| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
22,572 |
21,073 |
$963K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,529 |
9,580 |
$413K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,566 |
2,466 |
$206K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,383 |
2,317 |
$206K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,390 |
2,359 |
$195K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,013 |
1,977 |
$162K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,877 |
3,580 |
$126K |
| 90651 |
|
1,745 |
1,693 |
$42K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,721 |
2,689 |
$33K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,331 |
1,325 |
$23K |
| 90686 |
|
3,883 |
3,759 |
$19K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
423 |
413 |
$18K |
| G0008 |
Administration of influenza virus vaccine |
1,502 |
1,457 |
$16K |
| 80305 |
|
1,097 |
927 |
$15K |
| 90688 |
|
1,336 |
1,332 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
696 |
618 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
203 |
202 |
$8K |
| 90715 |
|
753 |
742 |
$8K |
| 0001A |
|
190 |
178 |
$8K |
| 90698 |
|
1,730 |
1,720 |
$7K |
| 92551 |
|
2,524 |
2,414 |
$7K |
| 96127 |
|
1,772 |
1,726 |
$7K |
| 90670 |
|
1,227 |
1,221 |
$6K |
| 90677 |
|
775 |
715 |
$6K |
| 83655 |
|
704 |
669 |
$5K |
| 0002A |
|
144 |
131 |
$4K |
| 3074F |
|
505 |
496 |
$4K |
| 99173 |
|
2,241 |
2,147 |
$4K |
| 90734 |
|
321 |
316 |
$4K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
229 |
222 |
$4K |
| 3078F |
|
428 |
420 |
$4K |
| 96160 |
|
1,744 |
1,689 |
$3K |
| 91320 |
|
129 |
123 |
$3K |
| 90680 |
|
718 |
713 |
$2K |
| 90620 |
|
305 |
293 |
$2K |
| 90633 |
|
534 |
523 |
$2K |
| 3077F |
|
286 |
284 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
76 |
64 |
$2K |
| 3079F |
|
249 |
247 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
424 |
377 |
$2K |
| 90732 |
|
13 |
13 |
$1K |
| 96161 |
|
418 |
392 |
$1K |
| 0071A |
|
32 |
32 |
$1K |
| 0011A |
|
38 |
36 |
$1K |
| 90744 |
|
432 |
430 |
$1K |
| 3080F |
|
174 |
169 |
$1K |
| 0012A |
|
29 |
26 |
$988.73 |
| 87428 |
|
38 |
37 |
$978.50 |
| 0054A |
|
18 |
18 |
$850.00 |
| 90746 |
|
13 |
13 |
$762.44 |
| 99177 |
|
112 |
102 |
$759.38 |
| 90696 |
|
90 |
90 |
$740.10 |
| 90656 |
|
252 |
252 |
$692.66 |
| 90710 |
|
104 |
100 |
$682.00 |
| 90474 |
|
64 |
64 |
$660.70 |
| 0031A |
|
13 |
13 |
$570.00 |
| 90707 |
|
56 |
54 |
$551.12 |
| 3075F |
|
72 |
72 |
$530.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$522.40 |
| G0009 |
Administration of pneumococcal vaccine |
37 |
35 |
$406.70 |
| 90619 |
|
439 |
424 |
$302.00 |
| 81002 |
|
68 |
66 |
$280.21 |
| 90662 |
|
55 |
55 |
$193.03 |
| 90716 |
|
82 |
80 |
$167.50 |
| 92552 |
|
19 |
14 |
$94.32 |
| 85018 |
|
39 |
37 |
$52.03 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
63 |
59 |
$42.49 |
| 82962 |
|
12 |
12 |
$25.52 |
| Q3014 |
Telehealth originating site facility fee |
18 |
18 |
$20.44 |
| 36416 |
|
40 |
40 |
$2.25 |
| 3008F |
|
175 |
171 |
$0.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
13 |
13 |
$0.00 |