| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
159,851 |
124,151 |
$30.93M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
79,091 |
62,167 |
$2.68M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,454 |
9,773 |
$465K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
11,293 |
10,828 |
$418K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
11,999 |
11,605 |
$399K |
| D0999 |
Unspecified diagnostic procedure, by report |
2,499 |
2,208 |
$326K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,000 |
2,893 |
$252K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,978 |
5,842 |
$189K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,152 |
2,214 |
$116K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,298 |
3,215 |
$111K |
| 99381 |
|
3,001 |
2,853 |
$104K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
161 |
156 |
$88K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,602 |
2,392 |
$85K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
2,860 |
2,450 |
$77K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,395 |
2,322 |
$69K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
657 |
630 |
$62K |
| 99385 |
|
688 |
668 |
$57K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
816 |
752 |
$36K |
| 59514 |
|
55 |
50 |
$31K |
| 99383 |
|
961 |
926 |
$30K |
| 90791 |
Psychiatric diagnostic evaluation |
631 |
612 |
$29K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
3,096 |
2,974 |
$28K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
616 |
441 |
$22K |
| 59430 |
|
1,311 |
1,165 |
$22K |
| 90832 |
Psychotherapy, 30 minutes with patient |
414 |
375 |
$18K |
| 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 |
557 |
480 |
$18K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
463 |
420 |
$17K |
| 99215 |
Prolong outpt/office vis |
240 |
224 |
$15K |
| 99384 |
|
467 |
449 |
$15K |
| V2020 |
Frames, purchases |
929 |
922 |
$14K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
743 |
739 |
$10K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
178 |
176 |
$10K |
| 99382 |
|
224 |
211 |
$9K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
180 |
177 |
$9K |
| 99050 |
|
3,183 |
3,032 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
569 |
563 |
$5K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
150 |
128 |
$4K |
| 99386 |
|
29 |
26 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
34 |
30 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
85 |
81 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
24,455 |
23,428 |
$894.91 |
| 90461 |
|
11,336 |
11,057 |
$296.84 |
| 90686 |
|
12,153 |
11,798 |
$250.93 |
| 90680 |
|
3,327 |
3,258 |
$249.81 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
30 |
27 |
$246.45 |
| 90620 |
|
505 |
450 |
$192.38 |
| 81025 |
|
2,957 |
2,700 |
$177.51 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
1,949 |
1,685 |
$177.51 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
912 |
900 |
$177.51 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
748 |
711 |
$177.51 |
| 80053 |
Comprehensive metabolic panel |
210 |
209 |
$177.51 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,782 |
7,492 |
$177.48 |
| CP002 |
|
17 |
14 |
$170.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
3,079 |
766 |
$103.59 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,562 |
3,433 |
$90.46 |
| 90670 |
|
4,247 |
4,091 |
$72.30 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
130 |
119 |
$70.64 |
| D0274 |
Bitewings - four radiographic images |
171 |
156 |
$69.22 |
| D0330 |
Panoramic radiographic image |
44 |
41 |
$63.78 |
| D0220 |
Intraoral - periapical first radiographic image |
944 |
831 |
$50.24 |
| D0120 |
Periodic oral evaluation - established patient |
533 |
489 |
$26.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,971 |
1,906 |
$10.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
527 |
515 |
$0.19 |
| D0145 |
Oral evaluation for a patient under three years of age |
507 |
486 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
1,900 |
1,828 |
$0.00 |
| 83655 |
|
2,121 |
2,055 |
$0.00 |
| D1110 |
Prophylaxis - adult |
15 |
13 |
$0.00 |
| 90715 |
|
3,098 |
3,007 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
7,890 |
7,359 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
939 |
899 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,670 |
2,577 |
$0.00 |
| D1120 |
Prophylaxis - child |
604 |
557 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
1,115 |
1,047 |
$0.00 |
| 90648 |
|
1,831 |
1,776 |
$0.00 |
| 90700 |
|
1,518 |
1,480 |
$0.00 |
| 90633 |
|
4,134 |
4,007 |
$0.00 |
| 90707 |
|
1,831 |
1,708 |
$0.00 |
| 90681 |
|
1,145 |
1,116 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,806 |
1,677 |
$0.00 |
| 90713 |
|
740 |
716 |
$0.00 |
| 81003 |
|
2,846 |
2,361 |
$0.00 |
| 87150 |
|
169 |
161 |
$0.00 |
| 91321 |
|
288 |
288 |
$0.00 |
| 90710 |
|
1,354 |
1,311 |
$0.00 |
| 99051 |
|
281 |
277 |
$0.00 |
| 90746 |
|
324 |
316 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
993 |
949 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
186 |
183 |
$0.00 |
| 86900 |
|
48 |
47 |
$0.00 |
| 90836 |
|
49 |
45 |
$0.00 |
| 90734 |
|
430 |
415 |
$0.00 |
| 82247 |
|
53 |
36 |
$0.00 |
| 90671 |
|
1,201 |
1,187 |
$0.00 |
| 90685 |
|
32 |
32 |
$0.00 |
| 0003A |
|
78 |
78 |
$0.00 |
| 90380 |
|
139 |
130 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
241 |
233 |
$0.00 |
| 91322 |
|
190 |
180 |
$0.00 |
| 90714 |
|
37 |
36 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
213 |
208 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
14 |
13 |
$0.00 |
| 91300 |
|
89 |
89 |
$0.00 |
| 90750 |
|
12 |
12 |
$0.00 |
| 0141A |
|
15 |
15 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
15 |
12 |
$0.00 |
| 90619 |
|
932 |
912 |
$0.00 |
| 90697 |
|
3,326 |
3,256 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
6,061 |
5,896 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,324 |
1,265 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
278 |
274 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
192 |
188 |
$0.00 |
| 85018 |
|
1,584 |
1,543 |
$0.00 |
| 90698 |
|
1,265 |
1,230 |
$0.00 |
| 90696 |
|
1,215 |
1,177 |
$0.00 |
| 81000 |
|
479 |
378 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
680 |
657 |
$0.00 |
| 90656 |
|
1,738 |
1,735 |
$0.00 |
| 90651 |
|
2,938 |
2,853 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
846 |
774 |
$0.00 |
| 86592 |
|
269 |
263 |
$0.00 |
| 87807 |
|
424 |
409 |
$0.00 |
| 90677 |
|
2,624 |
2,558 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
197 |
192 |
$0.00 |
| 90744 |
|
1,045 |
1,026 |
$0.00 |
| D0603 |
|
1,573 |
1,491 |
$0.00 |
| 90723 |
|
331 |
327 |
$0.00 |
| 1036F |
|
560 |
539 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,021 |
2,911 |
$0.00 |
| 90716 |
|
1,989 |
1,932 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
239 |
231 |
$0.00 |
| D1330 |
|
428 |
393 |
$0.00 |
| 90480 |
|
486 |
483 |
$0.00 |
| 87081 |
|
182 |
174 |
$0.00 |
| 82105 |
|
169 |
167 |
$0.00 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
238 |
222 |
$0.00 |
| 96127 |
|
161 |
159 |
$0.00 |
| 91314 |
|
13 |
13 |
$0.00 |
| 90381 |
|
207 |
207 |
$0.00 |
| 86762 |
|
33 |
32 |
$0.00 |
| 82950 |
|
94 |
88 |
$0.00 |
| 91319 |
|
26 |
23 |
$0.00 |
| 58300 |
|
38 |
36 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
49 |
47 |
$0.00 |
| D0602 |
|
12 |
12 |
$0.00 |
| 86901 |
|
33 |
32 |
$0.00 |
| 91307 |
|
25 |
25 |
$0.00 |
| 90688 |
|
45 |
45 |
$0.00 |
| D1351 |
Sealant - per tooth |
47 |
14 |
$0.00 |