| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
105,038 |
88,262 |
$16.18M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
248,338 |
209,729 |
$126K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
97,830 |
84,801 |
$52K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
66,339 |
57,923 |
$15K |
| 92551 |
|
20,287 |
18,446 |
$12K |
| 0001A |
|
177 |
177 |
$11K |
| 0002A |
|
161 |
161 |
$10K |
| 0011A |
|
147 |
147 |
$10K |
| 86580 |
|
3,470 |
2,950 |
$8K |
| 0012A |
|
103 |
103 |
$7K |
| 90715 |
|
3,020 |
2,912 |
$5K |
| 99215 |
Prolong outpt/office vis |
3,138 |
2,645 |
$4K |
| 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 |
1,465 |
1,298 |
$4K |
| 0072A |
|
85 |
85 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
435 |
429 |
$3K |
| 0071A |
|
73 |
73 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,584 |
2,067 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,771 |
4,642 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
5,541 |
5,420 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,008 |
852 |
$2K |
| 88142 |
|
2,840 |
2,762 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
5,562 |
5,415 |
$2K |
| 0003A |
|
25 |
25 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,861 |
8,895 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
1,859 |
1,807 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32,435 |
29,783 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,755 |
6,298 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
435 |
409 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
466 |
448 |
$1K |
| 93000 |
|
759 |
734 |
$1K |
| 90651 |
|
4,994 |
4,816 |
$1K |
| 81025 |
|
15,454 |
14,557 |
$988.53 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
10,385 |
9,509 |
$892.55 |
| 90658 |
|
228 |
212 |
$743.39 |
| 81003 |
|
53,159 |
42,241 |
$703.10 |
| 90677 |
|
1,088 |
1,049 |
$691.99 |
| 90714 |
|
23 |
22 |
$552.86 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,973 |
2,949 |
$353.40 |
| 85018 |
|
29,018 |
26,454 |
$328.47 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,654 |
4,262 |
$309.06 |
| 87490 |
|
1,814 |
1,729 |
$298.50 |
| 87590 |
|
1,824 |
1,740 |
$291.29 |
| 82947 |
|
20,525 |
18,185 |
$234.22 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
24 |
$144.07 |
| 90688 |
|
2,694 |
2,674 |
$124.70 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
156 |
146 |
$103.60 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12,717 |
11,529 |
$79.49 |
| 81000 |
|
1,492 |
1,454 |
$65.06 |
| 90686 |
|
12,177 |
11,720 |
$50.72 |
| 99173 |
|
16,177 |
14,241 |
$37.61 |
| 82950 |
|
2,218 |
1,918 |
$11.21 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,728 |
4,546 |
$8.85 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
409 |
379 |
$6.99 |
| 90710 |
|
1,006 |
870 |
$0.00 |
| 1159F |
|
2,935 |
2,544 |
$0.00 |
| 90687 |
|
692 |
685 |
$0.00 |
| 90670 |
|
4,204 |
3,968 |
$0.00 |
| 85014 |
|
6,774 |
6,761 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,308 |
11,169 |
$0.00 |
| 90700 |
|
321 |
296 |
$0.00 |
| 90461 |
|
3,590 |
3,554 |
$0.00 |
| 90633 |
|
3,673 |
3,458 |
$0.00 |
| 59025 |
Fetal non-stress test |
628 |
358 |
$0.00 |
| 90734 |
|
2,591 |
2,476 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
831 |
815 |
$0.00 |
| 3077F |
|
93 |
74 |
$0.00 |
| 90648 |
|
1,977 |
1,948 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,441 |
3,441 |
$0.00 |
| 77080 |
|
62 |
62 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,991 |
1,980 |
$0.00 |
| 90681 |
|
569 |
518 |
$0.00 |
| 91321 |
|
976 |
975 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,330 |
1,269 |
$0.00 |
| 99188 |
|
1,104 |
1,098 |
$0.00 |
| 3078F |
|
2,046 |
1,776 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
270 |
214 |
$0.00 |
| 91311 |
|
294 |
292 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
42 |
42 |
$0.00 |
| 91322 |
|
415 |
415 |
$0.00 |
| 90672 |
|
1,032 |
1,032 |
$0.00 |
| 90678 |
|
54 |
54 |
$0.00 |
| 20611 |
|
131 |
86 |
