| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
29,742 |
23,596 |
$3.83M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,848 |
12,142 |
$238K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,717 |
4,475 |
$92K |
| J3490 |
Unclassified drugs |
760 |
575 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,760 |
2,429 |
$32K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,781 |
1,457 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,509 |
1,643 |
$26K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,904 |
1,666 |
$21K |
| G9920 |
Screening performed and negative |
3,007 |
2,661 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,861 |
1,216 |
$17K |
| 90791 |
Psychiatric diagnostic evaluation |
617 |
377 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,240 |
739 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
656 |
544 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,793 |
1,610 |
$12K |
| 90834 |
Psychotherapy, 45 minutes with patient |
705 |
356 |
$7K |
| 85018 |
|
9,017 |
7,645 |
$5K |
| 92551 |
|
2,636 |
2,074 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,315 |
1,100 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,030 |
3,057 |
$3K |
| 81025 |
|
1,400 |
1,293 |
$3K |
| 99383 |
|
252 |
226 |
$3K |
| 86703 |
|
524 |
434 |
$3K |
| A4267 |
Contraceptive supply, condom, male, each |
611 |
566 |
$2K |
| 0002A |
|
55 |
53 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
685 |
601 |
$2K |
| 99215 |
Prolong outpt/office vis |
188 |
126 |
$2K |
| 99188 |
|
256 |
192 |
$1K |
| 99384 |
|
130 |
116 |
$1K |
| 0001A |
|
33 |
30 |
$1K |
| 99000 |
|
599 |
566 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
90 |
52 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
48 |
37 |
$621.95 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
368 |
313 |
$614.96 |
| 90461 |
|
1,075 |
971 |
$403.30 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
162 |
148 |
$347.14 |
| 99382 |
|
16 |
12 |
$296.57 |
| 81003 |
|
364 |
302 |
$261.48 |
| 99493 |
|
127 |
83 |
$208.02 |
| 90633 |
|
1,052 |
896 |
$183.69 |
| 90716 |
|
396 |
363 |
$164.79 |
| 90686 |
|
2,200 |
1,742 |
$118.25 |
| 90744 |
|
456 |
403 |
$108.93 |
| 90651 |
|
854 |
764 |
$90.95 |
| 90713 |
|
284 |
265 |
$81.92 |
| 90619 |
|
365 |
345 |
$55.84 |
| 90656 |
|
289 |
289 |
$36.00 |
| 90710 |
|
124 |
112 |
$18.00 |
| 90715 |
|
487 |
437 |
$18.00 |
| 86580 |
|
13 |
13 |
$7.06 |
| 90670 |
|
146 |
114 |
$0.01 |
| 90698 |
|
119 |
93 |
$0.01 |
| 96160 |
|
238 |
216 |
$0.00 |
| 90734 |
|
375 |
281 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
29 |
12 |
$0.00 |
| 90677 |
|
91 |
76 |
$0.00 |
| 36416 |
|
31 |
26 |
$0.00 |
| 96161 |
|
200 |
180 |
$0.00 |
| 90688 |
|
15 |
15 |
$0.00 |
| 90696 |
|
14 |
13 |
$0.00 |