| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
18,709 |
12,619 |
$3.01M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,564 |
8,083 |
$375K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,717 |
1,531 |
$66K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,972 |
1,092 |
$58K |
| 59430 |
|
523 |
462 |
$43K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
179 |
177 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
246 |
232 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
172 |
168 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
209 |
194 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
136 |
134 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
54 |
47 |
$3K |
| 99000 |
|
1,537 |
1,301 |
$3K |
| 99385 |
|
13 |
13 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
26 |
$2K |
| 90686 |
|
335 |
311 |
$2K |
| 90715 |
|
150 |
141 |
$1K |
| 81002 |
|
2,198 |
1,649 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
18 |
17 |
$1K |
| 81025 |
|
502 |
471 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
685 |
344 |
$664.72 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,261 |
1,183 |
$600.07 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
15 |
$304.53 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
108 |
97 |
$259.13 |
| 90651 |
|
15 |
15 |
$120.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
42 |
37 |
$97.54 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$52.24 |
| 87081 |
|
17 |
15 |
$33.42 |
| 92551 |
|
28 |
27 |
$9.82 |
| 90680 |
|
59 |
59 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
857 |
742 |
$0.00 |
| 3074F |
|
344 |
290 |
$0.00 |
| 90723 |
|
14 |
14 |
$0.00 |
| 3008F |
|
396 |
307 |
$0.00 |
| 1126F |
|
327 |
276 |
$0.00 |
| 3079F |
|
34 |
32 |
$0.00 |
| 1036F |
|
445 |
323 |
$0.00 |
| 36416 |
|
31 |
31 |
$0.00 |
| 96127 |
|
39 |
36 |
$0.00 |
| 90670 |
|
188 |
180 |
$0.00 |
| 3725F |
|
52 |
47 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
27 |
25 |
$0.00 |
| 99173 |
|
50 |
48 |
$0.00 |
| 90648 |
|
69 |
67 |
$0.00 |
| 3078F |
|
294 |
245 |
$0.00 |
| 90633 |
|
15 |
14 |
$0.00 |