| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
74,853 |
64,570 |
$17.70M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,070 |
29,796 |
$147K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,780 |
3,777 |
$67K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,491 |
7,463 |
$54K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12,830 |
12,788 |
$35K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
8,428 |
8,416 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,337 |
2,305 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
780 |
780 |
$14K |
| 99188 |
|
713 |
712 |
$5K |
| 0002A |
|
124 |
124 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,179 |
1,104 |
$5K |
| 0072A |
|
112 |
112 |
$4K |
| 90474 |
|
1,997 |
1,997 |
$4K |
| 0071A |
|
102 |
102 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
129 |
129 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
88 |
79 |
$3K |
| 0001A |
|
71 |
71 |
$3K |
| 99381 |
|
1,139 |
1,138 |
$956.90 |
| 90715 |
|
634 |
632 |
$652.34 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
389 |
389 |
$612.72 |
| 87428 |
|
326 |
325 |
$558.41 |
| 90656 |
|
194 |
194 |
$523.25 |
| 90480 |
|
12 |
12 |
$480.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
40 |
40 |
$458.43 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
13 |
13 |
$342.30 |
| 90651 |
|
403 |
403 |
$250.95 |
| 99441 |
|
17 |
17 |
$215.39 |
| 96381 |
|
32 |
32 |
$186.34 |
| 81025 |
|
508 |
505 |
$108.99 |
| 88720 |
|
1,675 |
1,432 |
$75.99 |
| 90686 |
|
1,779 |
1,777 |
$20.93 |
| 90633 |
|
2,381 |
2,381 |
$0.07 |
| 90723 |
|
4,603 |
4,601 |
$0.00 |
| 3008F |
|
3,725 |
3,497 |
$0.00 |
| 90674 |
|
2,374 |
2,371 |
$0.00 |
| 90647 |
|
4,317 |
4,317 |
$0.00 |
| 90716 |
|
901 |
901 |
$0.00 |
| 1111F |
|
2,261 |
2,097 |
$0.00 |
| 3074F |
|
1,916 |
1,808 |
$0.00 |
| 87807 |
|
88 |
88 |
$0.00 |
| 90677 |
|
364 |
364 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
218 |
218 |
$0.00 |
| 90696 |
|
109 |
109 |
$0.00 |
| 90619 |
|
16 |
16 |
$0.00 |
| 90381 |
|
12 |
12 |
$0.00 |
| 90707 |
|
879 |
879 |
$0.00 |
| 90681 |
|
2,832 |
2,832 |
$0.00 |
| 90661 |
|
589 |
588 |
$0.00 |
| 90380 |
|
14 |
14 |
$0.00 |
| 90670 |
|
3,109 |
3,108 |
$0.00 |
| 90671 |
|
2,140 |
2,139 |
$0.00 |
| 90710 |
|
190 |
190 |
$0.00 |
| 90700 |
|
834 |
834 |
$0.00 |
| 3078F |
|
1,853 |
1,750 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,265 |
2,265 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
172 |
172 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
39 |
39 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
151 |
151 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
34 |
33 |
$0.00 |
| 81003 |
|
22 |
18 |
$0.00 |