| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
150,523 |
129,947 |
$13.76M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
70,581 |
66,035 |
$1.02M |
| 59425 |
|
11,463 |
6,992 |
$857K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
18,368 |
18,308 |
$535K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35,298 |
34,130 |
$521K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,436 |
8,402 |
$473K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
11,774 |
11,753 |
$428K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14,224 |
14,042 |
$356K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,829 |
6,812 |
$328K |
| 99215 |
Prolong outpt/office vis |
3,406 |
3,221 |
$256K |
| 90686 |
|
30,710 |
30,669 |
$229K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18,691 |
17,634 |
$185K |
| 92551 |
|
25,907 |
25,865 |
$167K |
| 90750 |
|
753 |
753 |
$122K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
872 |
870 |
$108K |
| 90715 |
|
4,793 |
4,779 |
$105K |
| 90651 |
|
5,476 |
5,468 |
$102K |
| 90670 |
|
10,944 |
10,815 |
$89K |
| 99188 |
|
4,701 |
4,695 |
$84K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,173 |
1,172 |
$80K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
950 |
616 |
$77K |
| 90677 |
|
2,260 |
2,255 |
$75K |
| 93975 |
|
437 |
436 |
$73K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,382 |
613 |
$72K |
| 0002A |
|
1,266 |
673 |
$67K |
| J3490 |
Unclassified drugs |
2,035 |
1,956 |
$59K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
899 |
897 |
$52K |
| 59430 |
|
664 |
643 |
$51K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
2,218 |
2,009 |
$50K |
| 76830 |
Ultrasound, transvaginal |
839 |
833 |
$50K |
| 90647 |
|
6,908 |
6,817 |
$48K |
| 90633 |
|
6,453 |
6,409 |
$47K |
| 0969 |
|
615 |
360 |
$46K |
| 0001A |
|
860 |
463 |
$45K |
| 90723 |
|
6,412 |
6,304 |
$45K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
104 |
104 |
$41K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
989 |
971 |
$40K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
900 |
899 |
$38K |
| 90716 |
|
2,796 |
2,771 |
$33K |
| 0071A |
|
610 |
344 |
$32K |
| 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 |
10,332 |
9,454 |
$30K |
| 0072A |
|
546 |
302 |
$29K |
| 90734 |
|
2,768 |
2,766 |
$29K |
| 96127 |
|
6,372 |
6,188 |
$29K |
| 90680 |
|
3,562 |
3,488 |
$29K |
| 90707 |
|
2,788 |
2,765 |
$28K |
| 59025 |
Fetal non-stress test |
1,146 |
578 |
$28K |
| 99406 |
|
2,708 |
2,589 |
$26K |
| 90710 |
|
2,235 |
2,232 |
$23K |
| 90700 |
|
2,550 |
2,538 |
$21K |
| 90678 |
|
80 |
80 |
$21K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,036 |
2,937 |
$20K |
| 81025 |
|
6,532 |
6,332 |
$19K |
| 90696 |
|
2,095 |
2,093 |
$18K |
| 11981 |
|
69 |
65 |
$18K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
1,235 |
1,127 |
$18K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
236 |
232 |
$18K |
| 76813 |
|
237 |
237 |
$16K |
| 90681 |
|
1,951 |
1,949 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
682 |
592 |
$15K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
271 |
270 |
$14K |
| 0124A |
|
203 |
203 |
$14K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
339 |
337 |
$13K |
| 90620 |
|
671 |
670 |
$13K |
| H1000 |
Prenatal care, at-risk assessment |
73 |
73 |
$12K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
100 |
99 |
$12K |
| 90685 |
|
1,391 |
1,390 |
$11K |
| 0064A |
|
219 |
134 |
$11K |
| 0054A |
|
176 |
108 |
$10K |
| 82274 |
|
556 |
555 |
$10K |
| 90697 |
|
1,934 |
1,929 |
$10K |
| 90746 |
|
232 |
232 |
$10K |
| 90682 |
|
200 |
200 |
$10K |
| 90688 |
|
1,089 |
1,088 |
$10K |
| 81002 |
|
7,360 |
5,869 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
765 |
764 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
289 |
289 |
$8K |
| 0004A |
|
127 |
70 |
$7K |
| 86580 |
|
1,809 |
1,785 |
$6K |
| 99173 |
|
10,343 |
10,341 |
$6K |
| 0052A |
|
85 |
44 |
$5K |
| 90662 |
|
458 |
458 |
$4K |
| 90732 |
|
114 |
114 |
$4K |
| 76770 |
|
65 |
65 |
$4K |
| 0051A |
|
78 |
41 |
$4K |
| 76536 |
|
67 |
67 |
$4K |
| 76801 |
|
54 |
53 |
$3K |
| 99385 |
|
46 |
46 |
$3K |
| 11976 |
|
24 |
24 |
$3K |
| 90739 |
|
27 |
27 |
$3K |
| 0081A |
|
43 |
43 |
$3K |
| 97802 |
|
29 |
29 |
$2K |
| 85018 |
|
1,695 |
1,692 |
$2K |
| 0134A |
|
31 |
31 |
$2K |
| 99354 |
|
46 |
44 |
$2K |
| 0012A |
|
28 |
16 |
$1K |
| 0144A |
|
30 |
30 |
$1K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
127 |
126 |
$1K |
| 90648 |
|
151 |
151 |
$1K |
| 99358 |
Prolong nursin fac eval 15m |
27 |
25 |
$1K |
| 99384 |
|
14 |
14 |
$1K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
41 |
41 |
$1K |
| 99383 |
|
16 |
16 |
$954.07 |
| 0074A |
|
13 |
13 |
$871.00 |
| 82948 |
|
1,273 |
1,213 |
$679.52 |
| 91322 |
|
118 |
118 |
$546.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
75 |
75 |
$508.92 |
| 90621 |
|
53 |
53 |
$477.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
27 |
27 |
$393.72 |
| 20610 |
|
17 |
12 |
$297.23 |
| 91321 |
|
31 |
31 |
$208.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
26 |
24 |
$140.14 |
| 96160 |
|
950 |
949 |
$0.00 |
| Z6400 |
|
157 |
154 |
$0.00 |
| Z1038 |
|
13 |
13 |
$0.00 |
| Z1034 |
|
12,816 |
8,928 |
$0.00 |
| 90656 |
|
1,143 |
1,143 |
$0.00 |
| Z1032 |
|
419 |
419 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
55 |
55 |
$0.00 |