| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
401,631 |
380,735 |
$173.50M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
228,866 |
146,402 |
$665K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54,508 |
36,720 |
$211K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
82,833 |
53,764 |
$159K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
39,505 |
25,232 |
$158K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
32,710 |
22,361 |
$136K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
20,907 |
13,269 |
$105K |
| 90651 |
|
4,782 |
3,206 |
$78K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
492 |
279 |
$77K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
8,915 |
5,492 |
$48K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
6,636 |
6,515 |
$47K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
6,604 |
6,491 |
$46K |
| G9012 |
Other specified case management service not elsewhere classified |
600 |
424 |
$45K |
| 81513 |
|
1,388 |
1,371 |
$40K |
| 99215 |
Prolong outpt/office vis |
7,996 |
4,785 |
$38K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
2,789 |
1,927 |
$30K |
| 99243 |
|
3,484 |
2,163 |
$27K |
| 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 |
3,399 |
3,319 |
$24K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
6,886 |
6,702 |
$24K |
| 87481 |
|
1,385 |
1,365 |
$21K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,953 |
3,531 |
$20K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,845 |
1,843 |
$19K |
| 99350 |
Prolong home eval add 15m |
1,243 |
792 |
$19K |
| 99188 |
|
9,302 |
5,528 |
$17K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,441 |
2,087 |
$16K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
2,030 |
1,985 |
$15K |
| 90715 |
|
2,404 |
1,650 |
$13K |
| 86481 |
|
797 |
797 |
$12K |
| 96112 |
|
797 |
489 |
$12K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,399 |
1,380 |
$12K |
| 85027 |
|
10,063 |
10,025 |
$11K |
| 92551 |
|
7,068 |
4,754 |
$11K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
1,471 |
1,467 |
$10K |
| D1206 |
Topical application of fluoride varnish |
3,611 |
3,602 |
$10K |
| 90686 |
|
37,969 |
26,240 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,132 |
723 |
$7K |
| 86780 |
|
2,456 |
2,439 |
$7K |
| 96113 |
|
613 |
388 |
$7K |
| 99349 |
|
982 |
699 |
$7K |
| 90746 |
|
430 |
270 |
$6K |
| 86480 |
|
765 |
763 |
$6K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,028 |
1,019 |
$5K |
| 91321 |
|
207 |
207 |
$5K |
| 83655 |
|
3,098 |
3,096 |
$5K |
| 87653 |
|
500 |
498 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,497 |
6,185 |
$5K |
| 99401 |
|
874 |
822 |
$5K |
| 93325 |
|
1,277 |
870 |
$4K |
| 90678 |
|
233 |
161 |
$4K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,508 |
1,484 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,516 |
3,297 |
$4K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
580 |
580 |
$3K |
| 99381 |
|
382 |
270 |
$3K |
| 87631 |
|
541 |
535 |
$3K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
78 |
53 |
$3K |
| 81025 |
|
5,097 |
3,954 |
$3K |
| 90680 |
|
12,578 |
9,107 |
$3K |
| 93320 |
|
939 |
688 |
$3K |
| 99242 |
|
238 |
208 |
$3K |
| 96156 |
|
570 |
526 |
$2K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
12 |
12 |
$2K |
| 90670 |
|
19,021 |
13,837 |
$2K |
| 90698 |
|
19,387 |
14,082 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
198 |
181 |
$2K |
| J3490 |
Unclassified drugs |
6,638 |
6,154 |
$2K |
| 87340 |
|
1,007 |
1,005 |
$2K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
578 |
529 |
$2K |
| 90697 |
|
2,786 |
1,765 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
145 |
98 |
$2K |
| 80061 |
Lipid panel |
1,093 |
1,093 |
$2K |
| 86803 |
|
551 |
551 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
794 |
783 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
434 |
427 |
$2K |
| 0124A |
|
40 |
40 |
$2K |
| 91322 |
|
58 |
58 |
$1K |
| 0081A |
|
38 |
38 |
$1K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
185 |
123 |
$1K |
| 94760 |
|
3,914 |
2,591 |
$1K |
| 87088 |
|
942 |
928 |
$1K |
| 86762 |
|
345 |
345 |
$1K |
| 90677 |
|
4,034 |
2,720 |
$1K |
| 94010 |
|
645 |
400 |
$1K |
| 90744 |
|
6,132 |
4,604 |
$1K |
| 99173 |
|
8,636 |
7,525 |
$1K |
| 90480 |
|
43 |
43 |
$1K |
| 87905 |
|
360 |
355 |
$1K |
| 81001 |
