| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
81,945 |
58,639 |
$9.50M |
| 90651 |
|
919 |
751 |
$8K |
| 90670 |
|
4,106 |
3,467 |
$4K |
| 90710 |
|
2,269 |
1,922 |
$4K |
| 90734 |
|
919 |
793 |
$3K |
| 90633 |
|
3,500 |
2,924 |
$3K |
| 90723 |
|
3,981 |
3,395 |
$957.75 |
| 90680 |
|
2,671 |
2,211 |
$778.01 |
| 90715 |
|
736 |
611 |
$732.04 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,164 |
960 |
$565.28 |
| 90696 |
|
844 |
693 |
$524.17 |
| 90686 |
|
2,558 |
2,058 |
$425.74 |
| 90647 |
|
3,942 |
3,345 |
$419.05 |
| 90700 |
|
1,002 |
823 |
$182.52 |
| 90688 |
|
28 |
23 |
$181.12 |
| 90677 |
|
831 |
791 |
$59.61 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,142 |
3,707 |
$44.69 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,426 |
28,667 |
$18.21 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,344 |
9,403 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,193 |
1,145 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,403 |
3,778 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
11,298 |
9,374 |
$0.00 |
| 36416 |
|
52 |
52 |
$0.00 |
| 99383 |
|
138 |
107 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,079 |
1,058 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
750 |
742 |
$0.00 |
| 83550 |
|
87 |
86 |
$0.00 |
| 87428 |
|
3,232 |
3,030 |
$0.00 |
| 99381 |
|
1,340 |
1,211 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
660 |
651 |
$0.00 |
| 90716 |
|
145 |
126 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
921 |
798 |
$0.00 |
| 85018 |
|
329 |
317 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
69 |
52 |
$0.00 |
| 87807 |
|
646 |
609 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
434 |
393 |
$0.00 |
| 90474 |
|
2,105 |
1,669 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
1,300 |
1,263 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,228 |
1,181 |
$0.00 |
| 87430 |
|
219 |
213 |
$0.00 |
| 90620 |
|
64 |
63 |
$0.00 |
| 82043 |
|
78 |
78 |
$0.00 |
| 3080F |
|
105 |
96 |
$0.00 |
| 82728 |
|
86 |
85 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
39 |
25 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
640 |
521 |
$0.00 |
| 82746 |
|
42 |
42 |
$0.00 |
| 3074F |
|
436 |
398 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
12 |
12 |
$0.00 |
| 90698 |
|
40 |
30 |
$0.00 |
| 99384 |
|
12 |
12 |
$0.00 |
| 82607 |
|
43 |
43 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
45 |
39 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,496 |
5,439 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,550 |
5,272 |
$0.00 |
| 81003 |
|
1,452 |
1,133 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,162 |
1,745 |
$0.00 |
| 83655 |
|
668 |
635 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,746 |
5,819 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,751 |
2,366 |
$0.00 |
| 90473 |
|
76 |
72 |
$0.00 |
| 83540 |
|
98 |
97 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
350 |
309 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,450 |
2,171 |
$0.00 |
| 3078F |
|
435 |
397 |
$0.00 |
| 99201 |
|
153 |
111 |
$0.00 |
| 80061 |
Lipid panel |
815 |
793 |
$0.00 |
| 90681 |
|
666 |
622 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,850 |
1,080 |
$0.00 |
| 99173 |
|
1,607 |
1,339 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
324 |
214 |
$0.00 |
| 3077F |
|
105 |
96 |
$0.00 |
| 99382 |
|
117 |
108 |
$0.00 |
| 90707 |
|
156 |
138 |
$0.00 |
| 82570 |
|
78 |
78 |
$0.00 |
| 90461 |
|
12 |
12 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16 |
16 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
28 |
20 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
12 |
12 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |
| 81025 |
|
55 |
27 |
$0.00 |
| 85014 |
|
16 |
16 |
$0.00 |