| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
69,682 |
50,205 |
$9.54M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,679 |
26,215 |
$269K |
| 96127 |
|
18,480 |
15,465 |
$207K |
| 3008F |
|
6,276 |
5,142 |
$118K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,208 |
9,351 |
$102K |
| 99406 |
|
6,102 |
5,296 |
$42K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,723 |
2,264 |
$34K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,863 |
1,637 |
$29K |
| 90686 |
|
1,796 |
1,589 |
$27K |
| 90834 |
Psychotherapy, 45 minutes with patient |
6,613 |
3,956 |
$26K |
| 81002 |
|
730 |
689 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
790 |
738 |
$18K |
| 81025 |
|
280 |
256 |
$14K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,434 |
1,181 |
$13K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
746 |
698 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,085 |
967 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,216 |
955 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
588 |
525 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
595 |
504 |
$8K |
| 90837 |
Psychotherapy, 53 minutes with patient |
654 |
470 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
263 |
258 |
$7K |
| 90715 |
|
214 |
183 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
680 |
535 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
373 |
319 |
$5K |
| 1090F |
|
58 |
56 |
$4K |
| 90670 |
|
297 |
242 |
$4K |
| 87210 |
|
79 |
73 |
$4K |
| 3044F |
|
103 |
91 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
118 |
109 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
61 |
58 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
171 |
137 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
289 |
249 |
$3K |
| 90734 |
|
131 |
103 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
991 |
776 |
$2K |
| 90632 |
|
49 |
42 |
$2K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
63 |
28 |
$1K |
| 90649 |
|
177 |
154 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
27 |
25 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
33 |
32 |
$1K |
| 90756 |
|
20 |
20 |
$1K |
| 90633 |
|
46 |
46 |
$1K |
| 82948 |
|
21 |
19 |
$833.45 |
| 99384 |
|
164 |
123 |
$681.71 |
| 99215 |
Prolong outpt/office vis |
188 |
143 |
$442.98 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
786 |
606 |
$63.60 |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
36 |
28 |
$53.54 |
| 99205 |
Prolong outpt/office vis |
152 |
123 |
$10.00 |
| 90710 |
|
19 |
13 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
492 |
429 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
339 |
212 |
$0.00 |
| 3078F |
|
56 |
49 |
$0.00 |
| 90619 |
|
87 |
65 |
$0.00 |
| 90656 |
|
68 |
59 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
82 |
81 |
$0.00 |
| 90651 |
|
108 |
68 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
44 |
42 |
$0.00 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
28 |
25 |
$0.00 |
| 3074F |
|
80 |
73 |
$0.00 |
| 97802 |
|
20 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
24 |
21 |
$0.00 |
| 1036F |
|
69 |
63 |
$0.00 |
| 3079F |
|
51 |
50 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
54 |
29 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
17 |
12 |
$0.00 |
| 3075F |
|
27 |
25 |
$0.00 |
| 99385 |
|
14 |
14 |
$0.00 |