| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
22,129 |
19,250 |
$4.47M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,345 |
5,968 |
$380K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,188 |
2,187 |
$144K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,012 |
1,963 |
$131K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,662 |
1,593 |
$102K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,029 |
544 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
697 |
693 |
$45K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
438 |
436 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
102 |
102 |
$8K |
| 99381 |
|
112 |
106 |
$7K |
| 99383 |
|
30 |
30 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14,525 |
6,464 |
$2K |
| 99215 |
Prolong outpt/office vis |
25 |
25 |
$2K |
| 90670 |
|
1,605 |
1,600 |
$1K |
| 0012A |
|
16 |
14 |
$588.39 |
| 90461 |
|
3,686 |
3,222 |
$451.20 |
| 87807 |
|
270 |
260 |
$198.47 |
| 90686 |
|
2,314 |
2,301 |
$179.47 |
| 90680 |
|
1,000 |
992 |
$163.90 |
| 90648 |
|
255 |
254 |
$90.80 |
| 90633 |
|
764 |
763 |
$73.20 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
335 |
315 |
$24.29 |
| 81025 |
|
338 |
320 |
$11.22 |
| 87428 |
|
486 |
475 |
$11.22 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
122 |
120 |
$11.21 |
| 91301 |
|
33 |
30 |
$2.10 |
| 90698 |
|
156 |
154 |
$0.10 |
| 81002 |
|
63 |
59 |
$0.06 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
201 |
198 |
$0.05 |
| 90734 |
|
57 |
57 |
$0.02 |
| 90651 |
|
133 |
133 |
$0.02 |
| 90710 |
|
215 |
215 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
589 |
574 |
$0.00 |
| 90685 |
|
136 |
136 |
$0.00 |
| 90700 |
|
132 |
132 |
$0.00 |
| 90707 |
|
28 |
28 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
241 |
238 |
$0.00 |
| 90715 |
|
27 |
27 |
$0.00 |
| 90671 |
|
35 |
35 |
$0.00 |
| 90697 |
|
551 |
549 |
$0.00 |
| 90716 |
|
44 |
44 |
$0.00 |
| 90723 |
|
46 |
45 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
130 |
127 |
$0.00 |
| 90620 |
|
13 |
13 |
$0.00 |
| 90677 |
|
117 |
116 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
43 |
43 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |