| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
205,288 |
142,637 |
$53.01M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
91,299 |
71,054 |
$2.61M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16,411 |
15,649 |
$1.79M |
| 99381 |
|
4,252 |
4,132 |
$977K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,575 |
16,929 |
$725K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
11,584 |
11,084 |
$567K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20,323 |
17,796 |
$463K |
| D0999 |
Unspecified diagnostic procedure, by report |
1,372 |
1,207 |
$324K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,248 |
4,851 |
$269K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,041 |
2,658 |
$178K |
| 59430 |
|
5,219 |
4,522 |
$170K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
584 |
557 |
$76K |
| 99050 |
|
8,969 |
6,811 |
$65K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,038 |
2,873 |
$46K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
10,472 |
9,693 |
$34K |
| 81002 |
|
39,569 |
25,329 |
$30K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,184 |
1,129 |
$26K |
| 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 |
870 |
760 |
$26K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,511 |
2,171 |
$21K |
| 0001A |
|
694 |
426 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
455 |
414 |
$18K |
| 90715 |
|
3,462 |
3,058 |
$18K |
| 0011A |
|
483 |
360 |
$10K |
| 0072A |
|
352 |
262 |
$10K |
| 0071A |
|
412 |
286 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
581 |
494 |
$9K |
| 90619 |
|
648 |
569 |
$8K |
| 90620 |
|
358 |
314 |
$7K |
| 81025 |
|
6,013 |
5,260 |
$6K |
| 90686 |
|
10,712 |
10,013 |
$6K |
| 90651 |
|
3,115 |
2,824 |
$6K |
| 0002A |
|
188 |
164 |
$6K |
| 90480 |
|
761 |
689 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
215 |
211 |
$5K |
| 92551 |
|
6,764 |
6,206 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
934 |
902 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,076 |
3,603 |
$4K |
| 83655 |
|
3,392 |
3,245 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
54 |
24 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33,823 |
31,569 |
$4K |
| 99215 |
Prolong outpt/office vis |
105 |
84 |
$4K |
| 90837 |
Psychotherapy, 53 minutes with patient |
140 |
75 |
$4K |
| 91322 |
|
175 |
147 |
$3K |
| 96380 |
|
507 |
488 |
$3K |
| 90656 |
|
2,166 |
1,824 |
$2K |
| 90677 |
|
3,946 |
3,700 |
$2K |
| 85018 |
|
8,812 |
8,123 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
97 |
46 |
$2K |
| 0124A |
|
69 |
61 |
$2K |
| 0112A |
|
59 |
56 |
$2K |
| 96160 |
|
1,390 |
1,263 |
$1K |
| 87428 |
|
3,259 |
2,745 |
$1K |
| 76801 |
|
135 |
128 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27,126 |
17,754 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
411 |
321 |
$1K |
| 0111A |
|
123 |
118 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
34 |
28 |
$1K |
| 81003 |
|
4,990 |
4,256 |
$979.06 |
| 0031A |
|
48 |
43 |
$924.00 |
| 90716 |
|
1,853 |
1,757 |
$647.40 |
| 0052A |
|
32 |
16 |
$640.00 |
| 0054A |
|
26 |
17 |
$600.00 |
| 0154A |
|
18 |
12 |
$480.00 |
| 90707 |
|
1,855 |
1,761 |
$475.46 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
15 |
15 |
$467.93 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
45 |
42 |
$431.62 |
| 99384 |
|
13 |
12 |
$401.72 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
13 |
$218.32 |
| 90670 |
|
4,531 |
4,454 |
$214.40 |
| 0012A |
|
21 |
12 |
$200.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
164 |
148 |
$179.52 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
577 |
504 |
$128.45 |
| 90474 |
|
4,779 |
4,530 |
$96.40 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
54 |
33 |
$90.96 |
| 90633 |
|
3,846 |
3,631 |
$90.00 |
| 17250 |
|
20 |
14 |
$75.22 |
| 90723 |
|
9,174 |
8,744 |
$52.00 |
| 90648 |
|
12,251 |
11,713 |
$43.60 |
| 91312 |
|
69 |
61 |
$40.00 |
| 90473 |
|
123 |
116 |
$13.75 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
54 |
40 |
$1.91 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
128 |
100 |
$1.90 |
| 90671 |
|
1,235 |
1,210 |
$0.00 |
| 99173 |
|
6,384 |
5,820 |
$0.00 |
| 90710 |
|
812 |
766 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
795 |
698 |
$0.00 |
| 90700 |
|
1,502 |
1,419 |
$0.00 |
| 99051 |
|
280 |
246 |
$0.00 |
| 90734 |
|
87 |
84 |
$0.00 |
| 90380 |
|
266 |
255 |
$0.00 |
| 91300 |
|
980 |
644 |
$0.00 |
| 99177 |
|
607 |
556 |
$0.00 |
| 91321 |
|
481 |
448 |
$0.00 |
| 90681 |
|
2,266 |
2,147 |
$0.00 |
| 91311 |
|
253 |
242 |
$0.00 |
| 99080 |
|
40 |
38 |
$0.00 |
| 90680 |
|
4,397 |
4,182 |
$0.00 |
| 36416 |
|
6,407 |
6,063 |
$0.00 |
| 90696 |
|
803 |
758 |
$0.00 |
| 90381 |
|
336 |
326 |
$0.00 |
| 91301 |
|
453 |
377 |
$0.00 |
| D0602 |
|
245 |
203 |
$0.00 |
| 91307 |
|
1,045 |
764 |
$0.00 |
| D0603 |
|
367 |
307 |
$0.00 |
| 96127 |
|
461 |
433 |
$0.00 |
| 91305 |
|
223 |
176 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,068 |
888 |
$0.00 |
| D1310 |
|
27 |
26 |
$0.00 |
| D1330 |
|
15 |
14 |
$0.00 |
| 91315 |
|
18 |
12 |
$0.00 |