| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
22,284 |
16,431 |
$2.89M |
| 0071A |
|
60 |
60 |
$3K |
| 0001A |
|
51 |
49 |
$2K |
| 0072A |
|
30 |
30 |
$1K |
| 0002A |
|
14 |
12 |
$589.96 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,566 |
9,509 |
$475.24 |
| 90658 |
|
624 |
554 |
$413.02 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,819 |
1,585 |
$140.60 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
972 |
921 |
$73.00 |
| 99173 |
|
928 |
878 |
$63.80 |
| 85018 |
|
1,757 |
1,567 |
$59.00 |
| 90686 |
|
350 |
338 |
$53.40 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,473 |
1,372 |
$49.00 |
| 90723 |
|
778 |
731 |
$36.60 |
| 81025 |
|
1,245 |
1,112 |
$34.74 |
| 90461 |
|
488 |
471 |
$29.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
379 |
334 |
$25.81 |
| 90647 |
|
797 |
747 |
$25.60 |
| 90670 |
|
1,082 |
1,021 |
$22.40 |
| 92551 |
|
655 |
618 |
$22.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
20 |
$20.00 |
| 36415 |
Collection of venous blood by venipuncture |
445 |
406 |
$18.20 |
| 90688 |
|
115 |
113 |
$18.00 |
| 90633 |
|
514 |
466 |
$16.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
85 |
77 |
$15.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
445 |
422 |
$15.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,739 |
1,475 |
$14.00 |
| 90680 |
|
653 |
616 |
$12.80 |
| 90648 |
|
203 |
195 |
$12.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
241 |
224 |
$10.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
614 |
556 |
$10.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
124 |
112 |
$0.00 |
| 90707 |
|
56 |
56 |
$0.00 |
| 90715 |
|
145 |
142 |
$0.00 |
| 87210 |
|
77 |
70 |
$0.00 |
| 90649 |
|
50 |
43 |
$0.00 |
| 90700 |
|
41 |
41 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
493 |
299 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
66 |
54 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
93 |
51 |
$0.00 |
| 81002 |
|
52 |
50 |
$0.00 |
| 90734 |
|
64 |
60 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
186 |
159 |
$0.00 |
| 90657 |
|
284 |
246 |
$0.00 |
| 81005 |
|
243 |
224 |
$0.00 |
| 76801 |
|
104 |
85 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
58 |
54 |
$0.00 |
| 90716 |
|
55 |
55 |
$0.00 |
| 0503F |
|
16 |
12 |
$0.00 |
| 90651 |
|
19 |
19 |
$0.00 |
| 99381 |
|
13 |
12 |
$0.00 |