| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,511 |
5,843 |
$1.20M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,184 |
2,759 |
$101K |
| D0999 |
Unspecified diagnostic procedure, by report |
280 |
239 |
$45K |
| 90832 |
Psychotherapy, 30 minutes with patient |
610 |
426 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
103 |
86 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
73 |
73 |
$6K |
| 90791 |
Psychiatric diagnostic evaluation |
65 |
64 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
50 |
46 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
15 |
$2K |
| 87428 |
|
65 |
61 |
$1K |
| 99000 |
|
169 |
148 |
$818.50 |
| 90834 |
Psychotherapy, 45 minutes with patient |
16 |
14 |
$765.67 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$746.41 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
125 |
103 |
$561.42 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
41 |
41 |
$542.76 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
37 |
35 |
$263.91 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,215 |
1,167 |
$210.77 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
14 |
$97.30 |
| 90686 |
|
566 |
551 |
$37.19 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
649 |
334 |
$31.14 |
| 3078F |
|
39 |
35 |
$0.00 |
| 3725F |
|
18 |
14 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
13 |
12 |
$0.00 |
| 99173 |
|
113 |
107 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90670 |
|
15 |
13 |
$0.00 |
| 1126F |
|
66 |
60 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
13 |
$0.00 |
| 3008F |
|
13 |
13 |
$0.00 |
| 96127 |
|
14 |
13 |
$0.00 |
| 92551 |
|
39 |
39 |
$0.00 |
| 3074F |
|
40 |
36 |
$0.00 |
| D0603 |
|
15 |
15 |
$0.00 |