| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
132,973 |
120,127 |
$20.45M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
56,634 |
52,795 |
$2.89M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36,671 |
33,763 |
$2.25M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,054 |
4,957 |
$330K |
| 99215 |
Prolong outpt/office vis |
3,686 |
3,430 |
$312K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,878 |
2,667 |
$225K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,643 |
2,617 |
$220K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,366 |
2,737 |
$198K |
| 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 |
1,602 |
1,555 |
$168K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,845 |
1,539 |
$159K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,566 |
1,525 |
$112K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,925 |
3,563 |
$93K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
888 |
883 |
$74K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
496 |
450 |
$71K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,586 |
1,517 |
$60K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,107 |
4,055 |
$59K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,134 |
1,075 |
$45K |
| 0002A |
|
1,032 |
1,030 |
$39K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
398 |
386 |
$37K |
| 0001A |
|
1,009 |
1,009 |
$34K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
437 |
434 |
$22K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,202 |
3,166 |
$21K |
| 59426 |
|
26 |
26 |
$20K |
| 99205 |
Prolong outpt/office vis |
121 |
117 |
$18K |
| 90686 |
|
1,874 |
1,852 |
$14K |
| 0004A |
|
273 |
271 |
$11K |
| 81002 |
|
3,351 |
3,293 |
$10K |
| 64483 |
|
186 |
181 |
$10K |
| 81025 |
|
1,380 |
1,334 |
$10K |
| 90785 |
|
1,098 |
821 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
82 |
80 |
$7K |
| 90832 |
Psychotherapy, 30 minutes with patient |
155 |
135 |
$7K |
| 95886 |
|
106 |
99 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
122 |
115 |
$6K |
| 90670 |
|
1,071 |
1,051 |
$6K |
| 87807 |
|
380 |
378 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,407 |
1,381 |
$4K |
| 0071A |
|
106 |
105 |
$4K |
| 0072A |
|
105 |
105 |
$4K |
| 80305 |
|
310 |
276 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,055 |
964 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
46 |
46 |
$4K |
| 0124A |
|
81 |
81 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
396 |
374 |
$3K |
| 0054A |
|
80 |
80 |
$3K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
69 |
69 |
$3K |
| 90680 |
|
591 |
581 |
$3K |
| 90671 |
|
516 |
512 |
$3K |
| 92558 |
|
500 |
496 |
$2K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
25 |
25 |
$2K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
28 |
28 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
53 |
52 |
$2K |
| 90723 |
|
366 |
358 |
$2K |
| 90697 |
|
375 |
373 |
$2K |
| 83655 |
|
167 |
152 |
$2K |
| 90633 |
|
294 |
289 |
$2K |
| 99177 |
|
548 |
547 |
$2K |
| 90647 |
|
276 |
270 |
$1K |
| 11721 |
|
139 |
139 |
$1K |
| 99443 |
|
18 |
15 |
$1K |
| 99173 |
|
1,209 |
1,193 |
$952.26 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$844.97 |
| 59025 |
Fetal non-stress test |
21 |
14 |
$802.06 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
152 |
151 |
$678.59 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
33 |
28 |
$653.96 |
| 90656 |
|
190 |
186 |
$646.44 |
| 99152 |
|
216 |
196 |
$534.61 |
| 85018 |
|
259 |
242 |
$524.98 |
| 96160 |
|
611 |
594 |
$520.83 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
12 |
12 |
$517.87 |
| 90648 |
|
94 |
92 |
$472.66 |
| 83037 |
|
59 |
57 |
$468.36 |
| 90685 |
|
116 |
115 |
$433.10 |
| 96127 |
|
470 |
426 |
$426.31 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
89 |
83 |
$379.18 |
| 36416 |
|
631 |
579 |
$334.46 |
| 92579 |
|
26 |
26 |
$330.11 |
| 95251 |
|
57 |
51 |
$287.68 |
| 90688 |
|
58 |
57 |
$231.20 |
| 51798 |
|
114 |
112 |
$219.24 |
| 96161 |
|
145 |
143 |
$124.36 |
| 88720 |
|
21 |
12 |
$100.60 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
207 |
198 |
$91.37 |
| 90707 |
|
12 |
12 |
$59.66 |
| 92587 |
|
14 |
14 |
$51.64 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
16 |
16 |
$39.83 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
14 |
14 |
$39.13 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$33.51 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
140 |
138 |
$25.72 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
1,334 |
1,255 |
$21.60 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
42 |
42 |
$8.32 |
| 90662 |
|
15 |
15 |
$0.00 |
| 91300 |
|
873 |
775 |
$0.00 |