| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
52,227 |
44,876 |
$2.79M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,911 |
18,186 |
$87K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,632 |
10,117 |
$69K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,088 |
4,066 |
$41K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,663 |
4,367 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,086 |
3,071 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,110 |
2,085 |
$17K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,355 |
6,296 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,305 |
10,185 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,175 |
2,087 |
$5K |
| 90651 |
|
947 |
935 |
$5K |
| 90837 |
Psychotherapy, 53 minutes with patient |
630 |
456 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,369 |
1,262 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
430 |
425 |
$4K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
136 |
136 |
$3K |
| 90674 |
|
485 |
477 |
$3K |
| 90677 |
|
332 |
332 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,822 |
1,755 |
$2K |
| 92551 |
|
2,982 |
2,973 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
786 |
770 |
$2K |
| 90715 |
|
519 |
516 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
314 |
262 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
64 |
64 |
$1K |
| 81002 |
|
4,491 |
4,412 |
$1K |
| 90670 |
|
2,867 |
2,851 |
$977.98 |
| 90791 |
Psychiatric diagnostic evaluation |
81 |
80 |
$781.10 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
56 |
55 |
$555.24 |
| 96127 |
|
1,349 |
1,016 |
$425.81 |
| 90686 |
|
2,184 |
2,163 |
$419.76 |
| 90716 |
|
388 |
386 |
$390.26 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
183 |
140 |
$312.68 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
41 |
41 |
$297.40 |
| 90621 |
|
267 |
252 |
$243.80 |
| 90707 |
|
392 |
390 |
$231.45 |
| 90832 |
Psychotherapy, 30 minutes with patient |
59 |
56 |
$218.70 |
| 81025 |
|
271 |
269 |
$209.12 |
| 87070 |
|
379 |
377 |
$199.92 |
| 99442 |
|
18 |
18 |
$196.14 |
| 87634 |
|
18 |
18 |
$116.26 |
| 99383 |
|
13 |
13 |
$101.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
314 |
313 |
$88.41 |
| 90682 |
|
17 |
17 |
$70.00 |
| 90473 |
|
27 |
27 |
$44.28 |
| 90474 |
|
105 |
104 |
$36.75 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
12 |
$29.82 |
| 90648 |
|
2,424 |
2,412 |
$27.00 |
| 90656 |
|
13 |
13 |
$22.35 |
| 87807 |
|
13 |
13 |
$21.88 |
| 99406 |
|
12 |
12 |
$20.91 |
| 99441 |
|
13 |
13 |
$15.84 |
| 90700 |
|
314 |
313 |
$14.75 |
| 90633 |
|
1,697 |
1,685 |
$11.50 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$8.04 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
26 |
25 |
$6.82 |
| 90710 |
|
367 |
367 |
$0.00 |
| 90681 |
|
1,575 |
1,568 |
$0.00 |
| 90734 |
|
608 |
599 |
$0.00 |
| 90658 |
|
101 |
101 |
$0.00 |
| 99173 |
|
1,304 |
1,300 |
$0.00 |
| 90685 |
|
175 |
170 |
$0.00 |
| 99382 |
|
17 |
16 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
27 |
$0.00 |
| 3078F |
|
64 |
59 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$0.00 |
| 90672 |
|
16 |
16 |
$0.00 |
| 36416 |
|
1,047 |
1,037 |
$0.00 |
| 90723 |
|
2,507 |
2,499 |
$0.00 |
| 3008F |
|
76 |
71 |
$0.00 |
| 91301 |
|
29 |
29 |
$0.00 |
| 99381 |
|
15 |
14 |
$0.00 |
| 90696 |
|
343 |
342 |
$0.00 |
| 90688 |
|
84 |
84 |
$0.00 |
| 90619 |
|
263 |
257 |
$0.00 |
| 90680 |
|
33 |
33 |
$0.00 |
| 99000 |
|
22 |
22 |
$0.00 |
| 90698 |
|
17 |
17 |
$0.00 |
| 90697 |
|
13 |
13 |
$0.00 |
| 3074F |
|
65 |
60 |
$0.00 |