| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
128,480 |
104,196 |
$13.98M |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,365 |
1,919 |
$41K |
| 90791 |
Psychiatric diagnostic evaluation |
1,194 |
789 |
$26K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,225 |
1,619 |
$11K |
| 0071A |
|
160 |
160 |
$5K |
| 90834 |
Psychotherapy, 45 minutes with patient |
260 |
184 |
$4K |
| 0002A |
|
61 |
60 |
$4K |
| 0072A |
|
65 |
64 |
$3K |
| 0001A |
|
84 |
83 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,443 |
6,169 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44,392 |
25,279 |
$2K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
33 |
30 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
11,211 |
6,957 |
$1K |
| G9012 |
Other specified case management service not elsewhere classified |
75 |
71 |
$984.90 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
5,468 |
3,755 |
$660.23 |
| 99460 |
|
1,625 |
1,588 |
$660.04 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38,577 |
22,300 |
$622.53 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,533 |
2,856 |
$478.83 |
| 0111A |
|
16 |
12 |
$335.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,935 |
4,109 |
$283.72 |
| 99188 |
|
5,874 |
3,640 |
$262.68 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
2,538 |
2,434 |
$250.34 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,285 |
5,591 |
$202.82 |
| 99462 |
|
1,763 |
1,289 |
$162.18 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,864 |
3,727 |
$161.37 |
| 99401 |
|
2,448 |
2,401 |
$125.63 |
| 59430 |
|
202 |
192 |
$120.96 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,558 |
968 |
$102.90 |
| 96156 |
|
2,717 |
2,675 |
$100.68 |
| 97803 |
|
912 |
907 |
$84.10 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,017 |
1,606 |
$81.92 |
| 59425 |
|
4,470 |
3,071 |
$72.58 |
| 83655 |
|
2,086 |
1,194 |
$63.78 |
| 99384 |
|
49 |
28 |
$61.35 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
273 |
186 |
$59.01 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
9,713 |
8,581 |
$53.32 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15,692 |
14,518 |
$50.83 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
1,016 |
1,001 |
$50.18 |
| 85018 |
|
19,759 |
12,754 |
$49.49 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,014 |
1,257 |
$45.23 |
| 81025 |
|
5,921 |
4,448 |
$40.73 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
158 |
125 |
$36.79 |
| 92552 |
|
7,357 |
4,716 |
$36.24 |
| 90710 |
|
1,371 |
1,023 |
$18.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
953 |
571 |
$17.70 |
| S9452 |
Nutrition classes, non-physician provider, per session |
330 |
329 |
$16.82 |
| 97802 |
|
869 |
865 |
$16.55 |
| 81002 |
|
13,146 |
6,739 |
$15.48 |
| 90698 |
|
5,111 |
3,797 |
$9.00 |
| 90744 |
|
3,758 |
2,852 |
$9.00 |
| 90680 |
|
4,882 |
3,627 |
$9.00 |
| 90696 |
|
1,284 |
976 |
$9.00 |
| 90686 |
|
14,834 |
10,339 |
$9.00 |
| 90713 |
|
17 |
13 |
$9.00 |
| 90633 |
|
5,413 |
3,777 |
$9.00 |
| 90670 |
|
7,320 |
5,385 |
$9.00 |
| 90715 |
|
2,493 |
1,819 |
$9.00 |
| 99173 |
|
7,687 |
4,905 |
