| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
68,756 |
55,585 |
$19.77M |
| T1016 |
Case management, each 15 minutes |
903 |
731 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42,635 |
30,126 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,622 |
821 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,933 |
5,316 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,348 |
811 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,633 |
934 |
$2K |
| 99215 |
Prolong outpt/office vis |
971 |
856 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,339 |
19,373 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,436 |
2,166 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,398 |
814 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,354 |
787 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
818 |
464 |
$740.46 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,935 |
3,116 |
$381.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,878 |
3,471 |
$315.00 |
| 80053 |
Comprehensive metabolic panel |
9,163 |
8,537 |
$144.76 |
| 90474 |
|
132 |
131 |
$128.00 |
| 99385 |
|
210 |
114 |
$124.76 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,783 |
2,256 |
$119.08 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,581 |
7,045 |
$83.29 |
| 80061 |
Lipid panel |
7,461 |
7,000 |
$56.30 |
| 87481 |
|
476 |
447 |
$0.00 |
| 84439 |
|
483 |
445 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,939 |
1,814 |
$0.00 |
| 81513 |
|
476 |
447 |
$0.00 |
| 90671 |
|
114 |
104 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
572 |
552 |
$0.00 |
| 80074 |
|
195 |
189 |
$0.00 |
| 81025 |
|
1,997 |
1,792 |
$0.00 |
| 3078F |
|
3,331 |
3,125 |
$0.00 |
| 3077F |
|
815 |
757 |
$0.00 |
| 85610 |
|
338 |
265 |
$0.00 |
| 85007 |
|
570 |
537 |
$0.00 |
| 90649 |
|
200 |
186 |
$0.00 |
| 82570 |
|
1,690 |
1,603 |
$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 |
13 |
13 |
$0.00 |
| 81003 |
|
1,997 |
1,837 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
948 |
888 |
$0.00 |
| 1160F |
|
4,546 |
4,130 |
$0.00 |
| H2027 |
Psychoeducational service, per 15 minutes |
288 |
221 |
$0.00 |
| 1159F |
|
5,432 |
4,614 |
$0.00 |
| 83540 |
|
141 |
133 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
769 |
356 |
$0.00 |
| 90715 |
|
709 |
663 |
$0.00 |
| 87338 |
|
12 |
12 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
183 |
125 |
$0.00 |
| 87186 |
|
49 |
45 |
$0.00 |
| 99442 |
|
182 |
160 |
$0.00 |
| 90633 |
|
75 |
64 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
354 |
177 |
$0.00 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
293 |
290 |
$0.00 |
| 86480 |
|
74 |
59 |
$0.00 |
| 90670 |
|
354 |
289 |
$0.00 |
| H0031 |
Mental health assessment, by non-physician |
45 |
43 |
$0.00 |
| 90734 |
|
86 |
78 |
$0.00 |
| 85014 |
|
52 |
38 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
35 |
12 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
33 |
12 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
65 |
62 |
$0.00 |
| H2014 |
Skills training and development, per 15 minutes |
111 |
40 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 87631 |
|
33 |
33 |
$0.00 |
| 87660 |
|
43 |
40 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
28 |
28 |
$0.00 |
| 83655 |
|
24 |
24 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
14,229 |
12,926 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,618 |
2,465 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
65 |
65 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,627 |
1,368 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
5,698 |
5,338 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
535 |
490 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,939 |
1,814 |
$0.00 |
| 3080F |
|
612 |
573 |
$0.00 |
| 85652 |
|
56 |
50 |
$0.00 |
| 3049F |
|
49 |
49 |
$0.00 |
| 3079F |
|
1,499 |
1,441 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,238 |
1,139 |
$0.00 |
| 86780 |
|
63 |
60 |
$0.00 |
| 81001 |
|
1,561 |
1,413 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
7,264 |
6,807 |
$0.00 |
| 1126F |
|
4,705 |
4,351 |
$0.00 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
234 |
214 |
$0.00 |
| 82728 |
|
74 |
70 |
$0.00 |
| 96156 |
|
497 |
454 |
$0.00 |
| 86803 |
|
79 |
69 |
$0.00 |
| 86592 |
|
918 |
862 |
$0.00 |
| 82607 |
|
302 |
278 |
$0.00 |
| 3048F |
|
202 |
202 |
$0.00 |
| 87077 |
|
49 |
45 |
$0.00 |
| 90686 |
|
1,693 |
1,616 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,625 |
1,522 |
$0.00 |
| 85027 |
|
571 |
538 |
$0.00 |
| 3075F |
|
1,227 |
1,181 |
$0.00 |
| 3074F |
|
3,397 |
3,192 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
73 |
62 |
$0.00 |
| 3044F |
|
125 |
124 |
$0.00 |
| 82043 |
|
1,682 |
1,599 |
$0.00 |
| 99383 |
|
117 |
60 |
$0.00 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,471 |
774 |
$0.00 |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
364 |
339 |
$0.00 |
| 87510 |
|
43 |
40 |
$0.00 |
| 0011A |
|
41 |
40 |
$0.00 |
| 90620 |
|
14 |
14 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
298 |
295 |
$0.00 |
| T1002 |
Rn services, up to 15 minutes |
83 |
80 |
$0.00 |
| 83550 |
|
141 |
133 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
301 |
293 |
$0.00 |
| 1125F |
|
917 |
883 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
476 |
447 |
$0.00 |
| 85018 |
|
52 |
38 |
$0.00 |
| 90674 |
|
532 |
431 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
103 |
94 |
$0.00 |
| 90680 |
|
130 |
129 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
41 |
40 |
$0.00 |
| 90732 |
|
12 |
12 |
$0.00 |
| 82962 |
|
101 |
82 |
$0.00 |
| 99386 |
|
24 |
14 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
15 |
14 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
149 |
143 |
$0.00 |
| 90656 |
|
140 |
95 |
$0.00 |
| 87480 |
|
43 |
40 |
$0.00 |
| 0012A |
|
52 |
52 |
$0.00 |
| 84480 |
|
12 |
12 |
$0.00 |
| 90697 |
|
15 |
15 |
$0.00 |
| 99384 |
|
49 |
26 |
$0.00 |
| 0064A |
|
12 |
12 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
16 |
13 |
$0.00 |