| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
667,920 |
546,157 |
$75.37M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
217,425 |
193,388 |
$9.57M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
114,092 |
92,650 |
$5.62M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
51,514 |
49,562 |
$4.06M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
57,155 |
56,578 |
$4.02M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
53,717 |
53,069 |
$3.86M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
42,969 |
41,862 |
$3.06M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
66,759 |
61,579 |
$2.36M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
350,457 |
169,263 |
$1.85M |
| 99381 |
|
12,540 |
12,302 |
$1.27M |
| 90832 |
Psychotherapy, 30 minutes with patient |
11,586 |
9,618 |
$626K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
609 |
602 |
$429K |
| 99383 |
|
5,280 |
5,195 |
$418K |
| 99384 |
|
4,751 |
4,632 |
$378K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,907 |
4,514 |
$362K |
| 90791 |
Psychiatric diagnostic evaluation |
3,154 |
3,080 |
$286K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
103,694 |
78,936 |
$275K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,724 |
4,625 |
$262K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,642 |
3,202 |
$238K |
| 99382 |
|
2,966 |
2,915 |
$237K |
| 90461 |
|
93,088 |
77,323 |
$177K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,593 |
3,535 |
$166K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,058 |
2,001 |
$144K |
| 90620 |
|
14,376 |
14,095 |
$136K |
| 99215 |
Prolong outpt/office vis |
2,006 |
1,953 |
$132K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
3,082 |
3,029 |
$116K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,758 |
2,642 |
$94K |
| 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 |
2,283 |
2,042 |
$78K |
| 90715 |
|
16,367 |
16,097 |
$60K |
| 99385 |
|
723 |
663 |
$52K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19,096 |
18,909 |
$50K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,151 |
1,100 |
$49K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
11,318 |
10,882 |
$47K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
577 |
537 |
$46K |
| 59025 |
Fetal non-stress test |
1,749 |
1,230 |
$35K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,252 |
7,013 |
$32K |
| 81003 |
|
45,357 |
31,249 |
$30K |
| 90837 |
Psychotherapy, 53 minutes with patient |
306 |
283 |
$26K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
921 |
889 |
$25K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,025 |
4,549 |
$20K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
913 |
832 |
$18K |
| 81025 |
|
11,141 |
10,435 |
$18K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
735 |
731 |
$17K |
| 83655 |
|
3,603 |
3,585 |
$17K |
| 90688 |
|
4,011 |
3,932 |
$16K |
| 11981 |
|
497 |
492 |
$16K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
488 |
463 |
$15K |
| 92551 |
|
99,541 |
98,035 |
$14K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
157 |
156 |
$14K |
| 97169 |
|
576 |
557 |
$12K |
| V2020 |
Frames, purchases |
754 |
750 |
$10K |
| 76818 |
|
198 |
149 |
$9K |
| 90670 |
|
29,904 |
29,533 |
$7K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
2,759 |
2,667 |
$6K |
| 90686 |
|
67,625 |
66,927 |
$5K |
| 90734 |
|
13,884 |
13,652 |
$5K |
| 90651 |
|
25,625 |
25,266 |
$5K |
| 76801 |
|
161 |
153 |
$5K |
