| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,357 |
2,118 |
$217K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
45,935 |
42,721 |
$94K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,967 |
1,081 |
$81K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,623 |
927 |
$78K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,436 |
24,674 |
$70K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,026 |
4,781 |
$19K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
2,406 |
1,546 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
572 |
567 |
$8K |
| 92551 |
|
1,537 |
1,535 |
$8K |
| 59425 |
|
122 |
75 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
126 |
126 |
$5K |
| 90750 |
|
254 |
254 |
$5K |
| 90674 |
|
501 |
501 |
$5K |
| 90715 |
|
327 |
327 |
$5K |
| 92250 |
|
712 |
711 |
$3K |
| 90686 |
|
1,344 |
1,342 |
$3K |
| 90661 |
|
246 |
246 |
$3K |
| 90688 |
|
199 |
198 |
$3K |
| 81002 |
|
5,709 |
4,409 |
$2K |
| 81025 |
|
3,491 |
3,378 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,464 |
7,404 |
$772.85 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
766 |
750 |
$750.72 |
| 90677 |
|
26 |
26 |
$733.89 |
| 90746 |
|
13 |
13 |
$649.50 |
| 11720 |
|
143 |
143 |
$558.40 |
| 85018 |
|
5,392 |
5,274 |
$459.54 |
| 90756 |
|
42 |
42 |
$322.00 |
| 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 |
15 |
13 |
$315.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
118 |
114 |
$255.80 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
794 |
793 |
$246.00 |
| 99215 |
Prolong outpt/office vis |
368 |
357 |
$237.41 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
323 |
323 |
$219.80 |
| 90670 |
|
12 |
12 |
$197.10 |
| 1125F |
|
2,550 |
2,503 |
$197.10 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,890 |
3,857 |
$176.22 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
623 |
623 |
$150.34 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
164 |
163 |
$148.45 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
982 |
976 |
$125.61 |
| 99408 |
|
1,393 |
1,390 |
$112.28 |
| 83655 |
|
114 |
114 |
$94.91 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
59 |
59 |
$69.38 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
171 |
169 |
$43.41 |
| 3725F |
|
3,841 |
3,809 |
$23.49 |
| 90656 |
|
68 |
68 |
$22.35 |
| 82962 |
|
2,349 |
2,285 |
$9.98 |
| 36415 |
Collection of venous blood by venipuncture |
48 |
48 |
$3.00 |
| 3077F |
|
4,385 |
4,243 |
$0.00 |
| 3078F |
|
22,879 |
21,831 |
$0.00 |
| 2028F |
|
3,634 |
3,541 |
$0.00 |
| 99173 |
|
2,547 |
2,544 |
$0.00 |
| 0502F |
|
3,661 |
2,377 |
$0.00 |
| 86703 |
|
378 |
376 |
$0.00 |
| 2026F |
|
612 |
611 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
243 |
243 |
$0.00 |
| 4274F |
|
839 |
791 |
$0.00 |
| 3046F |
|
1,005 |
972 |
$0.00 |
| 3015F |
|
210 |
210 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
68 |
68 |
$0.00 |
| 91322 |
|
44 |
44 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$0.00 |
| 2024F |
|
68 |
68 |
$0.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
101 |
82 |
$0.00 |
| 1159F |
|
35 |
35 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$0.00 |
| 1160F |
|
14 |
14 |
$0.00 |
| 3079F |
|
8,366 |
8,114 |
$0.00 |
| 3044F |
|
17,718 |
16,544 |
$0.00 |
| 3008F |
|
30,995 |
29,417 |
$0.00 |
| 1126F |
|
29,279 |
27,837 |
$0.00 |
| 1036F |
|
41,832 |
39,165 |
$0.00 |
| 1170F |
|
1,317 |
1,291 |
$0.00 |
| 1034F |
|
520 |
518 |
$0.00 |
| 3074F |
|
23,826 |
22,667 |
$0.00 |
| 86780 |
|
196 |
195 |
$0.00 |
| 3014F |
|
2,563 |
2,434 |
$0.00 |
| 3075F |
|
3,918 |
3,856 |
$0.00 |
| 1000F |
|
1,140 |
1,097 |
$0.00 |
| 3080F |
|
1,300 |
1,264 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
4,706 |
4,681 |
$0.00 |
| 3061F |
|
406 |
388 |
$0.00 |
| 99385 |
|
90 |
90 |
$0.00 |
| 90647 |
|
24 |
24 |
$0.00 |
| 3060F |
|
602 |
580 |
$0.00 |
| 96150 |
|
12 |
12 |
$0.00 |
| 99386 |
|
86 |
86 |
$0.00 |
| 90739 |
|
241 |
241 |
$0.00 |
| 3072F |
|
13 |
12 |
$0.00 |
| 96156 |
|
25 |
24 |
$0.00 |
| 99000 |
|
16 |
16 |
$0.00 |
| 90480 |
|
44 |
44 |
$0.00 |
| 97802 |
|
25 |
24 |
$0.00 |