$2.74 |
| 3079F |
|
4,404 |
4,078 |
$0.00 |
| J3490 |
Unclassified drugs |
1,673 |
1,365 |
$0.00 |
| Z6410 |
|
1,908 |
1,874 |
$0.00 |
| 99381 |
|
326 |
275 |
$0.00 |
| 96150 |
|
307 |
307 |
$0.00 |
| Z1034 |
|
11,158 |
7,830 |
$0.00 |
| 90716 |
|
2,125 |
1,532 |
$0.00 |
| 3075F |
|
1,793 |
1,692 |
$0.00 |
| 3074F |
|
16,635 |
14,193 |
$0.00 |
| Z1032 |
|
543 |
539 |
$0.00 |
| 91307 |
|
62 |
62 |
$0.00 |
| 96380 |
|
62 |
62 |
$0.00 |
| 96127 |
|
85 |
53 |
$0.00 |
| 90651 |
|
5,105 |
3,408 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
43 |
43 |
$0.00 |
| Z6204 |
|
1,245 |
1,237 |
$0.00 |
| 90474 |
|
150 |
112 |
$0.00 |
| 90677 |
|
1,351 |
970 |
$0.00 |
| Z6406 |
|
1,564 |
1,546 |
$0.00 |
| 88142 |
|
295 |
295 |
$0.00 |
| 90381 |
|
222 |
163 |
$0.00 |
| 90620 |
|
1,049 |
699 |
$0.00 |
| Z6402 |
|
1,051 |
1,047 |
$0.00 |
| 3080F |
|
127 |
123 |
$0.00 |
| 90656 |
|
1,005 |
669 |
$0.00 |
| 90723 |
|
1,596 |
1,184 |
$0.00 |
| Z6404 |
|
275 |
275 |
$0.00 |
| 88720 |
|
314 |
214 |
$0.00 |
| H2000 |
Comprehensive multidisciplinary evaluation |
209 |
196 |
$0.00 |
| 36416 |
|
54 |
54 |
$0.00 |
| 96151 |
|
77 |
77 |
$0.00 |
| 86580 |
|
518 |
484 |
$0.00 |
| 90674 |
|
44 |
44 |
$0.00 |
| 90650 |
|
42 |
39 |
$0.00 |
| 99383 |
|
78 |
53 |
$0.00 |
| 90688 |
|
202 |
200 |
$0.00 |
| 99403 |
|
62 |
62 |
$0.00 |
| 57454 |
|
18 |
12 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
45 |
26 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
20 |
20 |
$0.00 |
| A9150 |
Non-prescription drugs |
14 |
12 |
$0.00 |
| 99000 |
|
44 |
42 |
$0.00 |
| Z1038 |
|
17 |
16 |
$0.00 |
| 87807 |
|
18 |
13 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
337 |
202 |
$0.00 |
| 90700 |
|
1,564 |
1,089 |
$0.00 |
| Z6200 |
|
1,303 |
1,301 |
$0.00 |
| Z6302 |
|
266 |
266 |
$0.00 |
| 90707 |
|
1,917 |
1,338 |
$0.00 |
| Z6400 |
|
2,315 |
2,248 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
66 |
41 |
$0.00 |
| Z6414 |
|
506 |
477 |
$0.00 |
| 3078F |
|
14,339 |
12,256 |
$0.00 |
| 90648 |
|
3,201 |
2,277 |
$0.00 |
| Z6304 |
|
1,498 |
1,491 |
$0.00 |
| 90681 |
|
187 |
130 |
$0.00 |
| 90734 |
|
3,904 |
2,704 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
2,165 |
1,435 |
$0.00 |
| 3077F |
|
338 |
322 |
$0.00 |
| 88164 |
|
39 |
38 |
$0.00 |
| Z6208 |
|
287 |
285 |
$0.00 |
| Z6300 |
|
1,041 |
1,037 |
$0.00 |
| 94150 |
|
129 |
66 |
$0.00 |
| 90658 |
|
27 |
22 |
$0.00 |
| 91300 |
|
24 |
24 |
$0.00 |
| Z6308 |
|
308 |
308 |
$0.00 |
| 90380 |
|
31 |
24 |
$0.00 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
34 |
33 |
$0.00 |
| 90649 |
|
12 |
12 |
$0.00 |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
24 |
14 |
$0.00 |
| 90473 |
|
125 |
110 |
$0.00 |
| H1000 |
Prenatal care, at-risk assessment |
63 |
63 |
$0.00 |
| 90685 |
|
209 |
204 |
$0.00 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
40 |
40 |
$0.00 |
| 81003 |
|
250 |
209 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
14 |
$0.00 |
| 96152 |
|
25 |
25 |
$0.00 |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
13 |
13 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
25 |
25 |
$0.00 |