| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
69,834 |
55,532 |
$18.83M |
| T1016 |
Case management, each 15 minutes |
2,335 |
1,784 |
$39K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44,647 |
29,361 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,728 |
1,618 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,821 |
19,047 |
$3K |
| 80053 |
Comprehensive metabolic panel |
12,203 |
11,461 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,583 |
1,556 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,847 |
1,076 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,500 |
2,941 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
956 |
571 |
$894.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,968 |
1,594 |
$498.92 |
| 99384 |
|
91 |
56 |
$447.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,859 |
2,508 |
$416.21 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,866 |
7,051 |
$316.25 |
| 0064A |
|
63 |
56 |
$160.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
500 |
490 |
$153.93 |
| 96152 |
|
66 |
29 |
$82.00 |
| 90474 |
|
59 |
55 |
$57.01 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,169 |
2,377 |
$54.19 |
| 84443 |
Thyroid stimulating hormone (TSH) |
8,694 |
8,153 |
$49.03 |
| 0011A |
|
62 |
56 |
$40.00 |
| 3077F |
|
571 |
534 |
$0.00 |
| 80074 |
|
466 |
433 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
654 |
387 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,558 |
1,477 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
923 |
515 |
$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 |
1,083 |
1,052 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,339 |
1,554 |
$0.00 |
| 90715 |
|
863 |
803 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
15 |
15 |
$0.00 |
| 80061 |
Lipid panel |
9,921 |
9,368 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
432 |
403 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
1,528 |
1,236 |
$0.00 |
| 81003 |
|
1,812 |
1,630 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,276 |
1,257 |
$0.00 |
| 85007 |
|
1,011 |
936 |
$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 |
917 |
885 |
$0.00 |
| 81025 |
|
1,558 |
1,436 |
$0.00 |
| 1159F |
|
4,423 |
3,532 |
$0.00 |
| 86038 |
|
83 |
83 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,628 |
1,550 |
$0.00 |
| 82570 |
|
2,027 |
1,939 |
$0.00 |
| 3078F |
|
3,735 |
3,466 |
$0.00 |
| 82274 |
|
229 |
225 |
$0.00 |
| 90649 |
|
501 |
445 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
648 |
591 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,027 |
963 |
$0.00 |
| 1160F |
|
3,386 |
3,056 |
$0.00 |
| 90734 |
|
433 |
380 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
54 |
26 |
$0.00 |
| 93976 |
|
127 |
125 |
$0.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
38 |
38 |
$0.00 |
| 84439 |
|
868 |
823 |
$0.00 |
| D0330 |
Panoramic radiographic image |
101 |
66 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
309 |
252 |
$0.00 |
| 90621 |
|
16 |
16 |
$0.00 |
| 90670 |
|
621 |
529 |
$0.00 |
| 85610 |
|
211 |
183 |
$0.00 |
| 83540 |
|
166 |
150 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
199 |
192 |
$0.00 |
| 90633 |
|
238 |
213 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
101 |
65 |
$0.00 |
| 87186 |
|
206 |
173 |
$0.00 |
| D1120 |
Prophylaxis - child |
133 |
100 |
$0.00 |
| 87631 |
|
110 |
108 |
$0.00 |
| 96158 |
|
35 |
29 |
$0.00 |
| 90648 |
|
166 |
129 |
$0.00 |
| D1110 |
Prophylaxis - adult |
57 |
43 |
$0.00 |
| 87338 |
|
149 |
142 |
$0.00 |
| 73562 |
|
31 |
26 |
$0.00 |
| 85014 |
|
13 |
13 |
$0.00 |
| H0031 |
Mental health assessment, by non-physician |
14 |
14 |
$0.00 |
| 93975 |
|
13 |
13 |
$0.00 |
| 90710 |
|
28 |
27 |
$0.00 |
| 86480 |
|
14 |
12 |
$0.00 |
| 90662 |
|
24 |
24 |
$0.00 |
| 90653 |
|
36 |
34 |
$0.00 |
| 99442 |
|
22 |
21 |
$0.00 |
| 83655 |
|
16 |
16 |
$0.00 |
| 90687 |
|
41 |
31 |
$0.00 |
| 87660 |
|
12 |
12 |
$0.00 |
| 1125F |
|
1,573 |
1,458 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
3,510 |
3,275 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,082 |
1,942 |
$0.00 |
| 96156 |
|
170 |
137 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,629 |
1,551 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,203 |
1,148 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,585 |
1,485 |
$0.00 |
| 82043 |
|
2,009 |
1,921 |
$0.00 |
| 83550 |
|
129 |
113 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
169 |
163 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
10,070 |
9,503 |
$0.00 |
| 99441 |
|
109 |
106 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
18,783 |
17,088 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
914 |
606 |
$0.00 |
| 86592 |
|
1,192 |
1,111 |
$0.00 |
| 85652 |
|
184 |
178 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
225 |
182 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
356 |
274 |
$0.00 |
| 3079F |
|
615 |
587 |
$0.00 |
| 82607 |
|
1,127 |
1,076 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
189 |
179 |
$0.00 |
| 3074F |
|
3,057 |
2,840 |
$0.00 |
| 90674 |
|
1,027 |
859 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
441 |
337 |
$0.00 |
| 87081 |
|
156 |
143 |
$0.00 |
| 86803 |
|
113 |
83 |
$0.00 |
| 81001 |
|
2,442 |
2,252 |
$0.00 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
255 |
232 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
89 |
87 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,897 |
9,258 |
$0.00 |
| 90686 |
|
2,332 |
2,248 |
$0.00 |
| 3075F |
|
880 |
853 |
$0.00 |
| 85027 |
|
1,011 |
936 |
$0.00 |
| 99383 |
|
109 |
69 |
$0.00 |
| 82728 |
|
180 |
175 |
$0.00 |
| 86225 |
|
39 |
39 |
$0.00 |
| 0031A |
|
52 |
37 |
$0.00 |
| 90680 |
|
58 |
54 |
$0.00 |
| 1126F |
|
3,381 |
3,163 |
$0.00 |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
687 |
598 |
$0.00 |
| 86780 |
|
41 |
40 |
$0.00 |
| 3044F |
|
96 |
96 |
$0.00 |
| 86141 |
|
104 |
98 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
64 |
40 |
$0.00 |
| 87077 |
|
206 |
173 |
$0.00 |
| 83690 |
|
44 |
43 |
$0.00 |
| 82962 |
|
338 |
306 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
137 |
133 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
142 |
141 |
$0.00 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
74 |
35 |
$0.00 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$0.00 |
| 90696 |
|
19 |
12 |
$0.00 |
| 87430 |
|
221 |
207 |
$0.00 |
| 90723 |
|
66 |
57 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
49 |
49 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
32 |
25 |
$0.00 |
| 90732 |
|
44 |
42 |
$0.00 |
| 82746 |
|
65 |
56 |
$0.00 |
| 0012A |
|
58 |
58 |
$0.00 |
| 76536 |
|
21 |
15 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
17 |
17 |
$0.00 |
| 90656 |
|
92 |
66 |
$0.00 |
| T1002 |
Rn services, up to 15 minutes |
37 |
37 |
$0.00 |
| 85018 |
|
13 |
13 |
$0.00 |
| 3080F |
|
15 |
14 |
$0.00 |
| 87510 |
|
12 |
12 |
$0.00 |
| 99385 |
|
47 |
25 |
$0.00 |
| 3048F |
|
19 |
19 |
$0.00 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
25 |
24 |
$0.00 |
| 87480 |
|
12 |
12 |
$0.00 |