| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
185,817 |
119,251 |
$30.36M |
| 90832 |
Psychotherapy, 30 minutes with patient |
61,975 |
18,371 |
$1.53M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
56,953 |
30,163 |
$1.52M |
| 90834 |
Psychotherapy, 45 minutes with patient |
25,772 |
7,477 |
$1.06M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
47,446 |
25,110 |
$860K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
11,125 |
6,459 |
$816K |
| 90837 |
Psychotherapy, 53 minutes with patient |
11,384 |
3,343 |
$685K |
| 99307 |
|
50,045 |
27,920 |
$460K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
15,552 |
6,026 |
$284K |
| 90791 |
Psychiatric diagnostic evaluation |
3,456 |
2,049 |
$237K |
| 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 |
339 |
255 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,366 |
1,458 |
$12K |
| 99215 |
Prolong outpt/office vis |
1,072 |
593 |
$12K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
7,212 |
6,656 |
$6K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
6,566 |
5,997 |
$6K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
347 |
347 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
174 |
169 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
3,841 |
3,678 |
$5K |
| H0049 |
Alcohol and/or drug screening |
4,469 |
4,176 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,657 |
2,345 |
$5K |
| 99490 |
Ccm add 20min |
1,260 |
971 |
$4K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
509 |
472 |
$4K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
5,362 |
4,686 |
$3K |
| 99173 |
|
1,144 |
1,130 |
$3K |
| 99000 |
|
5,972 |
5,544 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
408 |
371 |
$3K |
| 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 |
85 |
65 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
194 |
181 |
$2K |
| 99205 |
Prolong outpt/office vis |
59 |
33 |
$2K |
| 90686 |
|
313 |
313 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
233 |
178 |
$2K |
| 92551 |
|
345 |
344 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
635 |
613 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
437 |
433 |
$1K |
| 99442 |
|
2,832 |
1,943 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
122 |
85 |
$1K |
| 90461 |
|
264 |
264 |
$1K |
| 99304 |
|
55 |
31 |
$877.24 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
129 |
76 |
$800.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
73 |
43 |
$792.00 |
| 81002 |
|
494 |
470 |
$648.28 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
76 |
74 |
$514.51 |
| G9920 |
Screening performed and negative |
1,960 |
1,934 |
$417.42 |
| 90688 |
|
82 |
81 |
$400.00 |
| 99383 |
|
42 |
28 |
$400.00 |
| 93000 |
|
70 |
69 |
$334.49 |
| 99406 |
|
80 |
73 |
$320.51 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
444 |
385 |
$193.88 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$181.36 |
| 81025 |
|
12 |
12 |
$150.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
563 |
272 |
$124.47 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
53 |
53 |
$77.56 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
36 |
34 |
$4.71 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
12 |
$1.59 |
| 3074F |
|
10,768 |
9,465 |
$1.22 |
| 3078F |
|
9,901 |
8,817 |
$0.98 |
| 3079F |
|
4,957 |
4,603 |
$0.95 |
| 3075F |
|
3,354 |
3,158 |
$0.49 |
| 3077F |
|
1,135 |
1,063 |
$0.26 |
| G9919 |
Screening performed and positive and provision of recommendations |
604 |
596 |
$0.15 |
| 2028F |
|
163 |
156 |
$0.08 |
| 3044F |
|
538 |
535 |
$0.05 |
| 1036F |
|
93 |
93 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
57 |
57 |
$0.00 |
| 99443 |
|
588 |
449 |
$0.00 |
| 3080F |
|
299 |
276 |
$0.00 |
| 3008F |
|
261 |
225 |
$0.00 |
| 90723 |
|
40 |
40 |
$0.00 |
| 3351F |
|
57 |
57 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
12 |
12 |
$0.00 |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
29 |
29 |
$0.00 |
| 99441 |
|
30 |
17 |
$0.00 |
| 2001F |
|
49 |
44 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
14 |
14 |
$0.00 |
| 82043 |
|
29 |
29 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
23 |
22 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$0.00 |
| 88141 |
|
14 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,263 |
1,649 |
$0.00 |
| 3725F |
|
175 |
175 |
$0.00 |
| 90671 |
|
47 |
47 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |
| 90648 |
|
45 |
45 |
$0.00 |
| 99449 |
|
176 |
99 |
$0.00 |
| 99446 |
|
96 |
82 |
$0.00 |
| 90473 |
|
12 |
12 |
$0.00 |
| 82570 |
|
13 |
13 |
$0.00 |
| 99491 |
Ccm add 20min |
38 |
38 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
28 |
28 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16 |
16 |
$0.00 |
| G0476 |
Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test |
29 |
29 |
$0.00 |
| 90633 |
|
25 |
25 |
$0.00 |