| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
29,066 |
21,218 |
$3.22M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,433 |
8,994 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,207 |
8,406 |
$18K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,746 |
2,401 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
782 |
658 |
$2K |
| 90686 |
|
451 |
296 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
900 |
786 |
$2K |
| 90670 |
|
301 |
204 |
$2K |
| 90648 |
|
310 |
207 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
560 |
477 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
412 |
406 |
$893.09 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,965 |
1,705 |
$744.80 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
908 |
608 |
$650.57 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,961 |
1,709 |
$636.72 |
| 90723 |
|
126 |
83 |
$624.00 |
| 90461 |
|
374 |
372 |
$600.02 |
| 87428 |
|
151 |
139 |
$445.13 |
| 90633 |
|
58 |
37 |
$288.00 |
| 90707 |
|
44 |
28 |
$224.00 |
| 90716 |
|
44 |
28 |
$224.00 |
| 90681 |
|
49 |
36 |
$176.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
112 |
108 |
$75.39 |
| 90734 |
|
21 |
12 |
$72.00 |
| 90710 |
|
32 |
25 |
$72.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
544 |
471 |
$71.06 |
| 81003 |
|
1,400 |
1,141 |
$27.60 |
| 87807 |
|
217 |
174 |
$22.24 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
55 |
39 |
$5.70 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
76 |
58 |
$3.60 |
| 81025 |
|
58 |
42 |
$2.60 |
| 90715 |
|
15 |
15 |
$0.00 |
| 1159F |
|
41 |
41 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
55 |
54 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
13 |
$0.00 |
| 99173 |
|
45 |
38 |
$0.00 |
| 3078F |
|
34 |
34 |
$0.00 |
| 96160 |
|
14 |
12 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
26 |
14 |
$0.00 |
| 3074F |
|
43 |
42 |
$0.00 |
| 96127 |
|
30 |
30 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
81 |
64 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
29 |
27 |
$0.00 |
| 90656 |
|
16 |
16 |
$0.00 |
| 90677 |
|
14 |
14 |
$0.00 |
| 90697 |
|
13 |
12 |
$0.00 |