| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
49,781 |
39,007 |
$6.42M |
| 99199 |
Unlisted special service, procedure or report |
279,880 |
137,179 |
$1.49M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,968 |
1,435 |
$134K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,745 |
1,315 |
$124K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,306 |
1,060 |
$93K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,282 |
880 |
$85K |
| D0145 |
Oral evaluation for a patient under three years of age |
2,628 |
2,034 |
$74K |
| 99401 |
|
2,393 |
1,672 |
$55K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,197 |
5,904 |
$51K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
2,144 |
1,737 |
$41K |
| 96160 |
|
12,972 |
9,991 |
$37K |
| D1206 |
Topical application of fluoride varnish |
2,648 |
2,050 |
$33K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,413 |
1,171 |
$31K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,335 |
1,931 |
$26K |
| 92551 |
|
5,926 |
4,349 |
$16K |
| 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 |
1,084 |
1,001 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
711 |
571 |
$11K |
| 0001A |
|
211 |
155 |
$10K |
| 0012A |
|
174 |
143 |
$9K |
| 81025 |
|
1,420 |
1,178 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
225 |
115 |
$8K |
| 0011A |
|
181 |
153 |
$7K |
| 0002A |
|
156 |
105 |
$7K |
| 81002 |
|
2,412 |
1,935 |
$6K |
| 99173 |
|
5,785 |
4,321 |
$5K |
| 99381 |
|
58 |
57 |
$5K |
| 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 |
419 |
389 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
381 |
372 |
$3K |
| 99383 |
|
32 |
30 |
$2K |
| 0072A |
|
52 |
39 |
$2K |
| 96161 |
|
911 |
698 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
102 |
102 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
162 |
127 |
$1K |
| G9919 |
Screening performed and positive and provision of recommendations |
40 |
36 |
$1K |
| 0064A |
|
30 |
26 |
$1K |
| 94010 |
|
197 |
187 |
$975.69 |
| 0071A |
|
23 |
19 |
$893.93 |
| 96127 |
|
380 |
266 |
$892.32 |
| 83655 |
|
77 |
69 |
$848.87 |
| 0031A |
|
14 |
14 |
$715.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
543 |
482 |
$306.98 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
32 |
31 |
$285.99 |
| 90674 |
|
167 |
153 |
$60.46 |
| 90656 |
|
583 |
526 |
$33.32 |
| 91301 |
|
118 |
88 |
$27.11 |
| 91300 |
|
85 |
63 |
$11.18 |
| 90670 |
|
590 |
519 |
$0.00 |
| 3077F |
|
150 |
144 |
$0.00 |
| 90633 |
|
298 |
275 |
$0.00 |
| 90710 |
|
157 |
131 |
$0.00 |
| 3078F |
|
1,006 |
969 |
$0.00 |
| 90734 |
|
103 |
82 |
$0.00 |
| 90649 |
|
44 |
33 |
$0.00 |
| 90658 |
|
14 |
14 |
$0.00 |
| 90715 |
|
70 |
53 |
$0.00 |
| 3074F |
|
1,349 |
1,298 |
$0.00 |
| 3080F |
|
159 |
152 |
$0.00 |
| 99000 |
|
289 |
286 |
$0.00 |
| 90677 |
|
42 |
42 |
$0.00 |
| 3075F |
|
163 |
156 |
$0.00 |
| 3079F |
|
535 |
515 |
$0.00 |
| 90698 |
|
80 |
80 |
$0.00 |
| 90686 |
|
64 |
44 |
$0.00 |
| 90651 |
|
14 |
13 |
$0.00 |
| 90619 |
|
37 |
35 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 90716 |
|
15 |
13 |
$0.00 |
| 90645 |
|
15 |
15 |
$0.00 |