| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
39,918 |
34,836 |
$7.61M |
| 92552 |
|
5,776 |
3,866 |
$94K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,295 |
19,221 |
$66K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,054 |
657 |
$58K |
| 90686 |
|
2,858 |
2,014 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
758 |
505 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35,167 |
21,537 |
$35K |
| 0001A |
|
524 |
274 |
$28K |
| 0002A |
|
474 |
252 |
$25K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,637 |
1,447 |
$20K |
| G9920 |
Screening performed and negative |
1,173 |
901 |
$15K |
| 99173 |
|
4,606 |
2,972 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
386 |
268 |
$12K |
| 0004A |
|
229 |
126 |
$12K |
| 85018 |
|
7,464 |
4,848 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
221 |
139 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
371 |
278 |
$5K |
| 90656 |
|
416 |
285 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
564 |
231 |
$4K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
296 |
223 |
$3K |
| 90682 |
|
45 |
44 |
$3K |
| 87428 |
|
104 |
63 |
$3K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
79 |
64 |
$3K |
| 81003 |
|
1,388 |
1,229 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
65 |
64 |
$2K |
| 90651 |
|
150 |
100 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,000 |
1,294 |
$2K |
| 0124A |
|
22 |
22 |
$1K |
| 90734 |
|
146 |
90 |
$1K |
| 0071A |
|
24 |
12 |
$1K |
| 90670 |
|
16 |
16 |
$1K |
| 90688 |
|
57 |
57 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
50 |
49 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
162 |
153 |
$999.15 |
| 90649 |
|
52 |
51 |
$900.00 |
| 90673 |
|
25 |
15 |
$826.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
210 |
127 |
$810.84 |
| 90746 |
|
14 |
13 |
$673.56 |
| 90715 |
|
32 |
25 |
$640.96 |
| G9919 |
Screening performed and positive and provision of recommendations |
21 |
12 |
$478.50 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
12 |
12 |
$455.18 |
| 90620 |
|
35 |
27 |
$438.36 |
| 99188 |
|
47 |
31 |
$432.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
23 |
14 |
$327.42 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
93 |
79 |
$244.85 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
151 |
105 |
$241.53 |
| 90677 |
|
21 |
16 |
$198.00 |
| 90647 |
|
20 |
15 |
$198.00 |
| 90723 |
|
16 |
12 |
$180.00 |
| 83655 |
|
41 |
29 |
$138.19 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
17 |
17 |
$82.81 |
| 81025 |
|
41 |
24 |
$58.80 |
| 82270 |
|
15 |
15 |
$43.92 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
6,612 |
4,177 |
$33.17 |
| 82962 |
|
12 |
12 |
$20.00 |
| 91305 |
|
25 |
25 |
$0.00 |
| 1036F |
|
11,251 |
6,690 |
$0.00 |
| 3075F |
|
201 |
131 |
$0.00 |
| 1123F |
|
1,613 |
1,566 |
$0.00 |
| 3074F |
|
355 |
241 |
$0.00 |
| 3079F |
|
180 |
116 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
89 |
51 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
29 |
29 |
$0.00 |
| 99499 |
|
24 |
24 |
$0.00 |
| 3077F |
|
226 |
168 |
$0.00 |
| 3078F |
|
697 |
488 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
23 |
21 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
26 |
26 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
88 |
50 |
$0.00 |
| 87420 |
|
12 |
12 |
$0.00 |