| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
128,389 |
111,817 |
$22.16M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
109,174 |
76,074 |
$62K |
| 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 |
1,002 |
881 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,557 |
10,303 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18,907 |
14,082 |
$14K |
| 90670 |
|
2,619 |
1,859 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,208 |
4,322 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,990 |
2,484 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,576 |
3,934 |
$4K |
| 92552 |
|
12,024 |
8,391 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,029 |
2,849 |
$3K |
| 90723 |
|
1,704 |
1,213 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,421 |
1,897 |
$2K |
| 90686 |
|
6,029 |
4,516 |
$2K |
| 99000 |
|
30,589 |
24,141 |
$2K |
| 0012A |
|
30 |
30 |
$2K |
| 0011A |
|
42 |
42 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
22,233 |
17,487 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,400 |
1,119 |
$2K |
| 90734 |
|
1,016 |
788 |
$2K |
| 90647 |
|
1,985 |
1,405 |
$1K |
| 81025 |
|
5,378 |
4,624 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,309 |
1,622 |
$1K |
| 90710 |
|
200 |
136 |
$1K |
| 90649 |
|
124 |
92 |
$978.48 |
| 90633 |
|
1,379 |
1,019 |
$695.25 |
| 94760 |
|
5,947 |
4,408 |
$675.90 |
| 3008F |
|
1,646 |
1,510 |
$410.76 |
| 90716 |
|
145 |
107 |
$404.04 |
| 90700 |
|
151 |
105 |
$334.89 |
| 90680 |
|
12 |
12 |
$330.00 |
| 85018 |
|
14,545 |
10,780 |
$324.05 |
| 1160F |
|
1,938 |
1,808 |
$267.88 |
| 81003 |
|
5,347 |
4,374 |
$264.30 |
| 90715 |
|
537 |
393 |
$242.76 |
| 99173 |
|
23,255 |
17,686 |
$235.05 |
| 93000 |
|
2,142 |
1,568 |
$218.49 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
117 |
81 |
$202.65 |
| 0004A |
|
13 |
13 |
$201.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
652 |
349 |
$180.36 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
602 |
558 |
$176.65 |
| 90707 |
|
100 |
75 |
$161.96 |
| 96127 |
|
4,066 |
2,730 |
$157.08 |
| 1159F |
|
461 |
461 |
$146.17 |
| 90651 |
|
1,440 |
1,055 |
$119.70 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
92 |
91 |
$108.23 |
| 3077F |
|
1,141 |
1,093 |
$75.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
142 |
142 |
$68.21 |
| 97802 |
|
719 |
716 |
$60.10 |
| 90696 |
|
152 |
105 |
$53.36 |
| 82948 |
|
2,597 |
2,139 |
$50.92 |
| 3078F |
|
3,967 |
3,760 |
$37.50 |
| 3079F |
|
2,767 |
2,650 |
$37.50 |
| 3080F |
|
480 |
460 |
$37.50 |
| 3075F |
|
1,827 |
1,770 |
$37.50 |
| 90688 |
|
1,544 |
1,190 |
$31.08 |
| 97803 |
|
63 |
62 |
$25.85 |
| A4614 |
Peak expiratory flow rate meter, hand held |
67 |
66 |
$25.68 |
| 1030F |
|
16 |
16 |
$22.50 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
57 |
56 |
$22.04 |
| 83037 |
|
3,975 |
2,921 |
$19.68 |
| 90681 |
|
430 |
376 |
$18.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
14 |
14 |
$11.25 |
| 86580 |
|
35 |
29 |
$9.46 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
96 |
67 |
$6.92 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,122 |
3,589 |
$4.42 |
| 82947 |
|
2,999 |
2,781 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,108 |
7,089 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
342 |
263 |
$0.00 |
| 80061 |
Lipid panel |
4,377 |
4,368 |
$0.00 |
| 90461 |
|
3,354 |
3,346 |
$0.00 |
| 83540 |
|
219 |
219 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,609 |
2,579 |
$0.00 |
| 80074 |
|
247 |
247 |
$0.00 |
| 59425 |
|
1,892 |
1,324 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
56 |
55 |
$0.00 |
| 3725F |
