| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
36,698 |
30,961 |
$9.92M |
| 0520 |
|
2,706 |
2,306 |
$61K |
| 0521 |
|
61,143 |
26,197 |
$2K |
| 0072A |
|
25 |
25 |
$2K |
| 0071A |
|
25 |
25 |
$2K |
| 0012A |
|
23 |
23 |
$2K |
| 0011A |
|
18 |
18 |
$1K |
| G9920 |
Screening performed and negative |
1,986 |
1,966 |
$58.00 |
| 0300 |
|
7,633 |
6,531 |
$24.54 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,612 |
9,799 |
$18.41 |
| 81025 |
|
464 |
417 |
$2.78 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
559 |
555 |
$0.00 |
| 99173 |
|
1,884 |
1,866 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
512 |
508 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,215 |
1,093 |
$0.00 |
| 0929 |
|
1,843 |
1,841 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
737 |
732 |
$0.00 |
| 0500 |
|
1,881 |
908 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
479 |
456 |
$0.00 |
| 90670 |
|
328 |
233 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
70 |
59 |
$0.00 |
| 82274 |
|
15 |
13 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
488 |
326 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
78 |
76 |
$0.00 |
| 0470 |
|
175 |
175 |
$0.00 |
| 99177 |
|
12 |
12 |
$0.00 |
| 90746 |
|
33 |
25 |
$0.00 |
| 81003 |
|
30 |
15 |
$0.00 |
| 0900 |
|
70 |
28 |
$0.00 |
| 90734 |
|
27 |
26 |
$0.00 |
| 90633 |
|
15 |
14 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,425 |
3,254 |
$0.00 |
| 85018 |
|
1,817 |
1,546 |
$0.00 |
| 0636 |
|
5,985 |
3,378 |
$0.00 |
| 92551 |
|
1,948 |
1,936 |
$0.00 |
| 90686 |
|
1,451 |
1,268 |
$0.00 |
| Z1034 |
|
1,083 |
653 |
$0.00 |
| 0771 |
|
382 |
287 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
93 |
92 |
$0.00 |
| 90647 |
|
136 |
95 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
323 |
321 |
$0.00 |
| 90677 |
|
131 |
84 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
80 |
79 |
$0.00 |
| 87428 |
|
1,355 |
1,016 |
$0.00 |
| 90723 |
|
275 |
183 |
$0.00 |
| 90656 |
|
152 |
135 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
241 |
176 |
$0.00 |
| 90680 |
|
203 |
130 |
$0.00 |
| 90651 |
|
55 |
54 |
$0.00 |
| 0305 |
|
35 |
35 |
$0.00 |
| 0250 |
|
70 |
69 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |
| 0306 |
|
14 |
14 |
$0.00 |
| Z6204 |
|
13 |
13 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$0.00 |
| 99000 |
|
38 |
38 |
$0.00 |
| 90732 |
|
12 |
12 |
$0.00 |