| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
215,830 |
151,630 |
$30.09M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
119,712 |
87,763 |
$4.66M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
2,146 |
2,094 |
$1.08M |
| D0999 |
Unspecified diagnostic procedure, by report |
6,899 |
6,609 |
$1.05M |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
9,218 |
9,124 |
$1.01M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,609 |
18,275 |
$1.00M |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
1,048 |
1,026 |
$671K |
| 59430 |
|
5,896 |
5,641 |
$443K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,150 |
10,627 |
$420K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,072 |
4,915 |
$395K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,597 |
3,578 |
$332K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,621 |
4,530 |
$313K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,312 |
2,187 |
$266K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
529 |
521 |
$251K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,390 |
3,340 |
$235K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,631 |
3,536 |
$224K |
| 59514 |
|
418 |
400 |
$202K |
| 99385 |
|
1,336 |
1,327 |
$167K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,519 |
1,736 |
$155K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,417 |
2,370 |
$112K |
| 99381 |
|
1,047 |
1,010 |
$101K |
| 99215 |
Prolong outpt/office vis |
1,582 |
1,376 |
$88K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,693 |
1,668 |
$70K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
587 |
575 |
$62K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
862 |
857 |
$60K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,003 |
979 |
$59K |
| 99384 |
|
736 |
722 |
$49K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,185 |
1,147 |
$40K |
| 99383 |
|
522 |
510 |
$39K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
938 |
915 |
$34K |
| 11981 |
|
779 |
774 |
$33K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,031 |
1,959 |
$33K |
| 54150 |
|
455 |
448 |
$32K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
873 |
779 |
$29K |
| 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 |
929 |
859 |
$27K |
| 99221 |
|
441 |
421 |
$21K |
| 90832 |
Psychotherapy, 30 minutes with patient |
435 |
344 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,477 |
2,390 |
$19K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,082 |
1,045 |
$19K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
6,805 |
6,728 |
$18K |
| 59025 |
Fetal non-stress test |
847 |
509 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,169 |
4,117 |
$18K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,915 |
1,384 |
$16K |
| V2020 |
Frames, purchases |
1,297 |
1,256 |
$15K |
| 99382 |
|
160 |
155 |
$13K |
| 99222 |
Initial hospital care, per day, moderate complexity |
155 |
151 |
$12K |
| 81025 |
|
10,857 |
10,503 |
$5K |
| D1110 |
Prophylaxis - adult |
1,557 |
1,474 |
$5K |
| 81002 |
|
21,059 |
14,102 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
38 |
38 |
$3K |
| 90461 |
|
906 |
779 |
$2K |
| 11976 |
|
41 |
39 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
46 |
46 |
$2K |
| 11982 |
|
37 |
37 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
3,160 |
3,039 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
30 |
30 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,104 |
2,051 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
886 |
828 |
$1K |
| 87807 |
|
144 |
140 |
$968.00 |
| 90657 |
|
1,140 |
1,122 |
$923.70 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
39 |
32 |
$809.25 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,151 |
6,074 |
$719.99 |
| D1120 |
Prophylaxis - child |
2,915 |
2,836 |
$661.50 |
| D0274 |
Bitewings - four radiographic images |
776 |
742 |
$652.78 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
25 |
24 |
$643.90 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
8,323 |
4,103 |
$622.98 |
| 58301 |
|
44 |
40 |
$545.96 |
| 58300 |
|
761 |
753 |
$404.95 |
| D1206 |
Topical application of fluoride varnish |
2,395 |
2,289 |
$399.84 |
| D0210 |
Intraoral - complete series of radiographic images |
282 |
253 |
$304.64 |
| S4993 |
Contraceptive pills for birth control |
13 |
12 |
$302.90 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
86 |
85 |
$297.50 |
| 99000 |
|
260 |
251 |
$226.80 |
| 90734 |
|
861 |
827 |
$150.23 |
| D0272 |
Bitewings - two radiographic images |
630 |
615 |
$116.90 |
| 90686 |
|
2,435 |
2,369 |
$76.16 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$57.24 |
| 90474 |
|
1,269 |
1,250 |
$26.06 |
| 90620 |
|
149 |
146 |
$0.52 |
| 90656 |
|
107 |
106 |
$0.02 |
| 90700 |
|
546 |
530 |
$0.00 |
| 90707 |
|
798 |
774 |
$0.00 |
| 90715 |
|
478 |
461 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
825 |
802 |
$0.00 |
| 90633 |
|
1,501 |
1,447 |
$0.00 |
| 90648 |
|
3,659 |
3,553 |
$0.00 |
| 90670 |
|
3,258 |
3,168 |
$0.00 |
| 90710 |
|
143 |
139 |
$0.00 |
| 90713 |
|
25 |
25 |
$0.00 |
| 96130 |
|
12 |
12 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
12 |
12 |
$0.00 |
| D0601 |
|
200 |
198 |
$0.00 |
| 90688 |
|
44 |
44 |
$0.00 |
| 90680 |
|
2,368 |
2,304 |
$0.00 |
| 90723 |
|
2,842 |
2,761 |
$0.00 |
| D0603 |
|
4,818 |
4,663 |
$0.00 |
| 90651 |
|
1,078 |
1,040 |
$0.00 |
| 90696 |
|
188 |
181 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
13 |
13 |
$0.00 |
| 90716 |
|
750 |
728 |
$0.00 |
| D0602 |
|
28 |
26 |
$0.00 |
| 3072F |
|
137 |
137 |
$0.00 |
| 90677 |
|
66 |
66 |
$0.00 |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
28 |
28 |
$0.00 |