|
277 |
277 |
$0.00 |
| 84550 |
|
58 |
58 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
31 |
31 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
246 |
197 |
$0.00 |
| 95251 |
|
66 |
63 |
$0.00 |
| 3045F |
|
77 |
74 |
$0.00 |
| 99401 |
|
671 |
669 |
$0.00 |
| 3015F |
|
28 |
28 |
$0.00 |
| 87660 |
|
61 |
60 |
$0.00 |
| 83655 |
|
243 |
241 |
$0.00 |
| 82274 |
|
87 |
87 |
$0.00 |
| 86003 |
|
14 |
14 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
29 |
29 |
$0.00 |
| 87210 |
|
17 |
16 |
$0.00 |
| 86038 |
|
14 |
14 |
$0.00 |
| 80076 |
|
118 |
118 |
$0.00 |
| 90658 |
|
75 |
51 |
$0.00 |
| 85610 |
|
26 |
26 |
$0.00 |
| 86431 |
|
13 |
13 |
$0.00 |
| 90621 |
|
113 |
68 |
$0.00 |
| 81002 |
|
13 |
13 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
19 |
19 |
$0.00 |
| 82570 |
|
12 |
12 |
$0.00 |
| 86200 |
|
13 |
13 |
$0.00 |
| 84439 |
|
92 |
92 |
$0.00 |
| 1039F |
|
15 |
13 |
$0.00 |
| 3046F |
|
104 |
99 |
$0.00 |
| Z6400 |
|
17 |
17 |
$0.00 |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
23 |
13 |
$0.00 |
| 82785 |
|
12 |
12 |
$0.00 |
| 83721 |
|
14 |
14 |
$0.00 |
| 2028F |
|
29 |
29 |
$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 |
14 |
14 |
$0.00 |
| 3051F |
|
12 |
12 |
$0.00 |
| 86235 |
|
13 |
13 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,580 |
2,549 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,816 |
3,806 |
$0.00 |
| 82746 |
|
122 |
121 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,058 |
4,046 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,837 |
4,810 |
$0.00 |
| Z1034 |
|
172 |
150 |
$0.00 |
| 86592 |
|
1,965 |
1,959 |
$0.00 |
| 99172 |
|
352 |
352 |
$0.00 |
| 82607 |
|
184 |
183 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
4,567 |
4,555 |
$0.00 |
| 86803 |
|
460 |
458 |
$0.00 |
| 3074F |
|
4,215 |
3,964 |
$0.00 |
| 3044F |
|
119 |
119 |
$0.00 |
| 85652 |
|
379 |
377 |
$0.00 |
| 87340 |
|
275 |
274 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
752 |
750 |
$0.00 |
| 86706 |
|
269 |
268 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,909 |
1,903 |
$0.00 |
| 96150 |
|
40 |
40 |
$0.00 |
| 81001 |
|
779 |
759 |
$0.00 |
| 88142 |
|
330 |
329 |
$0.00 |
| 85032 |
|
522 |
522 |
$0.00 |
| 92551 |
|
344 |
344 |
$0.00 |
| 87480 |
|
62 |
61 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
88 |
87 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
201 |
201 |
$0.00 |
| 1170F |
|
166 |
166 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
34 |
34 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
623 |
621 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
105 |
104 |
$0.00 |
| 87081 |
|
12 |
12 |
$0.00 |
| 83550 |
|
101 |
101 |
$0.00 |
| 99386 |
|
137 |
111 |
$0.00 |
| 90619 |
|
465 |
260 |
$0.00 |
| 1126F |
|
247 |
247 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
215 |
215 |
$0.00 |
| 82728 |
|
197 |
197 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
42 |
41 |
$0.00 |
| 90656 |
|
246 |
168 |
$0.00 |
| 99385 |
|
206 |
147 |
$0.00 |
| 87510 |
|
62 |
61 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
33 |
26 |
$0.00 |
| 99381 |
|
57 |
43 |
$0.00 |
| 84436 |
|
12 |
12 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
47 |
46 |
$0.00 |
| 90657 |
|
160 |
160 |
$0.00 |
| 3014F |
|
12 |
12 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
46 |
46 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
18 |
16 |
$0.00 |
| 82043 |
|
69 |
69 |
$0.00 |
| Z1032 |
|
14 |
14 |
$0.00 |
| 86140 |
|
12 |
12 |
$0.00 |
| 85730 |
|
14 |
14 |
$0.00 |
| 87110 |
|
12 |
12 |
$0.00 |
| 82105 |
|
14 |
13 |
$0.00 |
| 84154 |
|
13 |
13 |
$0.00 |