| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80305 |
|
5,018 |
3,597 |
$72K |
| D0145 |
Oral evaluation for a patient under three years of age |
1,046 |
1,004 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
467 |
401 |
$32K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,121 |
2,063 |
$29K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
294 |
187 |
$29K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,786 |
3,180 |
$20K |
| 99215 |
Prolong outpt/office vis |
101 |
89 |
$13K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
397 |
386 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35 |
33 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
130 |
38 |
$3K |
| 90686 |
|
1,272 |
1,245 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
199 |
190 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
211 |
194 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
156 |
141 |
$746.58 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
29 |
27 |
$488.90 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
138 |
100 |
$480.90 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
121 |
115 |
$479.18 |
| 81025 |
|
29 |
27 |
$223.86 |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,712 |
1,126 |
$105.60 |
| 0124A |
|
19 |
19 |
$105.00 |
| 90656 |
|
269 |
266 |
$13.96 |
| 91312 |
|
19 |
19 |
$0.05 |
| 90685 |
|
15 |
14 |
$0.00 |