| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
42,857 |
34,988 |
$2.64M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,511 |
17,787 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,169 |
15,032 |
$44K |
| G9920 |
Screening performed and negative |
459 |
454 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
277 |
256 |
$10K |
| 90686 |
|
670 |
661 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
87 |
77 |
$5K |
| 0071A |
|
78 |
78 |
$3K |
| 0001A |
|
84 |
82 |
$3K |
| 0124A |
|
41 |
41 |
$3K |
| 0072A |
|
66 |
66 |
$3K |
| 0003A |
|
63 |
63 |
$2K |
| 0002A |
|
64 |
62 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
15 |
14 |
$2K |
| 90688 |
|
100 |
100 |
$1K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
217 |
216 |
$1K |
| 0013A |
|
22 |
22 |
$880.00 |
| 0012A |
|
24 |
24 |
$867.12 |
| 90716 |
|
89 |
89 |
$801.00 |
| 0011A |
|
38 |
36 |
$786.02 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
214 |
211 |
$681.28 |
| 90656 |
|
46 |
46 |
$622.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
198 |
197 |
$560.85 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
21 |
19 |
$521.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
15 |
15 |
$435.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
56 |
55 |
$383.81 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
300 |
269 |
$338.47 |
| 90707 |
|
27 |
27 |
$311.25 |
| 90713 |
|
16 |
16 |
$144.00 |
| 90700 |
|
16 |
16 |
$144.00 |
| 90670 |
|
12 |
12 |
$108.00 |
| 87430 |
|
26 |
26 |
$55.72 |
| 81002 |
|
12 |
12 |
$0.43 |