$0.00 |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
518 |
249 |
$0.00 |
| 83655 |
|
519 |
515 |
$0.00 |
| 0054A |
|
112 |
112 |
$0.00 |
| 99442 |
|
43 |
29 |
$0.00 |
| 11720 |
|
15 |
15 |
$0.00 |
| 73565 |
|
12 |
12 |
$0.00 |
| 87210 |
|
283 |
282 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
75 |
74 |
$0.00 |
| A4550 |
Surgical trays |
15 |
15 |
$0.00 |
| 77085 |
|
14 |
14 |
$0.00 |
| 91313 |
|
40 |
40 |
$0.00 |
| 90736 |
|
48 |
48 |
$0.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
83 |
82 |
$0.00 |
| 0004A |
|
19 |
19 |
$0.00 |
| 90707 |
|
232 |
223 |
$0.00 |
| 91300 |
|
13 |
13 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
209 |
208 |
$0.00 |
| 76942 |
|
212 |
118 |
$0.00 |
| 90685 |
|
121 |
114 |
$0.00 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
60 |
60 |
$0.00 |
| 90750 |
|
84 |
84 |
$0.00 |
| 72110 |
|
14 |
14 |
$0.00 |
| 76642 |
|
12 |
12 |
$0.00 |
| 73630 |
|
15 |
15 |
$0.00 |
| 72100 |
|
50 |
50 |
$0.00 |
| 90746 |
|
24 |
24 |
$0.00 |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
52 |
50 |
$0.00 |
| 90649 |
|
32 |
31 |
$0.00 |
| 88164 |
|
48 |
35 |
$0.00 |
| 73562 |
|
46 |
40 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
18 |
18 |
$0.00 |
| 90756 |
|
13 |
13 |
$0.00 |
| 90621 |
|
12 |
12 |
$0.00 |
| 90620 |
|
518 |
509 |
$0.00 |
| 90723 |
|
941 |
933 |
$0.00 |
| 3075F |
|
162 |
139 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
753 |
715 |
$0.00 |
| 3074F |
|
2,060 |
1,781 |
$0.00 |
| 90696 |
|
374 |
360 |
$0.00 |
| 90656 |
|
907 |
893 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,330 |
3,785 |
$0.00 |
| 90744 |
|
1,325 |
1,209 |
$0.00 |
| 90698 |
|
2,119 |
1,926 |
$0.00 |
| 3079F |
|
239 |
206 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,970 |
4,948 |
$0.00 |
| 92250 |
|
765 |
763 |
$0.00 |
| 90680 |
|
704 |
694 |
$0.00 |
| 86403 |
|
3,200 |
3,176 |
$0.00 |
| 87625 |
|
276 |
276 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
2,312 |
2,248 |
$0.00 |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,402 |
2,402 |
$0.00 |
| 1126F |
|
1,604 |
1,444 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
272 |
168 |
$0.00 |
| 76801 |
|
352 |
347 |
$0.00 |
| 90716 |
|
382 |
365 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
586 |
558 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
145 |
140 |
$0.00 |
| 0164A |
|
134 |
134 |
$0.00 |
| 76830 |
Ultrasound, transvaginal |
1,218 |
1,216 |
$0.00 |
| 90619 |
|
270 |
270 |
$0.00 |
| 1170F |
|
88 |
87 |
$0.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
274 |
247 |
$0.00 |
| 90480 |
|
1,143 |
1,143 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
1,380 |
723 |
$0.00 |
| 1125F |
|
184 |
161 |
$0.00 |
| 99381 |
|
657 |
616 |
$0.00 |
| 0111A |
|
258 |
256 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
902 |
613 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
540 |
507 |
$0.00 |
| 90697 |
|
212 |
212 |
$0.00 |
| 91307 |
|
79 |
70 |
$0.00 |
| 90647 |
|
37 |
37 |
$0.00 |
| 90674 |
|
104 |
104 |
$0.00 |
| 99384 |
|
80 |
68 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
249 |
245 |
$0.00 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
40 |
40 |
$0.00 |
| 91316 |
|
134 |
134 |
$0.00 |
| 90474 |
|
68 |
68 |
$0.00 |
| 73560 |
|
29 |
29 |
$0.00 |
| 99385 |
|
14 |
12 |
$0.00 |
| 99024 |
|
95 |
93 |
$0.00 |
| 91314 |
|
40 |
40 |
$0.00 |
| 90660 |
|
132 |
132 |
$0.00 |
| 0064A |
|
33 |
33 |
$0.00 |
| 91305 |
|
146 |
145 |
$0.00 |
| 99383 |
|
27 |
24 |
$0.00 |
| 90732 |
|
29 |
29 |
$0.00 |
| 90381 |
|
17 |
17 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
34 |
27 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$0.00 |
| 83986 |
|
30 |
29 |
$0.00 |
| 0134A |
|
40 |
40 |
$0.00 |
| 58300 |
|
25 |
25 |
$0.00 |
| 57454 |
|
12 |
12 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
18 |
18 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
37 |
37 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
28 |
27 |
$0.00 |
| 91306 |
|
33 |
33 |
$0.00 |
| 58100 |
|
13 |
12 |
$0.00 |