| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
103,245 |
89,669 |
$6.86M |
| 59425 |
|
4,054 |
2,516 |
$305K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
53,921 |
51,910 |
$302K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,515 |
4,487 |
$228K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47,347 |
44,421 |
$216K |
| 97802 |
|
3,234 |
3,229 |
$141K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,299 |
4,282 |
$136K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
5,150 |
4,500 |
$112K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,729 |
2,722 |
$109K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,013 |
2,008 |
$103K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,670 |
3,624 |
$96K |
| 90686 |
|
10,647 |
10,627 |
$94K |
| 90750 |
|
548 |
542 |
$92K |
| 97803 |
|
2,612 |
2,587 |
$88K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
3,812 |
2,382 |
$75K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
602 |
600 |
$66K |
| 92551 |
|
7,618 |
7,607 |
$56K |
| 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 |
15,052 |
13,907 |
$53K |
| 90715 |
|
1,860 |
1,854 |
$51K |
| 90651 |
|
1,510 |
1,509 |
$50K |
| 90670 |
|
2,973 |
2,944 |
$41K |
| 90677 |
|
809 |
807 |
$38K |
| 0969 |
|
482 |
207 |
$26K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
417 |
417 |
$25K |
| 99406 |
|
2,370 |
2,296 |
$22K |
| 99215 |
Prolong outpt/office vis |
208 |
197 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,954 |
8,439 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
957 |
866 |
$20K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
229 |
158 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
743 |
743 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
533 |
533 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,479 |
7,414 |
$15K |
| 90620 |
|
405 |
405 |
$15K |
| 92250 |
|
278 |
278 |
$14K |
| 90734 |
|
988 |
987 |
$13K |
| 90633 |
|
1,494 |
1,484 |
$12K |
| 90698 |
|
1,735 |
1,708 |
$12K |
| 90710 |
|
1,175 |
1,167 |
$11K |
| 81025 |
|
4,497 |
4,366 |
$11K |
| 90837 |
Psychotherapy, 53 minutes with patient |
254 |
134 |
$10K |
| 99243 |
|
137 |
137 |
$10K |
| 90744 |
|
1,033 |
992 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
908 |
903 |
$9K |
| 90680 |
|
944 |
929 |
$8K |
| 82274 |
|
419 |
419 |
$8K |
| 90662 |
|
536 |
535 |
$7K |
| 59430 |
|
69 |
68 |
$5K |
| 90685 |
|
893 |
893 |
$5K |
| 90648 |
|
568 |
567 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
116 |
38 |
$5K |
| 90682 |
|
105 |
105 |
$5K |
| J3490 |
Unclassified drugs |
144 |
144 |
$4K |
| 81002 |
|
11,406 |
8,096 |
$4K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
670 |
669 |
$4K |
| 90700 |
|
446 |
444 |
$4K |
| 90746 |
|
93 |
93 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
158 |
158 |
$4K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
87 |
74 |
$3K |
| 99188 |
|
156 |
156 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
155 |
68 |
$3K |
| 90681 |
|
309 |
309 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
863 |
818 |
$2K |
| 0942 |
|
137 |
83 |
$2K |
| 90688 |
|
155 |
155 |
$2K |
| 90696 |
|
208 |
206 |
$2K |
| D1206 |
Topical application of fluoride varnish |
96 |
96 |
$2K |
| 99385 |
|
12 |
12 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
52 |
52 |
$2K |
| 90723 |
|
174 |
174 |
$2K |
| 59025 |
Fetal non-stress test |
72 |
43 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
14 |
14 |
$1K |
| 99173 |
|
3,353 |
3,348 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
69 |
69 |
$1K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
91 |
89 |
$1K |
| 86580 |
|
328 |
326 |
$1K |
| 90697 |
|
185 |
185 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
123 |
122 |
$1K |
| 90732 |
|
13 |
13 |
$787.08 |
| 20610 |
|
14 |
12 |
$665.18 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
49 |
47 |
$635.50 |
| 99423 |
|
12 |
12 |
$511.56 |
| 99422 |
|
19 |
19 |
$500.65 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
14 |
14 |
$350.00 |
| 73610 |
|
12 |
12 |
$251.76 |
| 90716 |
|
27 |
27 |
$243.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
439 |
439 |
$187.45 |
| 99421 |
|
12 |
12 |
$159.00 |
| 90707 |
|
17 |
17 |
$153.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
26 |
26 |
$152.99 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
13 |
13 |
$138.08 |
| 90713 |
|
15 |
15 |
$135.00 |
| 81000 |
|
16 |
16 |
$51.68 |
| 82270 |
|
12 |
12 |
$43.80 |
| 90656 |
|
562 |
562 |
$0.00 |
| Z6410 |
|
3,142 |
1,938 |
$0.00 |
| Z1034 |
|
4,433 |
2,779 |
$0.00 |
| Z1032 |
|
47 |
41 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
23 |
23 |
$0.00 |
| Z6400 |
|
2,269 |
1,748 |
$0.00 |
| 90658 |
|
38 |
38 |
$0.00 |