| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
76,028 |
72,283 |
$7.83M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
51,347 |
49,009 |
$1.30M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
64,504 |
61,030 |
$1.05M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,677 |
2,662 |
$175K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,031 |
2,029 |
$148K |
| 59425 |
|
1,911 |
1,259 |
$142K |
| 97802 |
|
2,079 |
2,046 |
$134K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,144 |
2,138 |
$120K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,070 |
4,011 |
$110K |
| 97803 |
|
2,548 |
2,514 |
$108K |
| 92250 |
|
2,307 |
2,303 |
$103K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
726 |
721 |
$94K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
3,725 |
3,569 |
$74K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
740 |
734 |
$74K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,822 |
1,814 |
$57K |
| 90686 |
|
3,471 |
3,470 |
$54K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,504 |
5,304 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,196 |
1,196 |
$50K |
| 71046 |
Radiologic examination, chest; 2 views |
2,208 |
2,193 |
$49K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,881 |
1,678 |
$43K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
260 |
260 |
$43K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
2,258 |
1,318 |
$40K |
| 99215 |
Prolong outpt/office vis |
416 |
408 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
778 |
778 |
$37K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
347 |
345 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
895 |
889 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
508 |
508 |
$29K |
| 90670 |
|
1,179 |
1,178 |
$28K |
| 99406 |
|
2,571 |
2,479 |
$26K |
| 90715 |
|
778 |
778 |
$23K |
| 90651 |
|
676 |
676 |
$22K |
| 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 |
9,679 |
8,718 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,978 |
2,946 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,818 |
2,796 |
$20K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
126 |
64 |
$19K |
| 81002 |
|
9,252 |
8,483 |
$17K |
| 81025 |
|
4,636 |
4,489 |
$15K |
| 73562 |
|
729 |
672 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,820 |
2,683 |
$13K |
| 92551 |
|
1,965 |
1,962 |
$13K |
| 90791 |
Psychiatric diagnostic evaluation |
78 |
76 |
$10K |
| 90682 |
|
183 |
183 |
$10K |
| 98926 |
|
245 |
198 |
$9K |
| 90746 |
|
191 |
191 |
$8K |
| 99243 |
|
98 |
98 |
$7K |
| 90685 |
|
504 |
504 |
$7K |
| 90734 |
|
462 |
462 |
$6K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
452 |
450 |
$6K |
| 90633 |
|
606 |
606 |
$6K |
| J3490 |
Unclassified drugs |
268 |
267 |
$5K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
385 |
382 |
$5K |
| 90648 |
|
546 |
546 |
$5K |
| 73030 |
|
229 |
201 |
$5K |
| 90710 |
|
418 |
418 |
$5K |
| 82274 |
|
216 |
216 |
$4K |
| 73630 |
|
183 |
163 |
$4K |
| 90680 |
|
296 |
294 |
$3K |
| 90620 |
|
72 |
72 |
$3K |
| 90700 |
|
324 |
324 |
$3K |
| 90698 |
|
305 |
305 |
$3K |
| 90688 |
|
171 |
171 |
$3K |
| 99188 |
|
116 |
116 |
$3K |
| 99173 |
|
997 |
989 |
$2K |
| 86580 |
|
564 |
545 |
$2K |
| 99201 |
|
145 |
145 |
$2K |
| 90744 |
|
246 |
246 |
$2K |
| 90723 |
|
236 |
236 |
$2K |
| 0064A |
|
40 |
22 |
$2K |
| 72110 |
|
54 |
54 |
$2K |
| 0134A |
|
28 |
28 |
$2K |
| 94664 |
|
233 |
229 |
$2K |
| 0012A |
|
28 |
15 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
230 |
220 |
$1K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
92 |
92 |
$1K |
| 0969 |
|
16 |
12 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
68 |
67 |
$1K |
| 73610 |
|
52 |
51 |
$1K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
41 |
41 |
$1K |
| 77077 |
|
38 |
38 |
$997.44 |
| D1206 |
Topical application of fluoride varnish |
43 |
43 |
$954.90 |
| 90681 |
|
85 |
85 |
$925.30 |
| 81000 |
|
295 |
293 |
$801.04 |
| H0049 |
Alcohol and/or drug screening |
26 |
26 |
$780.00 |
| 90713 |
|
85 |
85 |
$776.09 |
| 90696 |
|
52 |
52 |
$624.03 |
| 10060 |
|
12 |
12 |
$583.55 |
| 82948 |
|
231 |
225 |
$576.15 |
| 73140 |
|
28 |
26 |
$395.64 |
| 90662 |
|
39 |
39 |
$361.52 |
| 73130 |
|
15 |
12 |
$357.90 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
35 |
33 |
$330.78 |
| 73502 |
|
13 |
13 |
$307.65 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
14 |
14 |
$277.20 |
| 90707 |
|
30 |
30 |
$270.00 |
| 73110 |
|
13 |
12 |
$248.05 |
| 82270 |
|
65 |
65 |
$236.95 |
| 87088 |
|
28 |
28 |
$212.80 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
14 |
$180.84 |
| 87210 |
|
49 |
49 |
$173.01 |
| 99421 |
|
12 |
12 |
$168.38 |
| 90716 |
|
17 |
17 |
$153.00 |
| 83655 |
|
16 |
16 |
$112.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
14 |
13 |
$110.73 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
13 |
13 |
$106.19 |
| A4649 |
Surgical supply; miscellaneous |
65 |
65 |
$104.71 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
36 |
36 |
$8.46 |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
111 |
111 |
$0.00 |
| G9920 |
Screening performed and negative |
12 |
12 |
$0.00 |
| 80306 |
|
15 |
13 |
$0.00 |
| Z1034 |
|
173 |
115 |
$0.00 |
| 90656 |
|
38 |
38 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
18 |
18 |
$0.00 |