| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
34,162 |
28,953 |
$1.81M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29,335 |
25,368 |
$1.62M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,915 |
2,731 |
$139K |
| 99443 |
|
424 |
388 |
$26K |
| 99215 |
Prolong outpt/office vis |
320 |
277 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
120 |
118 |
$10K |
| 99442 |
|
209 |
195 |
$9K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
338 |
275 |
$9K |
| 80050 |
General health panel |
154 |
152 |
$5K |
| 80053 |
Comprehensive metabolic panel |
353 |
334 |
$3K |
| 99441 |
|
113 |
104 |
$3K |
| 99499 |
|
89 |
88 |
$2K |
| D9999 |
Unspecified adjunctive procedure, by report |
165 |
144 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
184 |
161 |
$2K |
| 99429 |
|
91 |
89 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
300 |
286 |
$2K |
| 90686 |
|
202 |
199 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$2K |
| 98927 |
|
46 |
37 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,110 |
1,054 |
$2K |
| 81025 |
|
192 |
185 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
210 |
207 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
145 |
137 |
$1K |
| 90674 |
|
63 |
63 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
70 |
65 |
$1K |
| 81003 |
|
510 |
397 |
$846.10 |
| 84550 |
|
177 |
173 |
$748.53 |
| 0012A |
|
14 |
12 |
$570.80 |
| D1206 |
Topical application of fluoride varnish |
42 |
31 |
$510.15 |
| 90688 |
|
32 |
32 |
$353.59 |
| 80061 |
Lipid panel |
29 |
27 |
$340.84 |
| 90670 |
|
64 |
64 |
$318.23 |
| 90685 |
|
14 |
14 |
$174.62 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$85.90 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
13 |
$48.91 |
| 99072 |
|
212 |
201 |
$15.15 |