| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
133,291 |
118,700 |
$20.07M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
81,367 |
50,385 |
$159K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
34,753 |
22,667 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,784 |
6,552 |
$9K |
| 99381 |
|
352 |
273 |
$4K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
41 |
25 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,769 |
6,542 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12,911 |
9,012 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,911 |
3,204 |
$1K |
| 90677 |
|
2,055 |
1,414 |
$881.52 |
| 92551 |
|
18,754 |
12,741 |
$730.54 |
| 90680 |
|
4,911 |
3,695 |
$668.75 |
| 90697 |
|
2,106 |
1,465 |
$566.05 |
| 90670 |
|
6,545 |
4,991 |
$468.00 |
| G9920 |
Screening performed and negative |
12 |
12 |
$348.00 |
| 99173 |
|
19,346 |
13,127 |
$233.91 |
| 85018 |
|
30,822 |
21,151 |
$229.68 |
| 90633 |
|
4,474 |
3,131 |
$180.00 |
| 90698 |
|
3,611 |
2,825 |
$180.00 |
| 90710 |
|
2,963 |
2,089 |
$162.00 |
| 83655 |
|
3,499 |
2,512 |
$146.57 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
20 |
12 |
$119.20 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
638 |
426 |
$113.50 |
| 90651 |
|
2,343 |
1,569 |
$83.55 |
| 90686 |
|
4,193 |
3,352 |
$80.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,445 |
2,763 |
$75.62 |
| 90744 |
|
2,182 |
1,694 |
$74.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
136 |
80 |
$70.01 |
| 90696 |
|
734 |
502 |
$63.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
13 |
$62.92 |
| 86580 |
|
1,269 |
864 |
$53.98 |
| 90734 |
|
2,075 |
1,335 |
$47.55 |
| 81025 |
|
620 |
513 |
$44.80 |
| 90715 |
|
1,250 |
798 |
$36.00 |
| 90700 |
|
707 |
461 |
$36.00 |
| 81002 |
|
1,507 |
1,040 |
$10.75 |
| 90648 |
|
326 |
218 |
$9.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,267 |
906 |
$8.76 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
10,847 |
5,939 |
$0.28 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
544 |
406 |
$0.01 |
| 90621 |
|
326 |
180 |
$0.00 |
| 59425 |
|
37 |
28 |
$0.00 |
| 90707 |
|
37 |
25 |
$0.00 |
| 90381 |
|
15 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
8,464 |
8,037 |
$0.00 |
| 90688 |
|
1,081 |
626 |
$0.00 |
| Z1034 |
|
123 |
99 |
$0.00 |
| 99383 |
|
45 |
32 |
$0.00 |
| 90716 |
|
34 |
23 |
$0.00 |
| 0001A |
|
15 |
12 |
$0.00 |