| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
73,650 |
61,127 |
$12.32M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,050 |
32,996 |
$1.10M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,500 |
6,259 |
$418K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,565 |
6,417 |
$299K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,561 |
5,375 |
$274K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,571 |
4,326 |
$253K |
| 99381 |
|
1,044 |
1,014 |
$135K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,999 |
2,353 |
$130K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,061 |
1,989 |
$95K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,488 |
1,188 |
$85K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
544 |
522 |
$40K |
| 90619 |
|
487 |
483 |
$33K |
| 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 |
1,026 |
968 |
$27K |
| 90791 |
Psychiatric diagnostic evaluation |
359 |
346 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
980 |
935 |
$26K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,814 |
6,994 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,316 |
3,119 |
$19K |
| 99000 |
|
7,447 |
7,028 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
542 |
531 |
$10K |
| 0001A |
|
307 |
286 |
$10K |
| 0002A |
|
251 |
250 |
$9K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
214 |
203 |
$8K |
| 90620 |
|
604 |
595 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
100 |
97 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
851 |
796 |
$4K |
| 99384 |
|
31 |
30 |
$4K |
| 0011A |
|
129 |
128 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17,076 |
16,503 |
$3K |
| 99383 |
|
40 |
37 |
$3K |
| 0012A |
|
74 |
74 |
$3K |
| 87428 |
|
411 |
351 |
$2K |
| 90686 |
|
6,944 |
6,776 |
$2K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
46 |
45 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
77 |
71 |
$1K |
| 90651 |
|
1,623 |
1,585 |
$1K |
| 0071A |
|
36 |
35 |
$1K |
| 81002 |
|
787 |
756 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
18,276 |
10,330 |
$878.63 |
| 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 |
58 |
58 |
$856.71 |
| 0072A |
|
12 |
12 |
$480.00 |
| 90715 |
|
705 |
693 |
$372.93 |
| 90621 |
|
47 |
47 |
$301.27 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
107 |
106 |
$269.28 |
| 92551 |
|
2,813 |
2,729 |
$219.61 |
| 90696 |
|
502 |
494 |
$155.07 |
| 90710 |
|
577 |
569 |
$155.07 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
48 |
47 |
$128.79 |
| 90474 |
|
2,061 |
1,964 |
$10.38 |
| 96160 |
|
323 |
287 |
$4.50 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
49 |
46 |
$0.45 |
| 91301 |
|
289 |
282 |
$0.27 |
| 91300 |
|
614 |
553 |
$0.04 |
| 36416 |
|
1,974 |
1,868 |
$0.00 |
| 90680 |
|
3,449 |
3,345 |
$0.00 |
| 1126F |
|
1,288 |
1,115 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,448 |
2,321 |
$0.00 |
| 96127 |
|
373 |
355 |
$0.00 |
| 90697 |
|
872 |
842 |
$0.00 |
| 90698 |
|
707 |
689 |
$0.00 |
| 90723 |
|
1,688 |
1,636 |
$0.00 |
| 90656 |
|
184 |
183 |
$0.00 |
| 90677 |
|
755 |
712 |
$0.00 |
| 90716 |
|
782 |
764 |
$0.00 |
| 1036F |
|
333 |
301 |
$0.00 |
| 3074F |
|
1,256 |
1,076 |
$0.00 |
| 3008F |
|
1,541 |
1,320 |
$0.00 |
| 1125F |
|
145 |
140 |
$0.00 |
| 91307 |
|
79 |
76 |
$0.00 |
| 3079F |
|
73 |
69 |
$0.00 |
| 96161 |
|
25 |
25 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 90633 |
|
2,465 |
2,419 |
$0.00 |
| 90670 |
|
4,489 |
4,376 |
$0.00 |
| 99173 |
|
5,191 |
5,047 |
$0.00 |
| 90473 |
|
497 |
481 |
$0.00 |
| 90700 |
|
692 |
682 |
$0.00 |
| 90734 |
|
934 |
917 |
$0.00 |
| 90648 |
|
2,646 |
2,585 |
$0.00 |
| 90707 |
|
720 |
701 |
$0.00 |
| 3078F |
|
1,182 |
1,016 |
$0.00 |
| 3725F |
|
482 |
438 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 90687 |
|
28 |
28 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
54 |
54 |
$0.00 |