| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
63,453 |
53,538 |
$11.10M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,281 |
8,577 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,954 |
3,525 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,865 |
15,505 |
$23K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
371 |
282 |
$22K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,077 |
712 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,016 |
1,580 |
$12K |
| 0002A |
|
178 |
178 |
$12K |
| 0001A |
|
159 |
159 |
$10K |
| G9920 |
Screening performed and negative |
3,284 |
2,141 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,061 |
2,644 |
$6K |
| 90677 |
|
598 |
379 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,617 |
2,163 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,255 |
1,957 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,035 |
2,429 |
$3K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
239 |
215 |
$3K |
| 0071A |
|
54 |
54 |
$3K |
| 92552 |
|
4,020 |
3,005 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
192 |
153 |
$3K |
| 96156 |
|
2,596 |
2,594 |
$2K |
| 99381 |
|
124 |
93 |
$2K |
| 0072A |
|
32 |
32 |
$2K |
| 90697 |
|
560 |
357 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,821 |
1,244 |
$2K |
| 90681 |
|
314 |
199 |
$1K |
| 96127 |
|
2,133 |
1,447 |
$1K |
| 90651 |
|
800 |
609 |
$1K |
| 99401 |
|
67 |
63 |
$1K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
42 |
25 |
$1K |
| 90619 |
|
436 |
305 |
$980.87 |
| 0004A |
|
13 |
13 |
$871.00 |
| 90670 |
|
345 |
336 |
$818.52 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
368 |
226 |
$696.01 |
| 85018 |
|
7,538 |
6,237 |
$610.18 |
| 81003 |
|
653 |
496 |
$562.47 |
| 90686 |
|
1,116 |
1,089 |
$508.00 |
| 90715 |
|
412 |
326 |
$480.73 |
| 90633 |
|
365 |
282 |
$459.00 |
| 90620 |
|
176 |
117 |
$395.03 |
| 97803 |
|
17 |
16 |
$311.17 |
| 90723 |
|
172 |
164 |
$222.68 |
| 90716 |
|
138 |
98 |
$198.00 |
| 90656 |
|
113 |
82 |
$195.23 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
249 |
162 |
$136.83 |
| 90710 |
|
123 |
91 |
$117.00 |
| 90696 |
|
113 |
82 |
$99.00 |
| 90700 |
|
82 |
54 |
$81.00 |
| 90707 |
|
98 |
61 |
$81.00 |
| 90647 |
|
146 |
139 |
$77.58 |
| G9919 |
Screening performed and positive and provision of recommendations |
59 |
35 |
$66.41 |
| 99384 |
|
48 |
34 |
$65.78 |
| 83655 |
|
117 |
65 |
$55.64 |
| 99188 |
|
42 |
29 |
$23.22 |
| 90713 |
|
35 |
29 |
$18.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
27 |
$13.98 |
| 90734 |
|
203 |
203 |
$9.00 |
| 90744 |
|
16 |
14 |
$9.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
28 |
17 |
$1.72 |
| 90832 |
Psychotherapy, 30 minutes with patient |
870 |
594 |
$0.00 |
| 90473 |
|
189 |
162 |
$0.00 |
| 90461 |
|
2,237 |
2,130 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,741 |
4,541 |
$0.00 |
| 99173 |
|
3,247 |
3,018 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
244 |
242 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
47 |
45 |
$0.00 |
| 3078F |
|
255 |
224 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
56 |
56 |
$0.00 |
| 98960 |
|
12 |
12 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
41 |
$0.00 |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
13 |
12 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
26 |
25 |
$0.00 |
| Z1034 |
|
901 |
657 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
52 |
52 |
$0.00 |
| 99385 |
|
12 |
12 |
$0.00 |
| 3074F |
|
278 |
242 |
$0.00 |
| 1111F |
|
171 |
145 |
$0.00 |
| 99383 |
|
60 |
53 |
$0.00 |
| 3079F |
|
14 |
13 |
$0.00 |