| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
33,474 |
26,477 |
$5.74M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,130 |
13,833 |
$890K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,280 |
2,212 |
$193K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,958 |
1,827 |
$131K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,885 |
1,839 |
$113K |
| 99381 |
|
515 |
509 |
$77K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
765 |
718 |
$64K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
600 |
587 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
743 |
732 |
$43K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
385 |
374 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
277 |
264 |
$25K |
| 90834 |
Psychotherapy, 45 minutes with patient |
408 |
295 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
78 |
77 |
$10K |
| 99385 |
|
47 |
47 |
$7K |
| 90791 |
Psychiatric diagnostic evaluation |
39 |
38 |
$1K |
| 96161 |
|
2,304 |
1,974 |
$416.58 |
| 59430 |
|
591 |
547 |
$285.39 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
476 |
469 |
$207.22 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,163 |
2,108 |
$143.05 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,819 |
3,726 |
$95.56 |
| 97169 |
|
24 |
24 |
$90.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
170 |
168 |
$83.54 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,381 |
2,313 |
$77.01 |
| 90671 |
|
824 |
793 |
$0.01 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,399 |
1,340 |
$0.00 |
| 90651 |
|
162 |
160 |
$0.00 |
| 90697 |
|
511 |
511 |
$0.00 |
| 90696 |
|
26 |
24 |
$0.00 |
| 90680 |
|
1,097 |
1,088 |
$0.00 |
| 90698 |
|
183 |
176 |
$0.00 |
| 90686 |
|
1,913 |
1,870 |
$0.00 |
| 87430 |
|
343 |
337 |
$0.00 |
| 90656 |
|
345 |
339 |
$0.00 |
| 81005 |
|
223 |
199 |
$0.00 |
| 90723 |
|
163 |
158 |
$0.00 |
| 90716 |
|
39 |
39 |
$0.00 |
| 76801 |
|
30 |
29 |
$0.00 |
| 87807 |
|
62 |
61 |
$0.00 |
| 90688 |
|
88 |
87 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
45 |
43 |
$0.00 |
| 96127 |
|
50 |
48 |
$0.00 |
| 88720 |
|
32 |
27 |
$0.00 |
| 90381 |
|
17 |
17 |
$0.00 |
| 90619 |
|
29 |
29 |
$0.00 |
| 90461 |
|
1,873 |
1,804 |
$0.00 |
| 81025 |
|
220 |
218 |
$0.00 |
| 90670 |
|
1,009 |
997 |
$0.00 |
| 90633 |
|
547 |
535 |
$0.00 |
| 90715 |
|
692 |
689 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
521 |
507 |
$0.00 |
| 90648 |
|
493 |
485 |
$0.00 |
| 86328 |
|
522 |
500 |
$0.00 |
| 90700 |
|
92 |
88 |
$0.00 |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
354 |
340 |
$0.00 |
| 90710 |
|
188 |
182 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
157 |
153 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
31 |
30 |
$0.00 |
| 82948 |
|
22 |
12 |
$0.00 |
| 90380 |
|
14 |
14 |
$0.00 |
| 90678 |
|
15 |
15 |
$0.00 |
| 90707 |
|
14 |
14 |
$0.00 |