| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
208,536 |
157,391 |
$29.15M |
| 59425 |
|
11,067 |
6,540 |
$960K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15,341 |
15,293 |
$834K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
9,777 |
9,757 |
$667K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14,326 |
13,981 |
$664K |
| 92551 |
|
19,967 |
19,867 |
$423K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
10,081 |
9,878 |
$420K |
| 90686 |
|
21,138 |
20,895 |
$330K |
| 90651 |
|
5,254 |
5,223 |
$277K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
17,812 |
8,695 |
$246K |
| G9920 |
Screening performed and negative |
5,309 |
5,302 |
$224K |
| 90739 |
|
1,523 |
1,520 |
$186K |
| 98960 |
|
4,635 |
4,339 |
$185K |
| 99215 |
Prolong outpt/office vis |
920 |
909 |
$164K |
| 90677 |
|
1,229 |
1,225 |
$139K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
127,924 |
115,182 |
$132K |
| 90750 |
|
718 |
717 |
$126K |
| 99173 |
|
19,491 |
19,399 |
$126K |
| 90715 |
|
4,699 |
4,670 |
$117K |
| 90670 |
|
6,108 |
6,010 |
$107K |
| 90716 |
|
4,421 |
4,319 |
$105K |
| 90746 |
|
1,498 |
1,496 |
$104K |
| J3490 |
Unclassified drugs |
1,788 |
1,649 |
$103K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
119 |
119 |
$98K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
467 |
467 |
$83K |
| 90707 |
|
4,064 |
3,968 |
$74K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
3,037 |
3,035 |
$73K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,502 |
1,502 |
$71K |
| 90648 |
|
5,281 |
5,171 |
$71K |
| 59430 |
|
782 |
727 |
$66K |
| 90620 |
|
2,526 |
2,522 |
$61K |
| 96156 |
|
4,185 |
2,758 |
$60K |
| 90633 |
|
4,049 |
3,900 |
$54K |
| 90680 |
|
3,779 |
3,775 |
$52K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
4,087 |
2,812 |
$50K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,878 |
1,829 |
$50K |
| 90723 |
|
3,581 |
3,567 |
$49K |
| 90688 |
|
2,978 |
2,968 |
$48K |
| 85018 |
|
20,653 |
19,895 |
$46K |
| 90734 |
|
3,116 |
3,109 |
$45K |
| 90700 |
|
3,104 |
3,036 |
$42K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
41,787 |
38,246 |
$40K |
| S9452 |
Nutrition classes, non-physician provider, per session |
2,808 |
2,161 |
$35K |
| 11981 |
|
131 |
130 |
$32K |
| 99401 |
|
1,957 |
1,885 |
$30K |
| 90656 |
|
1,324 |
1,324 |
$26K |
| 99188 |
|
1,191 |
1,179 |
$26K |
| H2000 |
Comprehensive multidisciplinary evaluation |
116 |
116 |
$23K |
| 90697 |
|
1,506 |
1,463 |
$22K |
| 90713 |
|
1,609 |
1,595 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,535 |
2,510 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
632 |
595 |
$20K |
| 81025 |
|
6,162 |
5,781 |
$18K |
| H0049 |
Alcohol and/or drug screening |
460 |
460 |
$17K |
| 99381 |
|
179 |
178 |
$15K |
| 97803 |
|
1,206 |
1,177 |
$15K |
| 96158 |
|
1,183 |
1,144 |
$14K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,437 |
1,421 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,075 |
4,957 |
$12K |
| 99000 |
|
2,767 |
2,685 |
$10K |
| 99490 |
Ccm add 20min |
97 |
97 |
$10K |
| 90619 |
|
627 |
627 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
943 |
932 |
$9K |
| 90685 |
|
632 |
623 |
$9K |
| 99205 |
Prolong outpt/office vis |
112 |
112 |
$9K |
| 90681 |
|
642 |
610 |
$8K |
| 81002 |
|
5,482 |
4,577 |
$8K |
| 11976 |
|
95 |
54 |
$8K |
| 83655 |
|
586 |
581 |
$8K |
| 82947 |
|
1,833 |
1,760 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
715 |
713 |
$7K |
| 90696 |
|
367 |
365 |
$5K |
| 96152 |
|
414 |
299 |
$5K |
| 97802 |
|
227 |
226 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
329 |
320 |
$5K |
| 99384 |
|
30 |
30 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,681 |
1,579 |
$3K |
| 88720 |
|
620 |
491 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
81 |
80 |
$2K |
| 86580 |
|
424 |
415 |
$2K |
| 90381 |
|
168 |
153 |
$2K |
| 0124A |
|
30 |
30 |
$2K |
| 90732 |
|
13 |
13 |
$2K |
| 96151 |
|
141 |
123 |
$2K |
| A4267 |
Contraceptive supply, condom, male, each |
434 |
418 |
$2K |
| 90662 |
|
17 |
17 |
$1K |
| 91320 |
|
36 |
30 |
$927.90 |
| 90744 |
|
54 |
53 |
$760.36 |
| 87428 |
|
24 |
24 |
$720.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
13 |
$390.00 |
| 90380 |
|
25 |
24 |
$328.50 |
| 87807 |
|
15 |
14 |
$130.76 |
| 81003 |
|
47 |
41 |
$96.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
63 |
57 |
$92.09 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
169 |
150 |
$41.73 |
| 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 |
156 |
144 |
$16.69 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
83 |
75 |
$10.05 |
| Z6400 |
|
4,363 |
2,799 |
$0.00 |
| Z6308 |
|
1,374 |
949 |
$0.00 |
| Z6304 |
|
636 |
619 |
$0.00 |
| Z6200 |
|
484 |
484 |
$0.00 |
| Z6208 |
|
913 |
749 |
$0.00 |
| 99442 |
|
561 |
508 |
$0.00 |
| Z6414 |
|
1,051 |
847 |
$0.00 |
| Z6300 |
|
467 |
467 |
$0.00 |
| 99499 |
|
55 |
55 |
$0.00 |
| Z6500 |
|
26 |
26 |
$0.00 |
| Z6402 |
|
497 |
496 |
$0.00 |
| Z6406 |
|
637 |
626 |
$0.00 |
| Z6410 |
|
15,318 |
8,830 |
$0.00 |
| Z1034 |
|
12,332 |
8,508 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
2,719 |
2,409 |
$0.00 |
| Z1032 |
|
307 |
307 |
$0.00 |
| Z6204 |
|
619 |
606 |
$0.00 |
| Z1038 |
|
75 |
75 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
83 |
82 |
$0.00 |
| 99441 |
|
24 |
24 |
$0.00 |