| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
19,281 |
12,931 |
$1.50M |
| 3074F |
|
2,464 |
1,617 |
$230.00 |
| 3079F |
|
1,731 |
1,193 |
$205.00 |
| 3077F |
|
1,526 |
1,061 |
$200.00 |
| 3080F |
|
1,184 |
843 |
$160.00 |
| 99050 |
|
16 |
14 |
$107.04 |
| 3078F |
|
1,701 |
1,112 |
$90.00 |
| 0011A |
|
63 |
51 |
$47.76 |
| 3075F |
|
466 |
329 |
$30.00 |
| 97802 |
|
900 |
637 |
$24.09 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,216 |
866 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
21 |
13 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
747 |
489 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
180 |
139 |
$0.00 |
| 81025 |
|
58 |
49 |
$0.00 |
| 81002 |
|
403 |
277 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
247 |
150 |
$0.00 |
| 96160 |
|
693 |
515 |
$0.00 |
| 90734 |
|
80 |
68 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
63 |
52 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
89 |
76 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
628 |
352 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
33 |
28 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
24 |
14 |
$0.00 |
| 82947 |
|
13 |
13 |
$0.00 |
| 80047 |
|
812 |
550 |
$0.00 |
| 97804 |
|
160 |
104 |
$0.00 |
| 87428 |
|
772 |
558 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,205 |
8,395 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,012 |
745 |
$0.00 |
| 3008F |
|
8,116 |
5,621 |
$0.00 |
| 99406 |
|
391 |
292 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,674 |
4,313 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,189 |
918 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
146 |
95 |
$0.00 |
| 99000 |
|
2,236 |
1,520 |
$0.00 |
| 1111F |
|
3,256 |
1,946 |
$0.00 |
| 91301 |
|
85 |
71 |
$0.00 |
| 85018 |
|
660 |
392 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,181 |
728 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
248 |
220 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
55 |
35 |
$0.00 |
| 81015 |
|
1,297 |
831 |
$0.00 |
| 36416 |
|
225 |
170 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
633 |
439 |
$0.00 |
| 90845 |
|
110 |
79 |
$0.00 |
| 88141 |
|
189 |
119 |
$0.00 |
| 90651 |
|
117 |
90 |
$0.00 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
72 |
37 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
49 |
27 |
$0.00 |
| 87110 |
|
43 |
29 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
69 |
51 |
$0.00 |
| 82270 |
|
15 |
13 |
$0.00 |
| 99386 |
|
22 |
12 |
$0.00 |
| 99241 |
|
18 |
12 |
$0.00 |
| 99383 |
|
17 |
13 |
$0.00 |