| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management, each 15 minutes |
2,579 |
2,515 |
$718K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,585 |
8,855 |
$257K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,253 |
2,061 |
$80K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
4,316 |
1,711 |
$72K |
| 90791 |
Psychiatric diagnostic evaluation |
1,189 |
573 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,930 |
1,703 |
$66K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,547 |
2,385 |
$48K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
224 |
214 |
$29K |
| 90834 |
Psychotherapy, 45 minutes with patient |
404 |
257 |
$26K |
| 92015 |
Determination of refractive state |
3,098 |
2,818 |
$24K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
423 |
400 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
909 |
772 |
$16K |
| 90837 |
Psychotherapy, 53 minutes with patient |
140 |
27 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
250 |
239 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
990 |
923 |
$9K |
| 80050 |
General health panel |
212 |
177 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
897 |
717 |
$8K |
| 0012A |
|
223 |
220 |
$7K |
| 36416 |
|
2,321 |
1,916 |
$5K |
| H0022 |
Alcohol and/or drug intervention service (planned facilitation) |
84 |
61 |
$4K |
| 99000 |
|
1,368 |
1,171 |
$4K |
| 0011A |
|
214 |
212 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
52 |
32 |
$4K |
| 80053 |
Comprehensive metabolic panel |
389 |
344 |
$4K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
68 |
38 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
84 |
54 |
$4K |
| 90686 |
|
279 |
270 |
$3K |
| 81001 |
|
689 |
620 |
$2K |
| 80061 |
Lipid panel |
136 |
128 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
201 |
172 |
$1K |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
279 |
97 |
$1K |
| 0071A |
|
41 |
36 |
$1K |
| 90688 |
|
96 |
94 |
$901.20 |
| 0001A |
|
17 |
17 |
$648.72 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$621.24 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
37 |
37 |
$587.52 |
| 0072A |
|
13 |
13 |
$496.08 |
| 0002A |
|
13 |
13 |
$496.08 |
| 87503 |
|
18 |
17 |
$423.90 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
2,326 |
875 |
$331.89 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
12 |
$198.00 |
| 87430 |
|
17 |
16 |
$195.84 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
67 |
50 |
$175.43 |
| 82043 |
|
26 |
24 |
$127.16 |
| 85007 |
|
148 |
129 |
$20.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
213 |
201 |
$19.69 |
| 36415 |
Collection of venous blood by venipuncture |
68 |
63 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
213 |
186 |
$0.00 |
| 90461 |
|
60 |
58 |
$0.00 |