| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
27,457 |
23,622 |
$15.18M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,900 |
11,935 |
$324K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,256 |
1,994 |
$110K |
| 36415 |
Collection of venous blood by venipuncture |
2,027 |
1,847 |
$103K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,377 |
2,288 |
$94K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
211 |
88 |
$29K |
| 0011A |
|
254 |
249 |
$18K |
| 0012A |
|
213 |
213 |
$16K |
| A0425 |
Ground mileage, per statute mile |
213 |
188 |
$14K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
99 |
60 |
$12K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,670 |
1,553 |
$11K |
| 80053 |
Comprehensive metabolic panel |
780 |
731 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
141 |
133 |
$8K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
40 |
36 |
$7K |
| 0064A |
|
86 |
84 |
$6K |
| 90686 |
|
666 |
651 |
$4K |
| 84100 |
|
13 |
13 |
$4K |
| 0013A |
|
21 |
21 |
$3K |
| 80050 |
General health panel |
92 |
83 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
408 |
401 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
268 |
171 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
397 |
260 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
199 |
170 |
$2K |
| 81003 |
|
173 |
158 |
$2K |
| 97161 |
|
26 |
24 |
$2K |
| 92015 |
Determination of refractive state |
378 |
333 |
$2K |
| 0134A |
|
15 |
14 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
204 |
201 |
$802.30 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
646 |
575 |
$719.00 |
| 0054A |
|
58 |
58 |
$603.06 |
| 0001A |
|
180 |
177 |
$556.25 |
| 0002A |
|
159 |
159 |
$519.00 |
| 80061 |
Lipid panel |
248 |
246 |
$299.91 |
| 82310 |
|
12 |
12 |
$209.43 |
| 11721 |
|
13 |
13 |
$203.36 |
| 82040 |
|
12 |
12 |
$200.92 |
| 84132 |
|
12 |
12 |
$193.21 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
668 |
646 |
$52.20 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
307 |
293 |
$40.60 |
| 84703 |
|
12 |
12 |
$33.44 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
44 |
30 |
$21.75 |
| 82043 |
|
14 |
12 |
$21.47 |
| 82570 |
|
14 |
12 |
$19.19 |
| 3044F |
|
43 |
43 |
$0.03 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
187 |
175 |
$0.00 |
| 91300 |
|
62 |
61 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
245 |
240 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
135 |
128 |
$0.00 |
| 0071A |
|
100 |
99 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
89 |
68 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
30 |
28 |
$0.00 |
| 87400 |
|
69 |
69 |
$0.00 |
| 90670 |
|
25 |
24 |
$0.00 |
| 91313 |
|
13 |
13 |
$0.00 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$0.00 |
| 3725F |
|
12 |
12 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
56 |
55 |
$0.00 |
| 90633 |
|
14 |
13 |
$0.00 |
| 91301 |
|
340 |
327 |
$0.00 |
| 91306 |
|
77 |
75 |
$0.00 |
| 0074A |
|
28 |
28 |
$0.00 |
| 0051A |
|
12 |
12 |
$0.00 |
| 0052A |
|
26 |
26 |
$0.00 |
| 90651 |
|
104 |
101 |
$0.00 |
| 91305 |
|
192 |
184 |
$0.00 |
| 91307 |
|
293 |
273 |
$0.00 |
| 90723 |
|
13 |
12 |
$0.00 |
| 92002 |
|
45 |
41 |
$0.00 |
| 0072A |
|
101 |
98 |
$0.00 |
| 90733 |
|
36 |
36 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
18 |
18 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$0.00 |