| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
61,370 |
34,698 |
$11.28M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
33,006 |
12,558 |
$1.28M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,855 |
8,662 |
$367K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,881 |
5,719 |
$337K |
| D0999 |
Unspecified diagnostic procedure, by report |
743 |
698 |
$159K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,751 |
2,700 |
$121K |
| 99381 |
|
1,374 |
1,346 |
$110K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,862 |
1,749 |
$79K |
| 59430 |
|
1,664 |
1,500 |
$70K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,260 |
955 |
$57K |
| 90834 |
Psychotherapy, 45 minutes with patient |
346 |
241 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
374 |
370 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
357 |
352 |
$16K |
| 99383 |
|
142 |
142 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
213 |
206 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
105 |
105 |
$6K |
| 99384 |
|
43 |
43 |
$3K |
| 99382 |
|
43 |
43 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
40 |
32 |
$1K |
| 90686 |
|
637 |
632 |
$964.26 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,113 |
5,006 |
$941.35 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
506 |
494 |
$864.91 |
| 90837 |
Psychotherapy, 53 minutes with patient |
14 |
12 |
$791.62 |
| 81025 |
|
552 |
532 |
$722.80 |
| 90710 |
|
153 |
153 |
$645.84 |
| 90648 |
|
1,105 |
1,093 |
$623.82 |
| 81003 |
|
539 |
517 |
$620.58 |
| 82951 |
|
890 |
738 |
$605.36 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,088 |
5,958 |
$603.86 |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
16 |
13 |
$540.16 |
| 90698 |
|
2,712 |
2,657 |
$478.63 |
| 90633 |
|
1,151 |
1,129 |
$377.91 |
| 90677 |
|
1,378 |
1,276 |
$346.80 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
111 |
104 |
$304.46 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
16 |
13 |
$298.35 |
| 90656 |
|
158 |
158 |
$216.66 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
140 |
138 |
$180.52 |
| 90473 |
|
2,247 |
2,223 |
$166.62 |
| 90707 |
|
446 |
439 |
$154.41 |
| 90670 |
|
2,662 |
2,642 |
$145.08 |
| 90651 |
|
44 |
44 |
$136.22 |
| 87430 |
|
148 |
146 |
$112.96 |
| 90715 |
|
27 |
27 |
$93.91 |
| 90744 |
|
1,496 |
1,469 |
$62.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
107 |
76 |
$48.22 |
| D0274 |
Bitewings - four radiographic images |
48 |
48 |
$34.61 |
| 82952 |
|
177 |
142 |
$23.03 |
| 36415 |
Collection of venous blood by venipuncture |
788 |
763 |
$0.00 |
| D0603 |
|
375 |
368 |
$0.00 |
| 36416 |
|
3,099 |
2,742 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
30 |
15 |
$0.00 |
| 90723 |
|
741 |
735 |
$0.00 |
| 90680 |
|
1,232 |
1,217 |
$0.00 |
| 90716 |
|
451 |
444 |
$0.00 |
| 83051 |
|
246 |
238 |
$0.00 |
| D0602 |
|
33 |
33 |
$0.00 |
| 90696 |
|
27 |
27 |
$0.00 |
| 90381 |
|
32 |
32 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
53 |
53 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$0.00 |
| 90380 |
|
25 |
25 |
$0.00 |
| 90681 |
|
1,245 |
1,227 |
$0.00 |
| 90700 |
|
220 |
219 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
147 |
146 |
$0.00 |
| D1120 |
Prophylaxis - child |
27 |
27 |
$0.00 |
| 90734 |
|
35 |
32 |
$0.00 |
| 91300 |
|
17 |
14 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
16 |
16 |
$0.00 |