| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,677 |
1,460 |
$312K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,571 |
7,688 |
$127K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,846 |
2,760 |
$29K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
963 |
963 |
$15K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,007 |
1,907 |
$9K |
| 92551 |
|
1,211 |
1,203 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
399 |
391 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
222 |
217 |
$7K |
| 99173 |
|
1,137 |
1,129 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
193 |
189 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
61 |
56 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
134 |
132 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
139 |
138 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
272 |
257 |
$3K |
| 0012A |
|
45 |
43 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
240 |
102 |
$1K |
| 90686 |
|
285 |
283 |
$996.42 |
| 90651 |
|
12 |
12 |
$666.52 |
| 0011A |
|
13 |
13 |
$520.00 |
| 99401 |
|
370 |
340 |
$476.41 |
| 90658 |
|
27 |
27 |
$415.28 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
38 |
37 |
$352.00 |
| 81025 |
|
93 |
91 |
$296.17 |
| 99490 |
Ccm add 20min |
53 |
53 |
$247.00 |
| 97802 |
|
376 |
352 |
$207.03 |
| 81002 |
|
99 |
93 |
$62.06 |
| 82962 |
|
39 |
38 |
$50.37 |
| 97803 |
|
956 |
827 |
$33.75 |
| 90688 |
|
118 |
118 |
$17.67 |
| 90698 |
|
33 |
33 |
$0.00 |
| 99381 |
|
45 |
39 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
39 |
39 |
$0.00 |
| 87490 |
|
38 |
38 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
39 |
39 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
33 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |