.00 |
| 86765 |
|
184 |
184 |
$0.00 |
| 3045F |
|
27 |
27 |
$0.00 |
| 83540 |
|
74 |
73 |
$0.00 |
| 0502F |
|
25 |
13 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
13 |
$0.00 |
| 90670 |
|
25 |
25 |
$0.00 |
| 83655 |
|
27 |
27 |
$0.00 |
| 85610 |
|
13 |
13 |
$0.00 |
| 99397 |
|
26 |
26 |
$0.00 |
| 90648 |
|
29 |
29 |
$0.00 |
| 86696 |
|
15 |
15 |
$0.00 |
| 82570 |
|
13 |
13 |
$0.00 |