| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
54,030 |
45,110 |
$14.24M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,197 |
24,927 |
$76K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,293 |
5,360 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,889 |
5,768 |
$19K |
| 99460 |
|
3,565 |
2,684 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,584 |
2,204 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,576 |
3,815 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,688 |
6,588 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,888 |
1,576 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,573 |
1,195 |
$5K |
| 92552 |
|
4,761 |
3,992 |
$4K |
| 90723 |
|
3,956 |
3,303 |
$2K |
| 90670 |
|
4,154 |
3,747 |
$2K |
| 90647 |
|
3,839 |
3,256 |
$2K |
| 0002A |
|
43 |
27 |
$2K |
| 85018 |
|
16,767 |
13,373 |
$1K |
| 0001A |
|
35 |
20 |
$1K |
| 90633 |
|
2,334 |
2,011 |
$1K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
116 |
70 |
$1K |
| 90716 |
|
2,202 |
1,881 |
$1K |
| 90707 |
|
2,106 |
1,814 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
215 |
184 |
$1K |
| 3008F |
|
5,779 |
5,411 |
$1K |
| 90680 |
|
2,293 |
1,946 |
$1K |
| 90686 |
|
2,837 |
2,346 |
$905.77 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$831.84 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
269 |
200 |
$749.36 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
181 |
96 |
$724.23 |
| 90658 |
|
461 |
455 |
$708.75 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
144 |
128 |
$591.41 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
621 |
595 |
$579.15 |
| 99381 |
|
405 |
385 |
$550.13 |
| 90657 |
|
635 |
605 |
$500.85 |
| 87634 |
|
24 |
12 |
$393.06 |
| 90685 |
|
870 |
768 |
$378.41 |
| 90677 |
|
845 |
716 |
$351.50 |
| 90700 |
|
419 |
380 |
$301.05 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
281 |
157 |
$262.00 |
| 90681 |
|
268 |
234 |
$226.80 |
| J3490 |
Unclassified drugs |
104 |
65 |
$208.73 |
| 90696 |
|
502 |
440 |
$206.55 |
| 90734 |
|
537 |
449 |
$204.75 |
| 90649 |
|
410 |
392 |
$179.10 |
| 86580 |
|
539 |
509 |
$136.40 |
| 99462 |
|
64 |
49 |
$99.80 |
| 90688 |
|
12 |
12 |
$94.50 |
| 90715 |
|
191 |
149 |
$75.60 |
| 90656 |
|
394 |
293 |
$56.70 |
| 90651 |
|
101 |
74 |
$9.45 |
| 88720 |
|
116 |
85 |
$8.52 |
| 81002 |
|
27 |
26 |
$2.24 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
75 |
64 |
$0.12 |
| 1159F |
|
218 |
182 |
$0.00 |
| 81003 |
|
95 |
77 |
$0.00 |
| 1160F |
|
141 |
114 |
$0.00 |
| 94150 |
|
45 |
38 |
$0.00 |
| 99382 |
|
19 |
17 |
$0.00 |
| 90380 |
|
17 |
17 |
$0.00 |
| G9964 |
Patient received at least one well-child visit with a pcp during the performance period |
1,023 |
979 |
$0.00 |
| A9150 |
Non-prescription drugs |
77 |
76 |
$0.00 |
| 96380 |
|
77 |
60 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |