| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
57,263 |
50,581 |
$10.95M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44,224 |
40,082 |
$309K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,196 |
4,193 |
$152K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,169 |
4,165 |
$133K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,770 |
2,766 |
$130K |
| 59425 |
|
1,740 |
1,132 |
$128K |
| 99442 |
|
2,285 |
2,194 |
$128K |
| 99441 |
|
3,521 |
3,419 |
$77K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,031 |
1,965 |
$65K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,090 |
1,082 |
$61K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,422 |
6,984 |
$49K |
| 92551 |
|
8,803 |
8,779 |
$46K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,476 |
7,166 |
$43K |
| 90686 |
|
3,841 |
3,837 |
$36K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
701 |
694 |
$21K |
| 90670 |
|
1,867 |
1,847 |
$19K |
| 90651 |
|
1,566 |
1,566 |
$18K |
| 90715 |
|
822 |
822 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
134 |
134 |
$10K |
| 90633 |
|
1,207 |
1,203 |
$10K |
| 90723 |
|
1,177 |
1,160 |
$9K |
| 90734 |
|
1,009 |
1,008 |
$9K |
| 0969 |
|
98 |
70 |
$8K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
97 |
62 |
$8K |
| 99443 |
|
30 |
30 |
$7K |
| 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 |
2,484 |
2,105 |
$7K |
| 99422 |
|
346 |
341 |
$7K |
| 0071A |
|
123 |
77 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,800 |
1,771 |
$7K |
| 90688 |
|
598 |
598 |
$6K |
| 99421 |
|
285 |
278 |
$6K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
217 |
197 |
$6K |
| 90648 |
|
650 |
649 |
$5K |
| 0072A |
|
99 |
52 |
$5K |
| 90647 |
|
698 |
691 |
$5K |
| 81025 |
|
1,495 |
1,461 |
$5K |
| 90678 |
|
13 |
13 |
$5K |
| 90707 |
|
174 |
174 |
$4K |
| 90710 |
|
308 |
307 |
$3K |
| 0124A |
|
44 |
44 |
$3K |
| 90682 |
|
53 |
53 |
$3K |
| 90685 |
|
391 |
391 |
$2K |
| 90696 |
|
242 |
241 |
$2K |
| 81002 |
|
3,637 |
3,102 |
$2K |
| 97802 |
|
15 |
15 |
$2K |
| 99173 |
|
3,986 |
3,981 |
$2K |
| 90716 |
|
134 |
134 |
$2K |
| 0004A |
|
30 |
15 |
$2K |
| 90680 |
|
69 |
69 |
$1K |
| 90750 |
|
12 |
12 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
113 |
106 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
670 |
654 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
133 |
117 |
$1K |
| 0003A |
|
23 |
13 |
$1K |
| 90677 |
|
62 |
62 |
$1K |
| 90700 |
|
100 |
100 |
$928.62 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
108 |
105 |
$878.95 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
35 |
30 |
$789.38 |
| 90480 |
|
19 |
19 |
$764.00 |
| 92250 |
|
13 |
13 |
$663.59 |
| D1206 |
Topical application of fluoride varnish |
24 |
24 |
$518.40 |
| 96127 |
|
63 |
63 |
$463.63 |
| J3490 |
Unclassified drugs |
26 |
26 |
$344.97 |
| 90674 |
|
35 |
35 |
$334.30 |
| 90681 |
|
25 |
25 |
$305.15 |
| 82948 |
|
1,482 |
1,305 |
$294.55 |
| 82274 |
|
13 |
13 |
$248.17 |
| 90620 |
|
24 |
24 |
$216.00 |
| 85018 |
|
88 |
87 |
$202.15 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
26 |
$184.45 |
| 86580 |
|
44 |
43 |
$177.32 |
| 99406 |
|
14 |
14 |
$162.37 |
| 90837 |
Psychotherapy, 53 minutes with patient |
260 |
212 |
$72.13 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
15 |
$39.70 |
| 91322 |
|
16 |
16 |
$0.00 |
| 96160 |
|
13 |
13 |
$0.00 |
| 90658 |
|
14 |
14 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$0.00 |
| Z1034 |
|
1,090 |
731 |
$0.00 |
| 90656 |
|
203 |
203 |
$0.00 |
| J7609 |
Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg |
12 |
12 |
$0.00 |