| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,450 |
7,657 |
$448K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,186 |
3,382 |
$260K |
| T1015 |
Clinic visit/encounter, all-inclusive |
7,148 |
4,489 |
$79K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,202 |
775 |
$71K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
965 |
599 |
$53K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,045 |
765 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
332 |
263 |
$26K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
711 |
516 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,441 |
795 |
$21K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
268 |
232 |
$15K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
115 |
55 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
710 |
535 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
795 |
427 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
74 |
47 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,204 |
701 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
192 |
179 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
679 |
416 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,341 |
1,118 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
50 |
37 |
$3K |
| 96127 |
|
734 |
506 |
$2K |
| 87807 |
|
238 |
165 |
$2K |
| 99000 |
|
735 |
541 |
$2K |
| 83655 |
|
178 |
112 |
$1K |
| 90686 |
|
281 |
229 |
$1K |
| 87634 |
|
15 |
14 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
105 |
76 |
$916.03 |
| 59425 |
|
15 |
12 |
$878.80 |
| 94726 |
|
138 |
126 |
$855.18 |
| 81003 |
|
536 |
287 |
$835.85 |
| 94060 |
|
138 |
126 |
$824.98 |
| 99442 |
|
75 |
60 |
$775.26 |
| 36416 |
|
330 |
220 |
$706.55 |
| 94729 |
|
138 |
126 |
$642.40 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
13 |
12 |
$478.41 |
| 99406 |
|
35 |
33 |
$446.14 |
| 85018 |
|
278 |
183 |
$421.88 |
| 90474 |
|
250 |
82 |
$388.05 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
562 |
287 |
$296.40 |
| 96161 |
|
100 |
61 |
$257.08 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
86 |
49 |
$247.80 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
15 |
$185.40 |
| 81025 |
|
64 |
25 |
$169.95 |
| 90461 |
|
345 |
173 |
$156.80 |
| 90723 |
|
132 |
47 |
$90.61 |
| 90647 |
|
107 |
43 |
$27.83 |
| 1160F |
|
307 |
192 |
$0.01 |
| 1159F |
|
308 |
192 |
$0.01 |
| 99215 |
Prolong outpt/office vis |
25 |
23 |
$0.00 |
| 90670 |
|
167 |
73 |
$0.00 |
| 3078F |
|
204 |
138 |
$0.00 |
| 90633 |
|
49 |
31 |
$0.00 |
| 90707 |
|
15 |
12 |
$0.00 |
| 3074F |
|
277 |
178 |
$0.00 |
| 3079F |
|
38 |
28 |
$0.00 |
| 90680 |
|
94 |
31 |
$0.00 |
| 90716 |
|
17 |
14 |
$0.00 |