| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
247,247 |
213,988 |
$32.26M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12,576 |
12,543 |
$818K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15,401 |
15,335 |
$808K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
213,007 |
187,007 |
$739K |
| 59425 |
|
8,403 |
5,083 |
$717K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12,853 |
12,475 |
$608K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31,006 |
29,518 |
$487K |
| 92551 |
|
21,081 |
20,942 |
$451K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,782 |
8,482 |
$370K |
| 90686 |
|
16,542 |
16,347 |
$272K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,923 |
1,906 |
$251K |
| G9920 |
Screening performed and negative |
5,447 |
5,445 |
$233K |
| 90739 |
|
1,763 |
1,760 |
$215K |
| 90677 |
|
1,234 |
1,233 |
$191K |
| 99215 |
Prolong outpt/office vis |
1,020 |
1,015 |
$158K |
| 90651 |
|
4,331 |
4,312 |
$158K |
| 90750 |
|
939 |
939 |
$152K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
55,288 |
50,852 |
$146K |
| 99173 |
|
20,657 |
20,534 |
$132K |
| 90715 |
|
4,478 |
4,467 |
$120K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,216 |
1,215 |
$108K |
| 90670 |
|
5,165 |
5,048 |
$103K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
4,088 |
4,083 |
$100K |
| 98960 |
|
1,984 |
1,717 |
$80K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
5,142 |
3,497 |
$77K |
| 0011A |
|
1,021 |
1,021 |
$68K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,286 |
2,238 |
$68K |
| 85018 |
|
27,846 |
27,209 |
$62K |
| 90648 |
|
4,634 |
4,512 |
$62K |
| 0012A |
|
924 |
924 |
$62K |
| 0001A |
|
890 |
890 |
$60K |
| 90716 |
|
2,333 |
2,195 |
$56K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,823 |
6,680 |
$56K |
| 90633 |
|
3,861 |
3,675 |
$52K |
| 90723 |
|
3,148 |
3,126 |
$42K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,784 |
1,740 |
$42K |
| 90688 |
|
2,125 |
2,123 |
$42K |
| 90680 |
|
3,034 |
3,030 |
$41K |
| 90734 |
|
2,778 |
2,763 |
$41K |
| J3490 |
Unclassified drugs |
543 |
507 |
$39K |
| 90620 |
|
1,585 |
1,572 |
$38K |
| 90707 |
|
2,035 |
1,906 |
$36K |
| 0002A |
|
509 |
509 |
$34K |
| 90746 |
|
461 |
460 |
$33K |
| 99401 |
|
1,431 |
1,387 |
$25K |
| 99205 |
Prolong outpt/office vis |
265 |
265 |
$24K |
| 90710 |
|
1,788 |
1,777 |
$24K |
| 90662 |
|
357 |
355 |
$24K |
| 90700 |
|
1,632 |
1,588 |
$23K |
| 90696 |
|
1,595 |
1,586 |
$21K |
| 90732 |
|
186 |
186 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
438 |
437 |
$21K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,382 |
1,367 |
$17K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
1,384 |
1,016 |
$16K |
| H0049 |
Alcohol and/or drug screening |
442 |
442 |
$16K |
| 99188 |
|
691 |
684 |
$16K |
| 90673 |
|
244 |
243 |
$15K |
| 81025 |
|
4,508 |
4,383 |
$15K |
| 96156 |
|
739 |
728 |
$14K |
| 90656 |
|
795 |
795 |
$14K |
| 90697 |
|
1,000 |
974 |
$13K |
| 83655 |
|
951 |
947 |
$13K |
| 90682 |
|
184 |
184 |
$12K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
634 |
620 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,265 |
1,255 |
$12K |
| 81002 |
|
5,896 |
5,467 |
$11K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,239 |
1,232 |
$11K |
| 90658 |
|
431 |
430 |
$11K |
| 90619 |
|
648 |
648 |
$10K |
| 99000 |
|
2,630 |
2,497 |
$10K |
| 0124A |
|
136 |
136 |
$9K |
| 86580 |
|
1,220 |
1,178 |
$7K |
| 98940 |
|
492 |
359 |
$6K |
| 99381 |
|
55 |
55 |
$5K |
| 97802 |
|
207 |
207 |
$5K |
| 0072A |
|
71 |
71 |
$5K |
| 90685 |
|
270 |
263 |
$5K |
| 90681 |
|
383 |
365 |
$5K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
233 |
147 |
$5K |
| 88720 |
|
1,088 |
688 |
$4K |
| 0004A |
|
60 |
60 |
$4K |
| 91320 |
|
63 |
51 |
$4K |
| 97803 |
|
348 |
348 |
$4K |
| 0134A |
|
56 |
56 |
$4K |
| 0071A |
|
49 |
49 |
$3K |
| 96158 |
|
272 |
272 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
84 |
83 |
$3K |
| 0031A |
|
36 |
36 |
$2K |
| 0054A |
|
35 |
35 |
$2K |
| 0082A |
|
31 |
31 |
$2K |
| 0064A |
|
28 |
28 |
$2K |
| 82947 |
|
512 |
489 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
78 |
77 |
$2K |
| 0081A |
|
27 |
27 |
$2K |
| 99382 |
|
16 |
15 |
$2K |
| 90756 |
|
67 |
67 |
$1K |
| 90671 |
|
100 |
100 |
$1K |
| 59430 |
|
13 |
13 |
$1K |
| 90713 |
|
88 |
87 |
$1K |
| 0074A |
|
17 |
17 |
$1K |
| 0154A |
|
16 |
16 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
761 |
695 |
$1K |
| 99490 |
Ccm add 20min |
57 |
57 |
$925.87 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
75 |
75 |
$620.10 |
| S9452 |
Nutrition classes, non-physician provider, per session |
42 |
42 |
$500.57 |
| 90480 |
|
12 |
12 |
$480.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
13 |
$390.00 |
| 90744 |
|
28 |
28 |
$378.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
64 |
57 |
$368.36 |
| 96151 |
|
25 |
25 |
$327.50 |
| 96150 |
|
12 |
12 |
$315.06 |
| 90381 |
|
18 |
16 |
$229.50 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
125 |
100 |
$208.73 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
33 |
25 |
$192.30 |
| 81003 |
|
59 |
57 |
$120.00 |
| 93000 |
|
14 |
13 |
$101.76 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
6,810 |
5,859 |
$101.75 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
17 |
16 |
$100.09 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
406 |
348 |
$94.01 |
| 69210 |
|
26 |
15 |
$55.79 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
113 |
104 |
$13.77 |
| Z1034 |
|
7,034 |
5,770 |
$0.00 |
| Z6410 |
|
2,556 |
1,963 |
$0.00 |
| 99443 |
|
31 |
26 |
$0.00 |
| Z6204 |
|
239 |
238 |
$0.00 |
| Z6406 |
|
269 |
266 |
$0.00 |
| Z6402 |
|
252 |
251 |
$0.00 |
| 99441 |
|
26 |
26 |
$0.00 |
| Z1032 |
|
13 |
13 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |
| Z6308 |
|
26 |
26 |
$0.00 |
| Z6300 |
|
226 |
226 |
$0.00 |
| Z6400 |
|
824 |
679 |
$0.00 |
| Z6200 |
|
168 |
168 |
$0.00 |
| Z6304 |
|
214 |
213 |
$0.00 |
| Z6208 |
|
52 |
52 |
$0.00 |
| 99442 |
|
222 |
208 |
$0.00 |
| Z6414 |
|
133 |
124 |
$0.00 |