| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
60,254 |
40,193 |
$3.91M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,780 |
20,852 |
$9K |
| 99307 |
|
671 |
570 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,077 |
9,562 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
12,100 |
9,872 |
$453.65 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
904 |
788 |
$390.40 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,096 |
988 |
$360.50 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,755 |
6,808 |
$165.42 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,452 |
2,247 |
$16.70 |
| 81003 |
|
3,565 |
3,061 |
$11.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,887 |
6,374 |
$8.82 |
| 71046 |
Radiologic examination, chest; 2 views |
231 |
192 |
$8.27 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,449 |
1,338 |
$2.26 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
745 |
534 |
$1.25 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,602 |
4,060 |
$0.84 |
| 90698 |
|
877 |
848 |
$0.00 |
| 90474 |
|
387 |
339 |
$0.00 |
| 90686 |
|
2,132 |
2,075 |
$0.00 |
| 90651 |
|
265 |
247 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
53 |
41 |
$0.00 |
| 90680 |
|
287 |
278 |
$0.00 |
| 96127 |
|
393 |
367 |
$0.00 |
| 90716 |
|
62 |
60 |
$0.00 |
| 82044 |
|
352 |
326 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
401 |
346 |
$0.00 |
| 90677 |
|
226 |
219 |
$0.00 |
| 90619 |
|
142 |
130 |
$0.00 |
| 90656 |
|
349 |
346 |
$0.00 |
| 87807 |
|
417 |
392 |
$0.00 |
| 80050 |
General health panel |
212 |
172 |
$0.00 |
| 90744 |
|
78 |
74 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
123 |
93 |
$0.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
35 |
33 |
$0.00 |
| 90688 |
|
43 |
43 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,550 |
1,338 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,968 |
1,808 |
$0.00 |
| 90670 |
|
651 |
620 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,059 |
2,809 |
$0.00 |
| 90734 |
|
73 |
70 |
$0.00 |
| 82570 |
|
352 |
326 |
$0.00 |
| 90715 |
|
82 |
80 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
51 |
51 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,202 |
1,104 |
$0.00 |
| 90707 |
|
59 |
57 |
$0.00 |
| 90633 |
|
156 |
144 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
25 |
$0.00 |
| 81025 |
|
34 |
27 |
$0.00 |
| 90621 |
|
107 |
105 |
$0.00 |
| 90685 |
|
129 |
126 |
$0.00 |
| 90682 |
|
14 |
13 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
13 |
13 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$0.00 |