| 69210 |
|
318 |
291 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,334 |
7,047 |
$4K |
| 82948 |
|
2,493 |
2,303 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
409 |
394 |
$3K |
| 11982 |
|
79 |
78 |
$3K |
| 90707 |
|
4,190 |
4,130 |
$2K |
| 94726 |
|
453 |
400 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
47 |
45 |
$2K |
| 0031A |
|
57 |
57 |
$2K |
| 17110 |
|
32 |
27 |
$2K |
| 99201 |
|
142 |
141 |
$2K |
| S4993 |
Contraceptive pills for birth control |
30 |
29 |
$2K |
| 94060 |
|
406 |
359 |
$2K |
| 90473 |
|
3,120 |
3,046 |
$1K |
| 99050 |
|
179 |
177 |
$1K |
| 97170 |
|
53 |
49 |
$1K |
| 94729 |
|
412 |
361 |
$1K |
| 90677 |
|
3,123 |
3,080 |
$1K |
| 0072A |
|
207 |
207 |
$1K |
| 0071A |
|
135 |
135 |
$1K |
| 17250 |
|
41 |
39 |
$1K |
| 90680 |
|
25,976 |
25,582 |
$739.87 |
| 90480 |
|
49 |
49 |
$696.00 |
| 90658 |
|
294 |
289 |
$500.07 |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$491.56 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
688 |
605 |
$454.64 |
| 90661 |
|
101 |
101 |
$325.00 |
| 0012A |
|
29 |
29 |
$240.00 |
| A4267 |
Contraceptive supply, condom, male, each |
258 |
256 |
$233.82 |
| 90723 |
|
7,866 |
7,761 |
$199.36 |
| 93000 |
|
27 |
24 |
$186.97 |
| 99080 |
|
66 |
59 |
$180.00 |
| 85018 |
|
4,014 |
3,971 |
$164.11 |
| 90698 |
|
12,447 |
12,275 |
$161.35 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
13 |
13 |
$153.90 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
370 |
284 |
$88.57 |
| 90710 |
|
19,552 |
19,371 |
$68.18 |
| 90619 |
|
5,857 |
5,801 |
$63.99 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
177 |
175 |
$61.48 |
| 94200 |
|
393 |
344 |
$37.38 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
127 |
125 |
$29.48 |
| 90744 |
|
4,429 |
4,360 |
$26.58 |
| 94727 |
|
23 |
21 |
$19.64 |
| 90648 |
|
16,312 |
16,131 |
$17.72 |
| 90656 |
|
1,620 |
1,616 |
$17.47 |
| 90633 |
|
24,036 |
23,792 |
$11.11 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
39 |
39 |
$9.43 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
378 |
354 |
$8.29 |
| 90474 |
|
12 |
12 |
$7.84 |
| 99173 |
|
104,413 |
102,624 |
$2.86 |
| 96160 |
|
100 |
97 |
$2.25 |
| 90697 |
|
12,712 |
12,541 |
$0.36 |
| 90674 |
|
854 |
841 |
$0.21 |
| 90696 |
|
11,200 |
11,083 |
$0.11 |
| 90681 |
|
1,155 |
1,130 |
$0.11 |
| 90694 |
|
19 |
19 |
$0.05 |
| 90671 |
|
9,058 |
8,940 |
$0.01 |
| 90716 |
|
4,404 |
4,341 |
$0.00 |
| 96127 |
|
448 |
446 |
$0.00 |
| 36416 |
|
1,637 |
1,590 |
$0.00 |
| 88142 |
|
39 |
39 |
$0.00 |
| 94760 |
|
60 |
56 |
$0.00 |
| 96161 |
|
14 |
13 |
$0.00 |
| 90647 |
|
198 |
195 |
$0.00 |
| 91303 |
|
33 |
33 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
12 |
12 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
141 |
137 |
$0.00 |
| 86592 |
|
12 |
12 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
12 |
12 |
$0.00 |
| 90657 |
|
35 |
35 |
$0.00 |
| 90381 |
|
16 |
16 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
211 |
206 |
$0.00 |
| 0011A |
|
22 |
22 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$0.00 |
| 90700 |
|
10,897 |
10,764 |
$0.00 |
| 90685 |
|
1,601 |
1,595 |
$0.00 |
| 90713 |
|
1,670 |
1,644 |
$0.00 |
| 99051 |
|
2,098 |
2,067 |
$0.00 |
| 90649 |
|
96 |
91 |
$0.00 |
| 92015 |
Determination of refractive state |
15 |
15 |
$0.00 |
| 94664 |
|
50 |
47 |
$0.00 |
| 90380 |
|
79 |
76 |
$0.00 |
| 90687 |
|
48 |
48 |
$0.00 |
| 91300 |
|
14 |
14 |
$0.00 |
| 90672 |
|
14 |
13 |
$0.00 |