| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
25,609 |
17,771 |
$10.04M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,655 |
4,624 |
$75K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,083 |
2,591 |
$59K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,124 |
935 |
$23K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,433 |
861 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
1,364 |
959 |
$9K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,279 |
744 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
815 |
644 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
115 |
111 |
$1K |
| 99215 |
Prolong outpt/office vis |
29 |
28 |
$1K |
| 97161 |
|
26 |
26 |
$750.48 |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
178 |
108 |
$719.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
134 |
88 |
$719.00 |
| 85014 |
|
138 |
131 |
$640.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
972 |
815 |
$393.76 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
91 |
12 |
$129.60 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
477 |
308 |
$106.77 |
| 80053 |
Comprehensive metabolic panel |
480 |
350 |
$102.13 |
| 84443 |
Thyroid stimulating hormone (TSH) |
94 |
81 |
$67.64 |
| 90688 |
|
26 |
26 |
$65.60 |
| 80061 |
Lipid panel |
35 |
29 |
$53.87 |
| 90686 |
|
190 |
168 |
$11.02 |
| 0002A |
|
280 |
256 |
$0.00 |
| 81003 |
|
283 |
227 |
$0.00 |
| V2020 |
Frames, purchases |
131 |
115 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
130 |
87 |
$0.00 |
| 92015 |
Determination of refractive state |
432 |
405 |
$0.00 |
| 91300 |
|
820 |
689 |
$0.00 |
| 90670 |
|
41 |
41 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
19 |
17 |
$0.00 |
| 81025 |
|
34 |
15 |
$0.00 |
| 0003A |
|
105 |
90 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
121 |
106 |
$0.00 |
| 86709 |
|
32 |
31 |
$0.00 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
27 |
14 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
35 |
16 |
$0.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
26 |
26 |
$0.00 |
| 0071A |
|
65 |
58 |
$0.00 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
27 |
13 |
$0.00 |
| 83655 |
|
18 |
18 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
24 |
13 |
$0.00 |
| 87634 |
|
16 |
13 |
$0.00 |
| 87631 |
|
18 |
13 |
$0.00 |
| D1351 |
Sealant - per tooth |
424 |
99 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
175 |
166 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
116 |
77 |
$0.00 |
| 83735 |
|
67 |
40 |
$0.00 |
| 0001A |
|
294 |
272 |
$0.00 |
| 86780 |
|
100 |
55 |
$0.00 |
| 0072A |
|
77 |
76 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
130 |
87 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
152 |
111 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
87 |
75 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
12 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
33 |
28 |
$0.00 |
| 83605 |
|
12 |
12 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
150 |
149 |
$0.00 |
| 85018 |
|
138 |
131 |
$0.00 |
| 91307 |
|
145 |
126 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
56 |
45 |
$0.00 |
| 86803 |
|
119 |
73 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
13 |
$0.00 |
| 92250 |
|
51 |
34 |
$0.00 |
| 90656 |
|
33 |
13 |
$0.00 |
| 90723 |
|
19 |
19 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |
| 82962 |
|
26 |
26 |
$0.00 |
| 86592 |
|
31 |
30 |
$0.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
38 |
38 |
$0.00 |
| 86704 |
|
32 |
31 |
$0.00 |
| 87340 |
|
32 |
31 |
$0.00 |