| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,847 |
8,167 |
$717K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,132 |
16,266 |
$555K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,133 |
3,437 |
$210K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,627 |
3,646 |
$192K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12,201 |
9,155 |
$185K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,033 |
3,192 |
$157K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,258 |
1,034 |
$135K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,224 |
2,423 |
$127K |
| 98960 |
|
9,688 |
5,505 |
$126K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,006 |
2,387 |
$116K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,403 |
6,249 |
$70K |
| 99188 |
|
4,806 |
3,416 |
$54K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,450 |
4,091 |
$42K |
| 92551 |
|
8,549 |
6,655 |
$39K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
4,057 |
2,779 |
$37K |
| 96160 |
|
4,087 |
3,224 |
$34K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,096 |
5,980 |
$32K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
332 |
277 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,158 |
2,356 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,037 |
2,792 |
$15K |
| 99051 |
|
899 |
677 |
$9K |
| 99173 |
|
9,334 |
6,755 |
$9K |
| H2020 |
Therapeutic behavioral services, per diem |
327 |
88 |
$9K |
| G9919 |
Screening performed and positive and provision of recommendations |
358 |
294 |
$8K |
| 90474 |
|
1,157 |
934 |
$7K |
| 99381 |
|
110 |
99 |
$7K |
| 87807 |
|
1,397 |
1,009 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
207 |
167 |
$6K |
| 97802 |
|
12,837 |
8,161 |
$5K |
| 54150 |
|
60 |
41 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
118 |
93 |
$4K |
| H0049 |
Alcohol and/or drug screening |
2,206 |
1,366 |
$4K |
| 96161 |
|
742 |
544 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,562 |
1,654 |
$3K |
| 99460 |
|
102 |
79 |
$3K |
| 99401 |
|
813 |
590 |
$3K |
| 96127 |
|
342 |
286 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
73 |
54 |
$3K |
| 97803 |
|
6,949 |
4,266 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
48 |
45 |
$2K |
| 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) |
1,098 |
592 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
71 |
64 |
$720.83 |
| 99462 |
|
29 |
26 |
$599.52 |
| 81003 |
|
453 |
331 |
$488.94 |
| 90671 |
|
1,899 |
1,294 |
$450.01 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
14 |
$360.66 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
254 |
151 |
$356.79 |
| 85018 |
|
1,944 |
1,089 |
$225.96 |
| 81025 |
|
55 |
42 |
$224.65 |
| 83655 |
|
1,633 |
895 |
$156.50 |
| 90473 |
|
48 |
38 |
$125.16 |
| 90686 |
|
1,475 |
1,213 |
$124.17 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
35 |
25 |
$55.54 |
| 90656 |
|
192 |
122 |
$12.50 |
| 90651 |
|
759 |
515 |
$0.03 |
| 90633 |
|
1,051 |
850 |
$0.03 |
| 90647 |
|
116 |
91 |
$0.01 |
| 90697 |
|
1,598 |
1,228 |
$0.00 |
| 90680 |
|
1,141 |
905 |
$0.00 |
| 90660 |
|
56 |
45 |
$0.00 |
| 90716 |
|
240 |
182 |
$0.00 |
| 90619 |
|
744 |
528 |
$0.00 |
| 90696 |
|
79 |
64 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 91307 |
|
23 |
15 |
$0.00 |
| 90621 |
|
367 |
234 |
$0.00 |
| 90670 |
|
618 |
541 |
$0.00 |
| 90707 |
|
202 |
154 |
$0.00 |
| 90700 |
|
214 |
172 |
$0.00 |
| 90715 |
|
76 |
60 |
$0.00 |
| 90710 |
|
64 |
52 |
$0.00 |
| 90672 |
|
19 |
19 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
57 |
12 |
$0.00 |