| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,348 |
9,676 |
$2.26M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,760 |
24,645 |
$531K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,956 |
1,797 |
$48K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,356 |
2,182 |
$37K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,392 |
4,153 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,687 |
1,472 |
$32K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,691 |
2,536 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
599 |
558 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,285 |
1,173 |
$16K |
| 90671 |
|
490 |
447 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
307 |
293 |
$11K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
5,791 |
5,350 |
$10K |
| 90697 |
|
307 |
277 |
$10K |
| 92551 |
|
2,557 |
2,444 |
$7K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
137 |
137 |
$6K |
| 0012A |
|
133 |
130 |
$5K |
| 99173 |
|
2,476 |
2,364 |
$4K |
| 90686 |
|
1,659 |
1,509 |
$3K |
| 0011A |
|
116 |
116 |
$3K |
| 81025 |
|
1,609 |
1,297 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
252 |
242 |
$3K |
| 99401 |
|
977 |
894 |
$3K |
| 81002 |
|
9,620 |
6,941 |
$3K |
| 90658 |
|
85 |
85 |
$1K |
| 90670 |
|
431 |
392 |
$900.00 |
| 97802 |
|
924 |
857 |
$865.45 |
| 90681 |
|
146 |
138 |
$463.05 |
| 90698 |
|
197 |
183 |
$370.80 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
27 |
25 |
$256.65 |
| 88142 |
|
14 |
14 |
$239.92 |
| 82962 |
|
212 |
180 |
$238.22 |
| 90688 |
|
169 |
169 |
$214.01 |
| 90685 |
|
26 |
26 |
$199.01 |
| 90474 |
|
62 |
62 |
$162.79 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
27 |
27 |
$102.64 |
| 97803 |
|
1,225 |
1,157 |
$90.20 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$88.88 |
| 99381 |
|
215 |
210 |
$80.06 |
| 90633 |
|
218 |
218 |
$73.84 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
165 |
165 |
$0.00 |
| 3078F |
|
39 |
38 |
$0.00 |
| 0502F |
|
23 |
13 |
$0.00 |
| 90749 |
|
13 |
13 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90649 |
|
16 |
16 |
$0.00 |
| 99072 |
|
19 |
13 |
$0.00 |
| 99000 |
|
445 |
336 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
45 |
45 |
$0.00 |
| 90651 |
|
37 |
37 |
$0.00 |
| 90744 |
|
93 |
93 |
$0.00 |
| 87490 |
|
13 |
13 |
$0.00 |
| 3074F |
|
44 |
43 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 0503F |
|
12 |
12 |
$0.00 |
| 91301 |
|
62 |
61 |
$0.00 |