| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
47,537 |
33,550 |
$8.14M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,849 |
17,874 |
$688K |
| D0999 |
Unspecified diagnostic procedure, by report |
1,417 |
1,302 |
$244K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,688 |
5,753 |
$187K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,366 |
2,968 |
$155K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,331 |
1,645 |
$115K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,437 |
1,266 |
$102K |
| 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 |
2,305 |
1,929 |
$70K |
| 99385 |
|
503 |
458 |
$43K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,552 |
1,381 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,319 |
1,206 |
$40K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,296 |
1,088 |
$38K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,086 |
980 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
762 |
654 |
$28K |
| 90832 |
Psychotherapy, 30 minutes with patient |
868 |
696 |
$27K |
| 90837 |
Psychotherapy, 53 minutes with patient |
528 |
398 |
$27K |
| 90791 |
Psychiatric diagnostic evaluation |
476 |
446 |
$25K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
623 |
555 |
$21K |
| 99215 |
Prolong outpt/office vis |
149 |
136 |
$5K |
| 99384 |
|
126 |
113 |
$4K |
| 0011A |
|
146 |
145 |
$3K |
| 99381 |
|
79 |
68 |
$3K |
| 0012A |
|
147 |
144 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
83 |
69 |
$2K |
| 99383 |
|
54 |
50 |
$2K |
| D0274 |
Bitewings - four radiographic images |
295 |
256 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
76 |
65 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
227 |
149 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
444 |
406 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
461 |
401 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
471 |
438 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
30 |
20 |
$1K |
| 0001A |
|
39 |
39 |
$920.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
59 |
49 |
$866.16 |
| 99386 |
|
21 |
15 |
$713.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,006 |
1,909 |
$595.38 |
| D0145 |
Oral evaluation for a patient under three years of age |
15 |
13 |
$426.21 |
| 81025 |
|
990 |
907 |
$375.96 |
| 99205 |
Prolong outpt/office vis |
13 |
12 |
$365.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
348 |
300 |
$361.40 |
| 99406 |
|
176 |
153 |
$346.58 |
| 0002A |
|
15 |
15 |
$320.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
386 |
345 |
$288.79 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,833 |
1,031 |
$236.00 |
| D1206 |
Topical application of fluoride varnish |
343 |
326 |
$220.50 |
| 0064A |
|
27 |
27 |
$160.00 |
| D1120 |
Prophylaxis - child |
78 |
77 |
$110.25 |
| 81003 |
|
1,224 |
988 |
$107.73 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
345 |
313 |
$74.72 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
212 |
180 |
$69.45 |
| 82948 |
|
59 |
52 |
$38.07 |
| 83655 |
|
77 |
75 |
$10.17 |
| 92551 |
|
1,455 |
1,408 |
$9.09 |
| 96160 |
|
687 |
608 |
$4.14 |
| 81002 |
|
54 |
49 |
$2.92 |
| 85018 |
|
147 |
140 |
$1.99 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
357 |
326 |
$0.19 |
| 3077F |
|
1,500 |
1,308 |
$0.00 |
| 90633 |
|
154 |
147 |
$0.00 |
| 1160F |
|
10,337 |
8,476 |
$0.00 |
| 91300 |
|
84 |
77 |
$0.00 |
| 1159F |
|
10,270 |
8,387 |
$0.00 |
| 4013F |
|
250 |
227 |
$0.00 |
| 3078F |
|
7,234 |
6,137 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
385 |
354 |
$0.00 |
| 4004F |
|
92 |
81 |
$0.00 |
| 90734 |
|
123 |
120 |
$0.00 |
| 3725F |
|
6,905 |
5,818 |
$0.00 |
| 90649 |
|
405 |
394 |
$0.00 |
| 90658 |
|
113 |
111 |
$0.00 |
| 90473 |
|
94 |
94 |
$0.00 |
| 99499 |
|
100 |
97 |
$0.00 |
| 90670 |
|
181 |
174 |
$0.00 |
| 90710 |
|
62 |
62 |
$0.00 |
| 99173 |
|
1,526 |
1,476 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
74 |
71 |
$0.00 |
| 90715 |
|
47 |
46 |
$0.00 |
| 99408 |
|
32 |
29 |
$0.00 |
| 90661 |
|
61 |
58 |
$0.00 |
| 11720 |
|
16 |
16 |
$0.00 |
| 90648 |
|
29 |
28 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
700 |
638 |
$0.00 |
| 3011F |
|
48 |
43 |
$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) |
56 |
52 |
$0.00 |
| 3008F |
|
12,312 |
9,794 |
$0.00 |
| D1330 |
|
315 |
298 |
$0.00 |
| D0603 |
|
278 |
246 |
$0.00 |
| 1126F |
|
2,930 |
2,665 |
$0.00 |
| 3080F |
|
931 |
829 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
16 |
13 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
119 |
112 |
$0.00 |
| 90723 |
|
29 |
29 |
$0.00 |
| 1034F |
|
2,188 |
1,792 |
$0.00 |
| 3079F |
|
3,496 |
2,970 |
$0.00 |
| 1036F |
|
6,363 |
5,156 |
$0.00 |
| 3075F |
|
1,589 |
1,377 |
$0.00 |
| 3074F |
|
8,539 |
7,140 |
$0.00 |
| 96127 |
|
8,193 |
4,534 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
95 |
88 |
$0.00 |
| 1035F |
|
86 |
68 |
$0.00 |
| 90732 |
|
207 |
197 |
$0.00 |
| 1111F |
|
57 |
45 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
13 |
13 |
$0.00 |
| D0601 |
|
52 |
52 |
$0.00 |
| 90680 |
|
256 |
244 |
$0.00 |
| 99000 |
|
23 |
23 |
$0.00 |
| 90674 |
|
117 |
108 |
$0.00 |
| 1220F |
|
216 |
200 |
$0.00 |
| 1125F |
|
1,270 |
1,136 |
$0.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
54 |
54 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
16 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
209 |
186 |
$0.00 |
| D0602 |
|
15 |
15 |
$0.00 |
| 90697 |
|
115 |
114 |
$0.00 |
| 91306 |
|
27 |
27 |
$0.00 |
| 91307 |
|
19 |
19 |
$0.00 |
| 82962 |
|
305 |
268 |
$0.00 |
| 90677 |
|
34 |
32 |
$0.00 |
| 90696 |
|
25 |
25 |
$0.00 |
| 90620 |
|
64 |
61 |
$0.00 |
| 91301 |
|
298 |
271 |
$0.00 |
| 3044F |
|
17 |
15 |
$0.00 |
| 90657 |
|
12 |
12 |
$0.00 |