| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
127,916 |
116,985 |
$24.13M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
81,741 |
72,555 |
$758K |
| 96156 |
|
15,979 |
15,488 |
$365K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,475 |
17,908 |
$260K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,370 |
6,495 |
$158K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,868 |
6,172 |
$150K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,670 |
4,415 |
$144K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,484 |
3,098 |
$95K |
| 0002A |
|
1,532 |
816 |
$81K |
| 0001A |
|
1,472 |
779 |
$67K |
| 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 |
3,299 |
2,991 |
$61K |
| 90677 |
|
1,228 |
780 |
$54K |
| 90686 |
|
9,152 |
8,630 |
$53K |
| 0012A |
|
833 |
468 |
$43K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
2,375 |
2,117 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,641 |
4,322 |
$38K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,486 |
1,269 |
$35K |
| 0011A |
|
801 |
450 |
$34K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,866 |
1,758 |
$34K |
| G9920 |
Screening performed and negative |
5,355 |
4,089 |
$34K |
| 90670 |
|
5,880 |
5,095 |
$30K |
| 59425 |
|
529 |
344 |
$26K |
| 96151 |
|
1,717 |
1,693 |
$19K |
| 90651 |
|
704 |
649 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,267 |
7,453 |
$16K |
| 90698 |
|
3,499 |
3,031 |
$16K |
| 90633 |
|
2,794 |
2,512 |
$15K |
| 90715 |
|
725 |
696 |
$13K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
173 |
127 |
$13K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,268 |
1,878 |
$13K |
| 99215 |
Prolong outpt/office vis |
203 |
127 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
753 |
750 |
$11K |
| 85018 |
|
12,059 |
9,591 |
$11K |
| 90681 |
|
2,289 |
1,857 |
$10K |
| 90744 |
|
1,711 |
1,691 |
$9K |
| 90750 |
|
70 |
63 |
$9K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
452 |
318 |
$8K |
| 0072A |
|
129 |
66 |
$7K |
| 90656 |
|
754 |
576 |
$6K |
| 0064A |
|
90 |
52 |
$5K |
| 90697 |
|
1,529 |
1,194 |
$5K |
| 0071A |
|
92 |
47 |
$4K |
| 99051 |
|
873 |
861 |
$4K |
| 97802 |
|
444 |
416 |
$4K |
| 90710 |
|
650 |
475 |
$4K |
| 96150 |
|
348 |
342 |
$4K |
| 92551 |
|
982 |
729 |
$4K |
| 81003 |
|
8,929 |
6,948 |
$3K |
| 0004A |
|
66 |
40 |
$3K |
| 99401 |
|
194 |
192 |
$3K |
| 90658 |
|
256 |
256 |
$3K |
| 90707 |
|
383 |
339 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
65 |
54 |
$3K |
| 90700 |
|
401 |
358 |
$3K |
| 90716 |
|
362 |
295 |
$3K |
| 90734 |
|
552 |
290 |
$2K |
| 99381 |
|
56 |
43 |
$2K |
| 90649 |
|
545 |
109 |
$2K |
| 90648 |
|
298 |
268 |
$2K |
| 90696 |
|
320 |
270 |
$2K |
| 99385 |
|
12 |
12 |
$2K |
| 85999 |
|
500 |
499 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
123 |
114 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 90619 |
|
89 |
72 |
$1K |
| 99243 |
|
61 |
41 |
$1K |
| 90685 |
|
112 |
105 |
$1K |
| H2015 |
Comprehensive community support services, per 15 minutes |
89 |
68 |
$1K |
| H2000 |
Comprehensive multidisciplinary evaluation |
60 |
57 |
$925.10 |
| 96158 |
|
318 |
208 |
$884.37 |
| 97803 |
|
293 |
273 |
$783.14 |
| 81025 |
|
757 |
721 |
$751.33 |
| 99442 |
|
69 |
61 |
$659.74 |
| 96127 |
|
595 |
332 |
$626.20 |
| 90662 |
|
131 |
131 |
$574.38 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
956 |
868 |
$551.96 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
44 |
41 |
$529.83 |
| 99173 |
|
623 |
594 |
$379.70 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
52 |
46 |
$353.43 |
| 90672 |
|
118 |
117 |
$288.00 |
| G0008 |
Administration of influenza virus vaccine |
138 |
138 |
$281.46 |
| 99443 |
|
16 |
14 |
$185.28 |
| H2027 |
Psychoeducational service, per 15 minutes |
16 |
14 |
$149.46 |
| 99234 |
|
195 |
180 |
$68.20 |
| 96152 |
|
32 |
25 |
$60.06 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
115 |
114 |
$31.25 |
| 90620 |
|
43 |
38 |
$9.00 |
| Z1034 |
|
4,285 |
3,287 |
$0.00 |
| 3074F |
|
2,071 |
1,996 |
$0.00 |
| Z6410 |
|
691 |
563 |
$0.00 |
| Z1032 |
|
190 |
190 |
$0.00 |
| Z6406 |
|
12 |
12 |
$0.00 |
| 96161 |
|
443 |
404 |
$0.00 |
| Z6402 |
|
37 |
37 |
$0.00 |
| 3075F |
|
45 |
40 |
$0.00 |
| Z1038 |
|
26 |
26 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
15 |
14 |
$0.00 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
29 |
28 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
22 |
22 |
$0.00 |
| 81001 |
|
14 |
14 |
$0.00 |
| 0270 |
|
22 |
19 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
24 |
23 |
$0.00 |
| Z6204 |
|
13 |
13 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,094 |
1,027 |
$0.00 |
| 90461 |
|
759 |
724 |
$0.00 |
| Z6302 |
|
87 |
87 |
$0.00 |
| 3078F |
|
3,246 |
3,094 |
$0.00 |
| 96160 |
|
1,456 |
1,442 |
$0.00 |
| 3077F |
|
47 |
45 |
$0.00 |
| Z6400 |
|
15 |
15 |
$0.00 |
| Z6304 |
|
28 |
28 |
$0.00 |
| Z6200 |
|
37 |
37 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
12 |
12 |
$0.00 |
| Z6208 |
|
14 |
14 |
$0.00 |
| Z6414 |
|
14 |
14 |
$0.00 |
| Z6300 |
|
37 |
37 |
$0.00 |
| 96159 |
|
29 |
17 |
$0.00 |
| 0521 |
|
94 |
73 |
$0.00 |
| Z6308 |
|
14 |
14 |
$0.00 |