| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,831 |
2,818 |
$333K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,698 |
1,506 |
$85K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,648 |
1,106 |
$55K |
| 99188 |
|
570 |
467 |
$10K |
| 92587 |
|
899 |
509 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
267 |
145 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
456 |
237 |
$6K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
111 |
43 |
$6K |
| 99384 |
|
92 |
50 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
179 |
72 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
73 |
55 |
$2K |
| 86703 |
|
237 |
197 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
181 |
67 |
$1K |
| 99173 |
|
690 |
380 |
$857.28 |
| 92015 |
Determination of refractive state |
74 |
41 |
$708.22 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
75 |
71 |
$525.24 |
| 81025 |
|
155 |
62 |
$497.42 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
43 |
30 |
$483.99 |
| 90619 |
|
263 |
121 |
$451.59 |
| 86780 |
|
36 |
28 |
$337.62 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37 |
12 |
$295.37 |
| 82962 |
|
221 |
108 |
$251.28 |
| 96127 |
|
29 |
16 |
$31.16 |
| 3078F |
|
296 |
128 |
$0.00 |
| 4004F |
|
303 |
127 |
$0.00 |
| 90715 |
|
122 |
54 |
$0.00 |
| 3008F |
|
1,487 |
765 |
$0.00 |
| 1036F |
|
1,691 |
1,041 |
$0.00 |
| 3044F |
|
107 |
49 |
$0.00 |
| 3074F |
|
397 |
163 |
$0.00 |
| 90651 |
|
152 |
69 |
$0.00 |