|
1,388 |
1,360 |
$925.58 |
| 87077 |
|
494 |
471 |
$923.00 |
| 99343 |
|
91 |
61 |
$914.72 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
532 |
258 |
$895.36 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,224 |
2,162 |
$884.68 |
| 90832 |
Psychotherapy, 30 minutes with patient |
319 |
147 |
$839.57 |
| 99245 |
|
314 |
196 |
$769.36 |
| 99070 |
|
94 |
92 |
$652.04 |
| 84439 |
|
604 |
595 |
$577.34 |
| 87808 |
|
269 |
265 |
$548.74 |
| 84460 |
|
808 |
807 |
$529.84 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
240 |
227 |
$480.76 |
| 88142 |
|
103 |
103 |
$434.04 |
| 82951 |
|
85 |
83 |
$403.54 |
| 99345 |
Prolong home eval add 15m |
56 |
47 |
$388.89 |
| 99417 |
Prolong home eval add 15m |
44 |
27 |
$378.00 |
| 86706 |
|
93 |
93 |
$375.09 |
| 82728 |
|
74 |
73 |
$361.49 |
| 99201 |
|
12 |
12 |
$318.27 |
| 86850 |
|
399 |
398 |
$307.96 |
| 80076 |
|
261 |
260 |
$304.91 |
| 86901 |
|
399 |
398 |
$290.05 |
| 91320 |
|
49 |
49 |
$288.23 |
| 86704 |
|
60 |
60 |
$281.52 |
| 86900 |
|
399 |
398 |
$281.26 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
367 |
360 |
$260.48 |
| 86703 |
|
105 |
105 |
$250.66 |
| 82947 |
|
671 |
663 |
$224.46 |
| 83021 |
|
38 |
38 |
$209.54 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
22 |
13 |
$202.75 |
| 93304 |
|
122 |
99 |
$194.01 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
22 |
12 |
$190.43 |
| 90633 |
|
8,144 |
5,732 |
$190.17 |
| 83550 |
|
52 |
52 |
$131.08 |
| 97802 |
|
22 |
13 |
$118.14 |
| 96127 |
|
188 |
117 |
$114.20 |
| 90688 |
|
2,306 |
2,296 |
$113.16 |
| 83540 |
|
52 |
52 |
$108.84 |
| 91318 |
|
173 |
172 |
$104.12 |
| 86787 |
|
25 |
25 |
$94.78 |
| Q0112 |
All potassium hydroxide (koh) preparations |
101 |
95 |
$85.45 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
26 |
$77.16 |
| 71046 |
Radiologic examination, chest; 2 views |
147 |
133 |
$71.38 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
63 |
58 |
$60.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
14 |
14 |
$49.58 |
| 90685 |
|
1,776 |
1,769 |
$45.90 |
| 81002 |
|
733 |
565 |
$42.10 |
| 90655 |
|
229 |
147 |
$41.94 |
| 88141 |
|
84 |
84 |
$41.39 |
| 90716 |
|
1,284 |
1,037 |
$32.94 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
109 |
86 |
$27.44 |
| 99406 |
|
22 |
12 |
$26.24 |
| 99000 |
|
64 |
62 |
$19.60 |
| 90619 |
|
749 |
439 |
$16.47 |
| 90381 |
|
58 |
37 |
$16.47 |
| 90380 |
|
16 |
12 |
$16.47 |
| 87102 |
|
41 |
40 |
$10.12 |
| 3074F |
|
61,357 |
42,907 |
$0.00 |
| 3044F |
|
3,376 |
2,917 |
$0.00 |
| 90696 |
|
300 |
194 |
$0.00 |
| 0500F |
|
1,240 |
817 |
$0.00 |
| 1126F |
|
7,373 |
6,102 |
$0.00 |
| 99441 |
|
202 |
196 |
$0.00 |
| 91319 |
|
86 |
86 |
$0.00 |
| 3075F |
|
1,672 |
1,130 |
$0.00 |
| 90656 |
|
3,474 |
2,402 |
$0.00 |
| 3079F |
|
3,628 |
2,407 |
$0.00 |
| 1125F |
|
422 |
354 |
$0.00 |
| Z6402 |
|
145 |
145 |
$0.00 |
| 3080F |
|
166 |
113 |
$0.00 |
| Z6406 |
|
669 |
659 |
$0.00 |
| 90620 |
|
469 |
271 |
$0.00 |
| 4086F |
|
209 |
186 |
$0.00 |
| 0503F |
|
181 |
128 |
$0.00 |
| 3052F |
|
12 |
12 |
$0.00 |
| 80051 |
|
103 |
102 |
$0.00 |
| Z6204 |
|
138 |
138 |
$0.00 |
| 99443 |
|
15 |
14 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
61 |
58 |
$0.00 |
| 1111F |
|
236 |
147 |
$0.00 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
105 |
97 |
$0.00 |
| 96380 |
|
63 |
42 |
$0.00 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
215 |
194 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
396 |
315 |
$0.00 |
| 1159F |
|
55,235 |
32,757 |
$0.00 |
| 90461 |
|
984 |
954 |
$0.00 |
| 3078F |
|
58,697 |
41,142 |
$0.00 |
| 1160F |
|
16,794 |
9,771 |
$0.00 |
| 0502F |
|
7,987 |
3,824 |
$0.00 |
| 90707 |
|
1,027 |
852 |
$0.00 |
| Z6400 |
|
3,678 |
3,596 |
$0.00 |
| 90710 |
|
305 |
195 |
$0.00 |
| 3077F |
|
802 |
558 |
$0.00 |
| 82565 |
|
105 |
104 |
$0.00 |
| Z6300 |
|
159 |
159 |
$0.00 |
| 90734 |
|
605 |
415 |
$0.00 |
| Z6304 |
|
270 |
270 |
$0.00 |
| Z6200 |
|
64 |
64 |
$0.00 |
| 74018 |
|
14 |
12 |
$0.00 |
| 0071A |
|
47 |
39 |
$0.00 |
| 84520 |
|
103 |
102 |
$0.00 |
| Z6202 |
|
59 |
59 |
$0.00 |
| 99442 |
|
175 |
165 |
$0.00 |
| Z6414 |
|
75 |
72 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
24 |
13 |
$0.00 |
| 99348 |
|
18 |
13 |
$0.00 |
| 99254 |
|
14 |
14 |
$0.00 |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
18 |
12 |
$0.00 |