| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
107,083 |
86,764 |
$6.02M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
100,885 |
57,816 |
$1.61M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,931 |
13,334 |
$530K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
10,401 |
7,401 |
$389K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13,385 |
9,250 |
$358K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
10,570 |
7,210 |
$333K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
11,870 |
8,342 |
$283K |
| 92551 |
|
24,979 |
18,739 |
$183K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14,631 |
10,088 |
$172K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,012 |
5,235 |
$135K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
23,857 |
9,832 |
$92K |
| 85018 |
|
35,018 |
26,214 |
$56K |
| 99173 |
|
19,816 |
15,325 |
$32K |
| 99188 |
|
2,530 |
2,060 |
$31K |
| 90651 |
|
4,787 |
3,638 |
$28K |
| 90686 |
|
7,806 |
5,849 |
$23K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,904 |
2,086 |
$22K |
| 97802 |
|
38,299 |
28,799 |
$20K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
757 |
435 |
$20K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,068 |
4,831 |
$18K |
| 90670 |
|
4,753 |
3,665 |
$17K |
| 90734 |
|
3,903 |
3,022 |
$16K |
| 90723 |
|
4,598 |
3,647 |
$16K |
| 81002 |
|
9,079 |
6,856 |
$15K |
| 90647 |
|
4,634 |
3,688 |
$15K |
| 90633 |
|
4,072 |
3,096 |
$15K |
| 90620 |
|
2,699 |
2,083 |
$14K |
| 90710 |
|
3,415 |
2,636 |
$12K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,097 |
2,317 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
574 |
441 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
295 |
192 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,137 |
1,077 |
$10K |
| 90671 |
|
613 |
506 |
$9K |
| 90715 |
|
2,246 |
1,765 |
$9K |
| 90681 |
|
2,537 |
2,039 |
$8K |
| 99406 |
|
18,894 |
12,975 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,360 |
1,211 |
$7K |
| 90696 |
|
1,657 |
1,333 |
$6K |
| 90700 |
|
1,614 |
1,251 |
$6K |
| 99215 |
Prolong outpt/office vis |
84 |
84 |
$5K |
| 90677 |
|
719 |
604 |
$4K |
| 96127 |
|
18,426 |
12,577 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
83 |
51 |
$4K |
| 81003 |
|
1,681 |
1,423 |
$2K |
| 94664 |
|
252 |
149 |
$1K |
| 69210 |
|
39 |
29 |
$1K |
| 90688 |
|
434 |
254 |
$1K |
| 90707 |
|
127 |
121 |
$917.48 |
| 90716 |
|
142 |
133 |
$814.14 |
| 87807 |
|
125 |
116 |
$789.25 |
| 99384 |
|
23 |
14 |
$578.46 |
| 90685 |
|
229 |
137 |
$567.00 |
| 90661 |
|
56 |
56 |
$504.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
21 |
12 |
$396.07 |
| 90474 |
|
149 |
127 |
$361.70 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
38 |
27 |
$344.52 |
| 99383 |
|
21 |
16 |
$274.15 |
| 90461 |
|
463 |
382 |
$259.96 |
| 90713 |
|
14 |
14 |
$126.00 |
| 86580 |
|
29 |
29 |
$97.44 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
21 |
12 |
$88.50 |
| 0071A |
|
89 |
74 |
$25.00 |
| 87420 |
|
25 |
17 |
$20.44 |
| 96160 |
|
11,552 |
8,860 |
$7.12 |
| 1003F |
|
23,817 |
18,513 |
$0.28 |
| 91307 |
|
902 |
637 |
$0.04 |
| 91300 |
|
428 |
318 |
$0.02 |
| 99408 |
|
4,951 |
3,908 |
$0.00 |
| 83655 |
|
116 |
64 |
$0.00 |
| 4004F |
|
41 |
41 |
$0.00 |
| 91308 |
|
40 |
35 |
$0.00 |
| 0002A |
|
53 |
45 |
$0.00 |
| 0001A |
|
69 |
59 |
$0.00 |
| 96150 |
|
2,117 |
1,110 |
$0.00 |
| 96161 |
|
1,294 |
1,045 |
$0.00 |
| 96151 |
|
54 |
27 |
$0.00 |
| 99402 |
|
28 |
28 |
$0.00 |
| 0072A |
|
29 |
22 |
$0.00 |