| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
64,632 |
46,068 |
$5.55M |
| 99051 |
|
745 |
517 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39,560 |
29,659 |
$753.44 |
| 98960 |
|
2,610 |
1,729 |
$727.25 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14,410 |
11,265 |
$89.79 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,399 |
1,114 |
$66.40 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,699 |
3,959 |
$60.50 |
| 97802 |
|
8,699 |
6,608 |
$40.16 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,116 |
5,028 |
$30.00 |
| 92551 |
|
4,442 |
3,428 |
$6.59 |
| 99173 |
|
4,766 |
3,687 |
$1.59 |
| 90670 |
|
1,877 |
1,729 |
$0.92 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,281 |
3,640 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,804 |
2,216 |
$0.00 |
| 97803 |
|
6,253 |
5,102 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,637 |
4,553 |
$0.00 |
| 90633 |
|
1,043 |
895 |
$0.00 |
| 90671 |
|
1,143 |
745 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
926 |
634 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,620 |
1,204 |
$0.00 |
| 81003 |
|
365 |
256 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
842 |
558 |
$0.00 |
| 81025 |
|
268 |
212 |
$0.00 |
| 90710 |
|
77 |
59 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
441 |
296 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
135 |
67 |
$0.00 |
| 96160 |
|
1,304 |
1,228 |
$0.00 |
| 99188 |
|
133 |
118 |
$0.00 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
249 |
164 |
$0.00 |
| 3016F |
|
485 |
328 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
31 |
29 |
$0.00 |
| 3725F |
|
100 |
58 |
$0.00 |
| 90707 |
|
38 |
38 |
$0.00 |
| 90734 |
|
47 |
38 |
$0.00 |
| 3078F |
|
21 |
15 |
$0.00 |
| 3015F |
|
90 |
64 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
177 |
156 |
$0.00 |
| 3511F |
|
238 |
160 |
$0.00 |
| 3077F |
|
81 |
57 |
$0.00 |
| 90685 |
|
52 |
26 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,718 |
6,865 |
$0.00 |
| 94760 |
|
2,347 |
1,963 |
$0.00 |
| 90697 |
|
1,044 |
827 |
$0.00 |
| 96127 |
|
1,533 |
1,138 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,021 |
766 |
$0.00 |
| 90680 |
|
1,400 |
1,231 |
$0.00 |
| 90698 |
|
1,084 |
976 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
381 |
275 |
$0.00 |
| 90474 |
|
1,343 |
1,163 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
469 |
347 |
$0.00 |
| 3008F |
|
825 |
596 |
$0.00 |
| 1000F |
|
395 |
273 |
$0.00 |
| 3080F |
|
58 |
41 |
$0.00 |
| 90744 |
|
346 |
334 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
110 |
95 |
$0.00 |
| 90716 |
|
41 |
41 |
$0.00 |
| 90686 |
|
964 |
782 |
$0.00 |
| 90651 |
|
75 |
61 |
$0.00 |
| 96161 |
|
163 |
128 |
$0.00 |
| 90696 |
|
31 |
18 |
$0.00 |
| 1036F |
|
268 |
192 |
$0.00 |
| 3074F |
|
79 |
54 |
$0.00 |
| 87807 |
|
327 |
270 |
$0.00 |
| 3079F |
|
41 |
31 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
67 |
41 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
47 |
38 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
17 |
13 |
$0.00 |
| 90619 |
|
28 |
26 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
15 |
13 |
$0.00 |
| 90656 |
|
22 |
15 |
$0.00 |
| 90660 |
|
20 |
16 |
$0.00 |