| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
545,226 |
396,307 |
$80.82M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
440 |
275 |
$406K |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
5,284 |
3,505 |
$370K |
| D0999 |
Unspecified diagnostic procedure, by report |
3,102 |
2,516 |
$322K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
255,133 |
207,544 |
$30K |
| 90734 |
|
6,705 |
5,623 |
$28K |
| 0071A |
|
537 |
283 |
$22K |
| 0072A |
|
494 |
260 |
$21K |
| 0012A |
|
480 |
468 |
$19K |
| 90710 |
|
6,375 |
5,669 |
$18K |
| 59430 |
|
2,949 |
2,493 |
$18K |
| 96127 |
|
239,909 |
186,901 |
$17K |
| 59514 |
|
16 |
14 |
$17K |
| 0011A |
|
482 |
447 |
$15K |
| 90651 |
|
11,935 |
10,571 |
$12K |
| 0064A |
|
286 |
148 |
$12K |
| 90670 |
|
17,574 |
15,482 |
$10K |
| 90716 |
|
7,397 |
6,622 |
$9K |
| 90686 |
|
25,626 |
22,154 |
$9K |
| 0054A |
|
179 |
101 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
61,654 |
54,367 |
$6K |
| 0001A |
|
147 |
81 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32,150 |
28,884 |
$6K |
| 0052A |
|
131 |
79 |
$5K |
| 90633 |
|
14,189 |
12,807 |
$4K |
| 90715 |
|
6,784 |
6,037 |
$4K |
| 0051A |
|
86 |
53 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
23,910 |
22,087 |
$3K |
| 0004A |
|
79 |
42 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15,802 |
14,720 |
$3K |
| 90707 |
|
6,485 |
5,771 |
$3K |
| 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 |
238 |
223 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
24,159 |
22,007 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12,990 |
12,010 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
12,669 |
7,139 |
$2K |
| 0124A |
|
67 |
63 |
$2K |
| 0002A |
|
51 |
27 |
$2K |
| 90696 |
|
5,705 |
5,134 |
$2K |
| 90723 |
|
17,841 |
16,014 |
$2K |
| 81002 |
|
43,757 |
28,076 |
$2K |
| 90647 |
|
17,534 |
15,574 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
7,696 |
7,185 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,675 |
3,562 |
$2K |
| 90700 |
|
6,063 |
5,406 |
$2K |
| 59025 |
Fetal non-stress test |
187 |
56 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
9,181 |
8,519 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
10,775 |
9,742 |
$1K |
| 99384 |
|
2,089 |
1,930 |
$1K |
| 0134A |
|
28 |
28 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14,148 |
12,733 |
$1K |
| 93000 |
|
3,776 |
3,387 |
$903.71 |
| 90681 |
|
10,448 |
9,400 |
$624.91 |
| 90791 |
Psychiatric diagnostic evaluation |
1,712 |
1,434 |
$617.95 |
| 99381 |
|
4,237 |
4,081 |
$615.70 |
| 90744 |
|
1,591 |
1,435 |
$560.47 |
| 99383 |
|
3,032 |
2,815 |
$515.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,110 |
3,735 |
$428.25 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,251 |
2,079 |
$385.10 |
| 99173 |
|
8,275 |
7,446 |
$365.05 |
| 81025 |
|
9,314 |
8,272 |
$346.05 |
| 97803 |
|
120,182 |
100,500 |
$343.48 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,556 |
1,477 |
$265.60 |
| 90685 |
|
328 |
275 |
$256.60 |
| 90713 |
|
1,345 |
1,213 |
$192.00 |
| 99385 |
|
845 |
808 |
$171.36 |
| 82274 |
|
338 |
194 |
$110.00 |
| 11981 |
|
112 |
109 |
$88.00 |
| 80305 |
|
3,708 |
2,842 |
$62.86 |
| 90688 |
|
23 |
20 |
$59.92 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
150,260 |
122,677 |
$35.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
420 |
286 |
$29.48 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,609 |
1,467 |
$26.18 |
| 88142 |
|
1,111 |
1,088 |
$17.53 |
| 86580 |
|
140 |
109 |
$16.00 |
| 88720 |
|
633 |
486 |
$13.20 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,664 |
2,576 |
$13.10 |
| 90656 |
|
3,643 |
3,322 |
$6.25 |
| 97802 |
|
24,700 |
22,337 |
$6.00 |
| 85018 |
|
878 |
840 |
$4.64 |
| 99215 |
Prolong outpt/office vis |
493 |
468 |
$3.00 |
| 82962 |
|
158 |
150 |
$1.68 |
| 59425 |
|
6,818 |
5,072 |
$1.00 |
| 99024 |
|
610 |
566 |
$0.00 |
| 90474 |
|
4,996 |
4,387 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
581 |
534 |
$0.00 |
| 87490 |
|
98 |
98 |
$0.00 |
| 94760 |
|
348 |
279 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
62,213 |
54,924 |
$0.00 |
| 90619 |
|
4,572 |
4,215 |
$0.00 |
| 87590 |
|
99 |
99 |
$0.00 |
| 99386 |
|
208 |
199 |
$0.00 |
| 90677 |
|
637 |
510 |
$0.00 |
| 20610 |
|
13 |
13 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
19 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
31,568 |
25,872 |
$0.00 |
| 59426 |
|
17,253 |
8,956 |
$0.00 |
| 90380 |
|
122 |
111 |
$0.00 |
| 99382 |
|
1,609 |
1,528 |
$0.00 |
| 0502F |
|
2,498 |
1,600 |
$0.00 |
| 90473 |
|
835 |
773 |
$0.00 |
| 99201 |
|
488 |
460 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
77 |
67 |
$0.00 |
| 91312 |
|
12 |
12 |
$0.00 |
| 91321 |
|
92 |
88 |
$0.00 |
| 94150 |
|
58 |
42 |
$0.00 |
| 11982 |
|
26 |
24 |
$0.00 |
| 69210 |
|
13 |
12 |
$0.00 |
| 88164 |
|
13 |
13 |
$0.00 |