| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
18,497 |
13,073 |
$2.20M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,953 |
27,496 |
$2.03M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,720 |
14,865 |
$1.55M |
| 90832 |
Psychotherapy, 30 minutes with patient |
11,272 |
6,973 |
$560K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,666 |
2,189 |
$248K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,697 |
882 |
$185K |
| 96156 |
|
1,984 |
1,659 |
$81K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
890 |
832 |
$69K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
429 |
405 |
$56K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
659 |
640 |
$52K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
396 |
382 |
$33K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
357 |
343 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,300 |
5,093 |
$26K |
| 99215 |
Prolong outpt/office vis |
141 |
81 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
345 |
315 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,901 |
1,479 |
$12K |
| 80305 |
|
4,696 |
2,936 |
$10K |
| 90837 |
Psychotherapy, 53 minutes with patient |
54 |
37 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,358 |
2,251 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,485 |
2,396 |
$8K |
| 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 |
1,390 |
1,183 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
102 |
96 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
105 |
101 |
$4K |
| 99495 |
|
59 |
56 |
$3K |
| 90715 |
|
144 |
143 |
$3K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
25 |
25 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
593 |
555 |
$2K |
| 99460 |
|
13 |
13 |
$2K |
| 90686 |
|
999 |
978 |
$2K |
| 92250 |
|
114 |
108 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
166 |
78 |
$2K |
| D1110 |
Prophylaxis - adult |
14 |
14 |
$1K |
| 90656 |
|
158 |
158 |
$1K |
| 90651 |
|
108 |
107 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$839.83 |
| 90473 |
|
472 |
448 |
$713.41 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
47 |
45 |
$653.12 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
124 |
117 |
$618.48 |
| 81025 |
|
96 |
87 |
$470.16 |
| 99201 |
|
14 |
14 |
$379.45 |
| 82947 |
|
649 |
609 |
$220.65 |
| 0011A |
|
51 |
42 |
$173.60 |
| 87807 |
|
14 |
12 |
$155.68 |
| 0001A |
|
102 |
100 |
$85.00 |
| 81003 |
|
169 |
154 |
$75.86 |
| 0002A |
|
78 |
78 |
$45.00 |
| 0012A |
|
77 |
71 |
$42.00 |
| 90633 |
|
52 |
50 |
$0.00 |
| 90670 |
|
125 |
118 |
$0.00 |
| 92015 |
Determination of refractive state |
47 |
45 |
$0.00 |
| 0071A |
|
24 |
24 |
$0.00 |
| 96152 |
|
403 |
277 |
$0.00 |
| 90734 |
|
67 |
67 |
$0.00 |
| 96158 |
|
17 |
13 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 98960 |
|
16 |
14 |
$0.00 |
| 90671 |
|
52 |
47 |
$0.00 |
| 90648 |
|
53 |
46 |
$0.00 |
| 90688 |
|
438 |
411 |
$0.00 |
| 1111F |
|
207 |
201 |
$0.00 |
| 90680 |
|
29 |
25 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
25 |
25 |
$0.00 |
| 90723 |
|
16 |
16 |
$0.00 |