| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
70,921 |
57,329 |
$9.09M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
50,980 |
43,625 |
$97K |
| 90686 |
|
8,678 |
7,295 |
$80K |
| 90832 |
Psychotherapy, 30 minutes with patient |
5,617 |
2,643 |
$71K |
| 90791 |
Psychiatric diagnostic evaluation |
1,483 |
939 |
$61K |
| 97802 |
|
658 |
630 |
$60K |
| 96127 |
|
23,487 |
20,782 |
$59K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
681 |
481 |
$42K |
| D1206 |
Topical application of fluoride varnish |
3,544 |
3,473 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,179 |
13,925 |
$38K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,519 |
819 |
$37K |
| 97803 |
|
753 |
696 |
$34K |
| 59425 |
|
372 |
291 |
$22K |
| 90746 |
|
330 |
330 |
$22K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,774 |
1,426 |
$21K |
| 90715 |
|
1,066 |
919 |
$14K |
| 99188 |
|
1,668 |
1,579 |
$14K |
| J3490 |
Unclassified drugs |
201 |
200 |
$13K |
| 0011A |
|
181 |
180 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,219 |
1,631 |
$12K |
| G9920 |
Screening performed and negative |
1,772 |
1,475 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,768 |
2,597 |
$9K |
| 92552 |
|
12,566 |
9,417 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,070 |
1,970 |
$8K |
| 90670 |
|
1,341 |
960 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,059 |
2,123 |
$7K |
| 0012A |
|
98 |
96 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,688 |
2,605 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,172 |
2,072 |
$6K |
| 90651 |
|
1,135 |
901 |
$6K |
| 90698 |
|
1,321 |
978 |
$5K |
| 90633 |
|
980 |
748 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,317 |
2,127 |
$4K |
| 90734 |
|
495 |
380 |
$3K |
| 96156 |
|
251 |
237 |
$3K |
| 90744 |
|
845 |
646 |
$3K |
| 0001A |
|
34 |
34 |
$2K |
| 99381 |
|
381 |
338 |
$2K |
| 90681 |
|
551 |
395 |
$2K |
| 90677 |
|
748 |
591 |
$2K |
| 90688 |
|
150 |
150 |
$1K |
| 90656 |
|
514 |
478 |
$1K |
| 90620 |
|
252 |
200 |
$1K |
| 81025 |
|
522 |
492 |
$1K |
| 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 |
49 |
49 |
$1K |
| 59430 |
|
15 |
12 |
$907.20 |
| 0064A |
|
13 |
13 |
$871.00 |
| 0002A |
|
13 |
12 |
$854.25 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
29 |
27 |
$756.90 |
| 90710 |
|
343 |
281 |
$756.00 |
| 99401 |
|
62 |
61 |
$681.38 |
| 96160 |
|
692 |
688 |
$643.50 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
38 |
$626.55 |
| 90716 |
|
109 |
87 |
$576.00 |
| 90648 |
|
99 |
78 |
$567.00 |
| 90619 |
|
309 |
259 |
$513.00 |
| 90700 |
|
168 |
131 |
$486.00 |
| 85018 |
|
8,948 |
8,738 |
$470.88 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
39 |
39 |
$455.05 |
| 99384 |
|
143 |
118 |
$404.16 |
| 99382 |
|
195 |
162 |
$289.56 |
| 90696 |
|
179 |
154 |
$288.00 |
| 99383 |
|
207 |
178 |
$280.75 |
| 90685 |
|
30 |
30 |
$270.00 |
| 90723 |
|
28 |
28 |
$252.00 |
| 81003 |
|
2,026 |
1,760 |
$227.40 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
926 |
840 |
$195.56 |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$175.71 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,227 |
1,181 |
$146.79 |
| 90707 |
|
19 |
12 |
$117.00 |
| 94760 |
|
99 |
92 |
$100.62 |
| 92551 |
|
110 |
110 |
$82.62 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
704 |
693 |
$66.90 |
| 88720 |
|
275 |
148 |
$64.50 |
| 86580 |
|
144 |
109 |
$43.68 |
| 82947 |
|
1,776 |
1,642 |
$19.80 |
| 3074F |
|
13,512 |
12,630 |
$0.00 |
| 88142 |
|
104 |
104 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
18 |
18 |
$0.00 |
| 3075F |
|
1,322 |
1,279 |
$0.00 |
| Z1034 |
|
753 |
589 |
$0.00 |
| 3079F |
|
2,430 |
2,323 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
440 |
440 |
$0.00 |
| 96161 |
|
728 |
714 |
$0.00 |
| 3080F |
|
103 |
98 |
$0.00 |
| Z6204 |
|
40 |
40 |
$0.00 |
| Z6406 |
|
40 |
40 |
$0.00 |
| Z1038 |
|
16 |
13 |
$0.00 |
| 36416 |
|
14 |
14 |
$0.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
32 |
30 |
$0.00 |
| Z6402 |
|
15 |
15 |
$0.00 |
| Z6410 |
|
15 |
13 |
$0.00 |
| Z1032 |
|
19 |
15 |
$0.00 |
| 99173 |
|
6,170 |
6,160 |
$0.00 |
| 83655 |
|
300 |
299 |
$0.00 |
| 3078F |
|
12,806 |
12,045 |
$0.00 |
| 3077F |
|
462 |
422 |
$0.00 |
| 83037 |
|
107 |
106 |
$0.00 |
| Z6304 |
|
40 |
40 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
12 |
12 |
$0.00 |
| Z6200 |
|
15 |
15 |
$0.00 |
| Z6400 |
|
40 |
40 |
$0.00 |
| Z6300 |
|
15 |
15 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
28 |
28 |
$0.00 |
| 2028F |
|
12 |
12 |
$0.00 |