| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
163,621 |
119,937 |
$13.63M |
| 90670 |
|
10,841 |
8,897 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
64,988 |
50,799 |
$17K |
| 90710 |
|
5,084 |
4,329 |
$14K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
230 |
193 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16,565 |
14,048 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
17,857 |
14,093 |
$6K |
| 90723 |
|
7,622 |
6,121 |
$5K |
| 90680 |
|
6,842 |
5,559 |
$5K |
| 54150 |
|
75 |
62 |
$5K |
| 99460 |
|
134 |
121 |
$5K |
| 90651 |
|
1,942 |
1,634 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41,703 |
34,655 |
$4K |
| 90734 |
|
2,161 |
1,870 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,443 |
2,960 |
$3K |
| 90686 |
|
4,311 |
3,187 |
$3K |
| 90633 |
|
6,657 |
5,618 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
23,691 |
20,223 |
$3K |
| 90696 |
|
2,539 |
2,244 |
$2K |
| 90648 |
|
8,553 |
6,810 |
$2K |
| 90716 |
|
633 |
508 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,348 |
7,354 |
$2K |
| 90707 |
|
628 |
491 |
$1K |
| 99381 |
|
681 |
596 |
$859.25 |
| 90700 |
|
1,220 |
956 |
$858.12 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,519 |
2,478 |
$822.34 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,891 |
3,445 |
$793.73 |
| 83655 |
|
5,854 |
4,825 |
$735.32 |
| 90715 |
|
1,519 |
1,325 |
$720.04 |
| 90698 |
|
1,899 |
1,635 |
$681.08 |
| D1206 |
Topical application of fluoride varnish |
3,763 |
3,043 |
$676.00 |
| 0001A |
|
16 |
12 |
$674.24 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,135 |
5,343 |
$484.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,486 |
2,318 |
$469.22 |
| 90473 |
|
1,331 |
1,064 |
$448.29 |
| 96127 |
|
21,965 |
19,116 |
$436.17 |
| S5190 |
Wellness assessment, performed by non-physician |
3,563 |
2,572 |
$316.51 |
| 36416 |
|
8,083 |
6,789 |
$233.70 |
| 85018 |
|
7,991 |
6,704 |
$171.68 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,733 |
2,368 |
$109.55 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
53 |
31 |
$90.16 |
| 81002 |
|
3,134 |
2,584 |
$52.00 |
| 90681 |
|
1,272 |
1,167 |
$39.82 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
196 |
105 |
$39.24 |
| 90656 |
|
319 |
290 |
$33.42 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
116 |
115 |
$24.25 |
| 94760 |
|
1,209 |
950 |
$17.60 |
| 90677 |
|
1,578 |
1,461 |
$16.71 |
| 36415 |
Collection of venous blood by venipuncture |
386 |
347 |
$12.30 |
| 90621 |
|
77 |
56 |
$6.40 |
| 96160 |
|
2,440 |
2,237 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
222 |
216 |
$0.00 |
| 3725F |
|
123 |
118 |
$0.00 |
| 99334 |
|
744 |
727 |
$0.00 |
| 99072 |
|
1,693 |
1,538 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
328 |
260 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
83 |
83 |
$0.00 |
| 99173 |
|
276 |
227 |
$0.00 |
| 99188 |
|
87 |
80 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
70 |
70 |
$0.00 |
| 99325 |
|
14 |
14 |
$0.00 |
| 90461 |
|
206 |
154 |
$0.00 |
| 81003 |
|
17 |
17 |
$0.00 |
| 3078F |
|
1,077 |
974 |
$0.00 |
| 94664 |
|
26 |
16 |
$0.00 |
| 99382 |
|
15 |
15 |
$0.00 |
| 90380 |
|
44 |
36 |
$0.00 |
| 99335 |
|
1,481 |
1,412 |
$0.00 |
| 90697 |
|
1,770 |
1,658 |
$0.00 |
| 87807 |
|
1,828 |
1,621 |
$0.00 |
| 99349 |
|
1,241 |
1,229 |
$0.00 |
| 96380 |
|
17 |
17 |
$0.00 |
| 87428 |
|
3,127 |
2,909 |
$0.00 |
| 3008F |
|
642 |
590 |
$0.00 |
| 99383 |
|
78 |
63 |
$0.00 |
| 86308 |
|
12 |
12 |
$0.00 |
| 99000 |
|
332 |
231 |
$0.00 |
| 90381 |
|
56 |
39 |
$0.00 |
| 1036F |
|
990 |
881 |
$0.00 |
| 88720 |
|
14 |
13 |
$0.00 |
| 3079F |
|
53 |
53 |
$0.00 |
| 90620 |
|
71 |
71 |
$0.00 |
| 3074F |
|
1,108 |
1,003 |
$0.00 |
| 99344 |
|
13 |
13 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
118 |
87 |
$0.00 |
| 99324 |
|
26 |
26 |
$0.00 |
| 3075F |
|
16 |
15 |
$0.00 |