| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
154,194 |
116,981 |
$34.50M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
112,604 |
94,703 |
$16.08M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
19,053 |
15,957 |
$2.71M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15,802 |
14,433 |
$2.64M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,269 |
17,013 |
$2.41M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
10,211 |
9,560 |
$1.78M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,434 |
6,606 |
$1.02M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,540 |
5,188 |
$982K |
| 97803 |
|
3,219 |
2,847 |
$392K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,637 |
2,375 |
$355K |
| 99205 |
Prolong outpt/office vis |
4,210 |
3,226 |
$299K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,206 |
1,976 |
$266K |
| 97802 |
|
1,847 |
1,697 |
$241K |
| 99381 |
|
2,384 |
1,609 |
$158K |
| 99215 |
Prolong outpt/office vis |
1,225 |
989 |
$145K |
| 90677 |
|
2,165 |
1,944 |
$111K |
| 0012A |
|
1,744 |
1,663 |
$57K |
| 0011A |
|
1,988 |
1,588 |
$53K |
| 99354 |
|
2,415 |
1,634 |
$42K |
| W7010 |
|
2,662 |
2,375 |
$39K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
338 |
305 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
181 |
150 |
$22K |
| 90697 |
|
6,902 |
6,101 |
$17K |
| 99385 |
|
164 |
136 |
$16K |
| 90686 |
|
9,904 |
9,315 |
$14K |
| 90671 |
|
2,976 |
2,809 |
$10K |
| 90723 |
|
4,561 |
3,670 |
$10K |
| 0072A |
|
226 |
218 |
$8K |
| 90670 |
|
9,738 |
8,099 |
$7K |
| 90688 |
|
6,419 |
6,031 |
$7K |
| 90647 |
|
4,309 |
3,512 |
$7K |
| 90681 |
|
4,865 |
4,042 |
$7K |
| 90633 |
|
6,664 |
5,970 |
$6K |
| 90682 |
|
1,794 |
1,639 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
51 |
32 |
$6K |
| 99383 |
|
26 |
26 |
$5K |
| 90651 |
|
1,163 |
1,099 |
$5K |
| 87430 |
|
866 |
760 |
$5K |
| 99173 |
|
11,343 |
10,589 |
$4K |
| 0071A |
|
149 |
137 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
11,464 |
10,381 |
$4K |
| 90650 |
|
188 |
179 |
$3K |
| 3074F |
|
9,102 |
7,980 |
$2K |
| 90716 |
|
932 |
747 |
$2K |
| 90746 |
|
283 |
191 |
$2K |
| 92551 |
|
7,395 |
6,894 |
$2K |
| 90674 |
|
862 |
835 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
41 |
38 |
$2K |
| 90715 |
|
1,053 |
940 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
225 |
140 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
101 |
77 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
153 |
121 |
$2K |
| 90707 |
|
602 |
507 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,385 |
4,883 |
$1K |
| 91301 |
|
3,040 |
2,868 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,124 |
1,984 |
$1K |
| 90687 |
|
506 |
423 |
$1K |
| 96156 |
|
14 |
12 |
$1K |
| 90685 |
|
227 |
184 |
$1K |
| 0013A |
|
30 |
27 |
$994.18 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
4,916 |
4,260 |
$935.00 |
| 99417 |
Prolong home eval add 15m |
743 |
680 |
$923.67 |
| 81003 |
|
990 |
842 |
$876.47 |
| 91322 |
|
44 |
42 |
$875.52 |
| G0008 |
Administration of influenza virus vaccine |
32 |
32 |
$792.00 |
| 90734 |
|
752 |
714 |
$759.20 |
| 81025 |
|
228 |
209 |
$691.47 |
| 90837 |
Psychotherapy, 53 minutes with patient |
491 |
307 |
$513.46 |
| 90710 |
|
479 |
453 |
$468.90 |
| 82962 |
|
1,242 |
1,007 |
$460.98 |
| 90713 |
|
345 |
224 |
$336.12 |
| 90744 |
|
267 |
199 |
$325.38 |
| 57410 |
|
124 |
121 |
$297.12 |
| 3075F |
|
754 |
703 |
$250.00 |
| 93000 |
|
28 |
28 |
$212.29 |
| 90700 |
|
544 |
503 |
$183.60 |
| 90662 |
|
136 |
129 |
$144.00 |
| 90657 |
|
83 |
79 |
$116.40 |
| 90648 |
|
137 |
120 |
$112.50 |
| 90696 |
|
140 |
134 |
$48.00 |
| 3078F |
|
7,380 |
6,455 |
$37.50 |
| 96161 |
|
599 |
553 |
$25.84 |
| 86703 |
|
4,273 |
3,789 |
$24.17 |
| 96127 |
|
790 |
748 |
$23.55 |
| 3079F |
|
2,657 |
2,463 |
$7.50 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
45 |
40 |
$0.57 |
| 81001 |
|
351 |
323 |
$0.00 |
| 90620 |
|
40 |
37 |
$0.00 |
| 90656 |
|
35 |
35 |
$0.00 |
| 3080F |
|
92 |
85 |
$0.00 |
| 90381 |
|
31 |
31 |
$0.00 |
| INVCD |
|
74 |
61 |
$0.00 |
| 91318 |
|
27 |
27 |
$0.00 |
| 91319 |
|
17 |
16 |
$0.00 |
| 3008F |
|
32 |
31 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,086 |
3,752 |
$0.00 |
| 87210 |
|
12 |
12 |
$0.00 |
| 90461 |
|
1,295 |
1,234 |
$0.00 |
| 99078 |
|
1,454 |
1,112 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
94 |
50 |
$0.00 |
| 90649 |
|
479 |
439 |
$0.00 |
| 3077F |
|
186 |
165 |
$0.00 |
| 91320 |
|
26 |
25 |
$0.00 |
| 90621 |
|
54 |
51 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
14 |
14 |
$0.00 |
| 90380 |
|
27 |
26 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
16 |
16 |
$0.00 |
| 0124A |
|
24 |
24 |
$0.00 |
| 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 |
3,537 |
3,191 |
$-1622.45 |