| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
232,210 |
191,832 |
$15.90M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
231,482 |
132,160 |
$1.42M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
82,579 |
54,792 |
$815K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
9,914 |
6,642 |
$496K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12,898 |
8,700 |
$492K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14,654 |
9,796 |
$459K |
| 92552 |
|
21,857 |
13,622 |
$359K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
11,269 |
7,577 |
$358K |
| 95144 |
|
1,036 |
176 |
$281K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,259 |
2,994 |
$167K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,566 |
1,451 |
$141K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
497 |
496 |
$108K |
| 90648 |
|
10,626 |
7,097 |
$105K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
2,194 |
1,260 |
$94K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,373 |
1,838 |
$90K |
| 90686 |
|
7,339 |
5,366 |
$90K |
| 90670 |
|
8,009 |
5,529 |
$85K |
| 90723 |
|
7,651 |
5,113 |
$75K |
| 90716 |
|
6,127 |
4,120 |
$66K |
| 90707 |
|
5,892 |
3,964 |
$64K |
| 90633 |
|
6,032 |
4,032 |
$62K |
| 90680 |
|
6,219 |
4,154 |
$61K |
| 99173 |
|
19,586 |
12,323 |
$60K |
| 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 |
10,147 |
10,147 |
$56K |
| 99381 |
|
1,151 |
752 |
$51K |
| 85018 |
|
37,167 |
25,093 |
$48K |
| 90651 |
|
4,132 |
2,802 |
$47K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,456 |
2,332 |
$45K |
| 90620 |
|
2,936 |
1,960 |
$41K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,018 |
1,437 |
$40K |
| 90734 |
|
2,852 |
1,997 |
$35K |
| 83655 |
|
4,528 |
2,822 |
$28K |
| 90715 |
|
2,260 |
1,599 |
$26K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,278 |
820 |
$26K |
| 90671 |
|
2,492 |
1,496 |
$20K |
| 11721 |
|
576 |
354 |
$18K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
502 |
347 |
$18K |
| 90696 |
|
1,705 |
1,150 |
$18K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
511 |
455 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,628 |
1,520 |
$15K |
| 90700 |
|
1,356 |
870 |
$14K |
| 90682 |
|
219 |
179 |
$11K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,801 |
1,314 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,571 |
991 |
$11K |
| 90619 |
|
1,449 |
960 |
$11K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
87 |
86 |
$11K |
| 90688 |
|
609 |
605 |
$10K |
| 0011A |
|
230 |
122 |
$10K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
249 |
235 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
49 |
49 |
$8K |
| 99243 |
|
59 |
59 |
$7K |
| 11750 |
|
50 |
25 |
$7K |
| 86580 |
|
1,464 |
1,160 |
$6K |
| 99406 |
|
683 |
413 |
$6K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,328 |
962 |
$6K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,299 |
925 |
$5K |
| 81002 |
|
3,997 |
2,785 |
$5K |
| 0012A |
|
94 |
48 |
$4K |
| 11730 |
|
72 |
30 |
$4K |
| 81025 |
|
1,363 |
975 |
$3K |
| 99442 |
|
892 |
810 |
$3K |
| 99383 |
|
65 |
43 |
$3K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
12 |
12 |
$2K |
| 99354 |
|
136 |
132 |
$2K |
| 90656 |
|
297 |
198 |
$2K |
| 80305 |
|
230 |
164 |
$1K |
| 90649 |
|
96 |
94 |
$1K |
| 0002A |
|
31 |
16 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
980 |
979 |
$1K |
| 82962 |
|
663 |
508 |
$1K |
| 0001A |
|
29 |
15 |
$1K |
| 20550 |
|
17 |
12 |
$906.25 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
185 |
135 |
$754.58 |
| 11056 |
|
19 |
12 |
$728.76 |
| A4217 |
Sterile water/saline, 500 ml |
107 |
94 |
$671.50 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
90 |
86 |
$585.54 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
219 |
190 |
$585.50 |
| 69209 |
|
38 |
27 |
$472.68 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
14 |
14 |
$467.46 |
| 90381 |
|
42 |
24 |
$324.00 |
| 95117 |
|
21 |
12 |
$297.78 |
| 99384 |
|
17 |
17 |
$295.98 |
| 96127 |
|
50 |
38 |
$274.36 |
| A6266 |
Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard |
58 |
46 |
$237.85 |
| 90655 |
|
42 |
30 |
$216.00 |
| A6219 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
25 |
20 |
$208.46 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
57 |
42 |
$174.43 |
| 82044 |
|
29 |
29 |
$135.67 |
| A6222 |
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
26 |
21 |
$112.86 |
| A6453 |
Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard |
97 |
88 |
$74.08 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
47 |
43 |
$70.44 |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
96 |
96 |
$44.81 |
| 99174 |
|
139 |
139 |
$22.36 |
| A6248 |
Hydrogel dressing, wound filler, gel, per fluid ounce |
26 |
21 |
$13.78 |
| 1160F |
|
35,294 |
30,730 |
$0.02 |
| 1159F |
|
35,304 |
30,740 |
$0.02 |
| 3008F |
|
36,663 |
33,837 |
$0.02 |
| 3077F |
|
7,528 |
4,621 |
$0.00 |
| 3078F |
|
67,320 |
39,812 |
$0.00 |
| 3725F |
|
751 |
750 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
400 |
400 |
$0.00 |
| 3046F |
|
132 |
94 |
$0.00 |
| 3075F |
|
9,513 |
5,953 |
$0.00 |
| 3079F |
|
12,318 |
7,563 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
83 |
83 |
$0.00 |
| 3074F |
|
65,176 |
38,521 |
$0.00 |
| 3080F |
|
1,622 |
1,029 |
$0.00 |
| Q2039 |
Influenza virus vaccine, not otherwise specified |
65 |
65 |
$0.00 |
| 3044F |
|
955 |
718 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
485 |
270 |
$0.00 |