| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
141,434 |
110,983 |
$28.41M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58,370 |
49,459 |
$105K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,042 |
9,807 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,235 |
2,014 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,852 |
1,710 |
$3K |
| 0011A |
|
80 |
49 |
$3K |
| 86328 |
|
298 |
246 |
$2K |
| 0012A |
|
61 |
37 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,030 |
2,950 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,331 |
1,097 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,571 |
2,502 |
$1K |
| 90670 |
|
1,311 |
1,300 |
$1K |
| 0031A |
|
35 |
19 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,516 |
2,459 |
$1K |
| 99000 |
|
4,713 |
4,478 |
$891.54 |
| 99242 |
|
132 |
117 |
$868.07 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
540 |
530 |
$817.23 |
| 92552 |
|
602 |
574 |
$810.95 |
| 59425 |
|
13 |
13 |
$778.44 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,335 |
1,316 |
$727.44 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
112 |
81 |
$705.50 |
| 92551 |
|
3,401 |
3,325 |
$702.18 |
| 96160 |
|
3,733 |
3,651 |
$585.00 |
| 90686 |
|
3,528 |
3,496 |
$562.36 |
| 90651 |
|
941 |
934 |
$467.66 |
| 90710 |
|
501 |
497 |
$448.28 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
135 |
130 |
$358.80 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
304 |
259 |
$290.79 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,667 |
8,531 |
$285.95 |
| 90723 |
|
779 |
774 |
$252.90 |
| 99173 |
|
4,081 |
3,995 |
$227.63 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
177 |
175 |
$184.94 |
| 90620 |
|
272 |
271 |
$181.14 |
| 36415 |
Collection of venous blood by venipuncture |
1,820 |
1,773 |
$172.12 |
| 99215 |
Prolong outpt/office vis |
27 |
25 |
$141.62 |
| 90734 |
|
578 |
574 |
$132.43 |
| 90681 |
|
441 |
439 |
$126.99 |
| 90647 |
|
757 |
750 |
$118.60 |
| 85018 |
|
1,576 |
1,540 |
$77.91 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
391 |
363 |
$73.41 |
| 81003 |
|
1,837 |
1,471 |
$68.25 |
| 90834 |
Psychotherapy, 45 minutes with patient |
124 |
96 |
$67.16 |
| 81025 |
|
363 |
351 |
$64.12 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,915 |
3,855 |
$61.89 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
201 |
191 |
$48.16 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
285 |
281 |
$46.92 |
| 90633 |
|
783 |
780 |
$45.90 |
| 99381 |
|
129 |
127 |
$45.33 |
| 90700 |
|
171 |
170 |
$31.42 |
| 90688 |
|
156 |
155 |
$20.07 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
6,885 |
6,158 |
$5.81 |
| 90619 |
|
181 |
175 |
$4.00 |
| 90715 |
|
478 |
476 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
375 |
371 |
$0.00 |
| Z6400 |
|
277 |
277 |
$0.00 |
| 99001 |
|
418 |
409 |
$0.00 |
| 90473 |
|
392 |
391 |
$0.00 |
| S0613 |
Annual gynecological examination; clinical breast examination without pelvic evaluation |
42 |
41 |
$0.00 |
| 98940 |
|
205 |
111 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
106 |
106 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
99 |
99 |
$0.00 |
| Z6500 |
|
182 |
182 |
$0.00 |
| 82948 |
|
32 |
32 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
75 |
73 |
$0.00 |
| 99401 |
|
257 |
252 |
$0.00 |
| 73610 |
|
13 |
13 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
32 |
30 |
$0.00 |
| Z6414 |
|
156 |
153 |
$0.00 |
| 90707 |
|
56 |
56 |
$0.00 |
| 90672 |
|
26 |
26 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
22 |
17 |
$0.00 |
| 90713 |
|
13 |
13 |
$0.00 |
| G8780 |
Counseling for diet and physical activity performed |
62 |
62 |
$0.00 |
| 90461 |
|
34 |
34 |
$0.00 |
| 3078F |
|
20 |
16 |
$0.00 |
| Z1034 |
|
3,111 |
1,930 |
$0.00 |
| 90698 |
|
38 |
38 |
$0.00 |
| 90696 |
|
212 |
212 |
$0.00 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
422 |
254 |
$0.00 |
| 3351F |
|
943 |
897 |
$0.00 |
| S0612 |
Annual gynecological examination, established patient |
41 |
39 |
$0.00 |
| Z6410 |
|
473 |
444 |
$0.00 |
| Z1032 |
|
45 |
44 |
$0.00 |
| Z6406 |
|
104 |
104 |
$0.00 |
| 90716 |
|
59 |
59 |
$0.00 |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
170 |
150 |
$0.00 |
| 99384 |
|
45 |
45 |
$0.00 |
| 1031F |
|
60 |
58 |
$0.00 |
| Z6204 |
|
79 |
59 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| Z1038 |
|
25 |
25 |
$0.00 |
| 99383 |
|
12 |
12 |
$0.00 |
| 96127 |
|
19 |
19 |
$0.00 |
| 90744 |
|
39 |
39 |
$0.00 |
| 81000 |
|
28 |
27 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$0.00 |
| 3008F |
|
23 |
20 |
$0.00 |
| 99385 |
|
32 |
32 |
$0.00 |
| 3074F |
|
17 |
14 |
$0.00 |
| 1036F |
|
18 |
13 |
$0.00 |
| 2010F |
|
29 |
24 |
$0.00 |
| 2000F |
|
26 |
21 |
$0.00 |
| 90697 |
|
28 |
28 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
13 |
$0.00 |
| 1220F |
|
47 |
46 |
$0.00 |
| 2001F |
|
24 |
21 |
$0.00 |