| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
16,813 |
12,579 |
$3.21M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
78,992 |
70,300 |
$2.77M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
38,015 |
36,601 |
$621K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13,433 |
13,067 |
$534K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,602 |
8,711 |
$505K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,307 |
9,088 |
$432K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12,778 |
12,226 |
$390K |
| 90461 |
|
17,010 |
16,294 |
$206K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,197 |
4,086 |
$204K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,650 |
3,276 |
$111K |
| 59426 |
|
1,661 |
1,083 |
$102K |
| 59425 |
|
1,031 |
846 |
$36K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
802 |
802 |
$34K |
| 90677 |
|
1,255 |
1,146 |
$31K |
| 90686 |
|
10,516 |
9,777 |
$30K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,556 |
2,438 |
$28K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,007 |
1,916 |
$26K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
831 |
739 |
$26K |
| 90723 |
|
4,138 |
3,935 |
$19K |
| 90651 |
|
774 |
724 |
$18K |
| 91321 |
|
135 |
127 |
$16K |
| 90670 |
|
3,862 |
3,675 |
$15K |
| 90710 |
|
1,194 |
1,120 |
$13K |
| 99383 |
|
165 |
164 |
$8K |
| 99173 |
|
4,884 |
4,718 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
193 |
193 |
$8K |
| 90480 |
|
205 |
194 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
392 |
377 |
$7K |
| 59430 |
|
187 |
174 |
$7K |
| 90619 |
|
52 |
52 |
$6K |
| 92551 |
|
600 |
600 |
$6K |
| 90734 |
|
353 |
343 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
154 |
138 |
$5K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,166 |
972 |
$5K |
| 99384 |
|
81 |
81 |
$5K |
| 81025 |
|
1,674 |
1,620 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
88 |
88 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
589 |
586 |
$4K |
| 90633 |
|
2,189 |
2,051 |
$4K |
| 99381 |
|
597 |
596 |
$3K |
| 90715 |
|
188 |
178 |
$3K |
| 90682 |
|
84 |
84 |
$3K |
| 0011A |
|
144 |
143 |
$3K |
| 90656 |
|
676 |
671 |
$2K |
| 90474 |
|
217 |
217 |
$2K |
| 0012A |
|
136 |
135 |
$2K |
| 0013A |
|
60 |
60 |
$2K |
| 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 |
1,363 |
1,179 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
293 |
252 |
$2K |
| 99382 |
|
27 |
27 |
$1K |
| 90647 |
|
3,204 |
2,988 |
$1K |
| 90681 |
|
1,432 |
1,347 |
$1K |
| 99385 |
|
31 |
31 |
$980.87 |
| 11720 |
|
143 |
134 |
$929.75 |
| 90473 |
|
66 |
66 |
$636.57 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
47 |
45 |
$520.59 |
| 90696 |
|
174 |
164 |
$391.96 |
| 90672 |
|
42 |
42 |
$384.12 |
| 90685 |
|
109 |
109 |
$360.93 |
| 90620 |
|
28 |
27 |
$351.43 |
| 87210 |
|
183 |
168 |
$350.30 |
| 69210 |
|
16 |
16 |
$284.58 |
| 90700 |
|
223 |
199 |
$284.29 |
| 87070 |
|
27 |
27 |
$222.64 |
| 90648 |
|
328 |
327 |
$102.28 |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,343 |
2,465 |
$100.36 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
206 |
154 |
$1.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,434 |
1,290 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
447 |
361 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
651 |
635 |
$0.00 |
| 91301 |
|
492 |
477 |
$0.00 |
| 96150 |
|
96 |
95 |
$0.00 |
| 96151 |
|
16 |
14 |
$0.00 |