| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,084 |
10,003 |
$581K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,795 |
4,962 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,144 |
2,862 |
$5K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
20 |
12 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
325 |
310 |
$889.82 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
382 |
368 |
$787.33 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
151 |
139 |
$679.16 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
285 |
278 |
$655.11 |
| 90670 |
|
291 |
279 |
$504.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
197 |
191 |
$453.26 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
774 |
743 |
$385.00 |
| 99215 |
Prolong outpt/office vis |
131 |
124 |
$374.81 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
182 |
152 |
$333.21 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
129 |
125 |
$231.19 |
| 90686 |
|
192 |
175 |
$228.36 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
374 |
352 |
$181.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
135 |
124 |
$91.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
200 |
191 |
$64.40 |
| 36415 |
Collection of venous blood by venipuncture |
147 |
139 |
$59.40 |
| 99188 |
|
109 |
107 |
$27.72 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
374 |
358 |
$13.12 |
| 83655 |
|
29 |
29 |
$11.38 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
299 |
288 |
$8.64 |
| 81002 |
|
339 |
314 |
$1.10 |
| 90633 |
|
153 |
149 |
$0.00 |
| 90715 |
|
64 |
64 |
$0.00 |
| 96160 |
|
67 |
67 |
$0.00 |
| 81025 |
|
107 |
105 |
$0.00 |
| 90685 |
|
58 |
50 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
160 |
143 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
409 |
390 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
65 |
65 |
$0.00 |
| 90700 |
|
40 |
40 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
205 |
198 |
$0.00 |
| 80061 |
Lipid panel |
15 |
15 |
$0.00 |
| 90734 |
|
49 |
49 |
$0.00 |
| 90461 |
|
28 |
28 |
$0.00 |
| 90723 |
|
200 |
190 |
$0.00 |
| 90647 |
|
226 |
215 |
$0.00 |
| 90651 |
|
65 |
63 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
214 |
209 |
$0.00 |
| 90680 |
|
182 |
172 |
$0.00 |
| 85018 |
|
119 |
118 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
317 |
256 |
$0.00 |
| 99305 |
|
12 |
12 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |