| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,245 |
16,949 |
$2.97M |
| T1015 |
Clinic visit/encounter, all-inclusive |
18,785 |
14,675 |
$1.81M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,455 |
7,925 |
$1.43M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,803 |
2,618 |
$417K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,208 |
2,110 |
$347K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,225 |
2,110 |
$340K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,590 |
1,530 |
$252K |
| 87428 |
|
1,934 |
1,804 |
$116K |
| 90832 |
Psychotherapy, 30 minutes with patient |
370 |
267 |
$65K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
432 |
400 |
$59K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
969 |
944 |
$44K |
| 99199 |
Unlisted special service, procedure or report |
10,369 |
10,046 |
$33K |
| 90834 |
Psychotherapy, 45 minutes with patient |
167 |
115 |
$26K |
| G9153 |
Mapcp demonstration - physician incentive pool |
443 |
441 |
$17K |
| 92587 |
|
5,583 |
5,267 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,299 |
4,023 |
$11K |
| 90651 |
|
263 |
247 |
$9K |
| 0012A |
|
221 |
211 |
$9K |
| 80305 |
|
972 |
858 |
$8K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
277 |
262 |
$7K |
| 0011A |
|
182 |
169 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
909 |
875 |
$6K |
| 99177 |
|
5,398 |
5,097 |
$6K |
| 90670 |
|
711 |
684 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,104 |
1,045 |
$5K |
| 90686 |
|
1,597 |
1,501 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
730 |
487 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
132 |
100 |
$3K |
| 0071A |
|
59 |
54 |
$2K |
| 96161 |
|
1,333 |
1,285 |
$2K |
| 96127 |
|
1,468 |
1,441 |
$2K |
| D1110 |
Prophylaxis - adult |
79 |
52 |
$2K |
| 0072A |
|
49 |
45 |
$2K |
| 0002A |
|
46 |
43 |
$2K |
| 96160 |
|
1,389 |
1,349 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
24 |
24 |
$1K |
| D1206 |
Topical application of fluoride varnish |
90 |
65 |
$1K |
| 0001A |
|
31 |
26 |
$1K |
| 0064A |
|
17 |
16 |
$600.00 |
| Q3014 |
Telehealth originating site facility fee |
37 |
35 |
$539.68 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,117 |
1,081 |
$523.74 |
| 97802 |
|
51 |
44 |
$517.66 |
| 0134A |
|
18 |
17 |
$465.00 |
| 90677 |
|
121 |
120 |
$387.95 |
| 85018 |
|
243 |
237 |
$337.09 |
| D0274 |
Bitewings - four radiographic images |
14 |
14 |
$335.50 |
| 90723 |
|
309 |
302 |
$309.08 |
| D1208 |
Topical application of fluoride, excluding varnish |
19 |
14 |
$220.08 |
| 92551 |
|
162 |
151 |
$175.56 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
51 |
51 |
$163.15 |
| 83655 |
|
73 |
69 |
$130.32 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$122.80 |
| 84703 |
|
85 |
83 |
$108.00 |
| 87400 |
|
16 |
16 |
$71.10 |
| 99173 |
|
32 |
30 |
$16.54 |
| 90656 |
|
55 |
55 |
$13.77 |
| 3078F |
|
105 |
101 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
78 |
77 |
$0.00 |
| 90681 |
|
122 |
118 |
$0.00 |
| 90633 |
|
163 |
162 |
$0.00 |
| 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 |
12 |
12 |
$0.00 |
| 90734 |
|
57 |
56 |
$0.00 |
| 91313 |
|
16 |
15 |
$0.00 |
| 91300 |
|
27 |
23 |
$0.00 |
| 3074F |
|
197 |
192 |
$0.00 |
| 90647 |
|
344 |
332 |
$0.00 |
| 3008F |
|
178 |
169 |
$0.00 |
| 3351F |
|
14 |
14 |
$0.00 |
| 36416 |
|
12 |
12 |
$0.00 |