| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
30,616 |
21,913 |
$4.89M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,028 |
14,872 |
$768K |
| D0999 |
Unspecified diagnostic procedure, by report |
924 |
792 |
$159K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,821 |
2,313 |
$126K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
820 |
789 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
742 |
711 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
658 |
622 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
457 |
444 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
195 |
193 |
$10K |
| 99215 |
Prolong outpt/office vis |
68 |
58 |
$3K |
| 0001A |
|
86 |
84 |
$2K |
| 0002A |
|
55 |
50 |
$2K |
| 92552 |
|
3,249 |
3,091 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
253 |
232 |
$666.58 |
| 0072A |
|
13 |
13 |
$440.00 |
| 0071A |
|
19 |
19 |
$200.00 |
| 90658 |
|
99 |
98 |
$193.78 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
796 |
731 |
$147.59 |
| 87428 |
|
555 |
502 |
$50.25 |
| D1206 |
Topical application of fluoride varnish |
72 |
71 |
$45.67 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,720 |
3,578 |
$16.41 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
212 |
195 |
$0.33 |
| D1120 |
Prophylaxis - child |
27 |
27 |
$0.20 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
102 |
101 |
$0.20 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,357 |
1,304 |
$0.05 |
| 99173 |
|
3,439 |
3,243 |
$0.01 |
| 1159F |
|
20,503 |
17,041 |
$0.01 |
| 90686 |
|
726 |
700 |
$0.01 |
| 2010F |
|
12,543 |
10,505 |
$0.01 |
| 99050 |
|
114 |
95 |
$0.01 |
| 3028F |
|
2,023 |
1,796 |
$0.00 |
| 1160F |
|
20,038 |
16,643 |
$0.00 |
| 1033F |
|
401 |
333 |
$0.00 |
| 3078F |
|
405 |
339 |
$0.00 |
| S5000 |
Prescription drug, generic |
48 |
44 |
$0.00 |
| 1003F |
|
226 |
190 |
$0.00 |
| 90756 |
|
67 |
67 |
$0.00 |
| 90670 |
|
127 |
122 |
$0.00 |
| 99051 |
|
29 |
25 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
17 |
$0.00 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
42 |
39 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 2001F |
|
14,888 |
12,248 |
$0.00 |
| 3008F |
|
18,707 |
15,503 |
$0.00 |
| 1170F |
|
533 |
455 |
$0.00 |
| 1220F |
|
3,090 |
2,683 |
$0.00 |
| 2000F |
|
1,098 |
972 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
131 |
120 |
$0.00 |
| 1000F |
|
1,242 |
1,014 |
$0.00 |
| 1126F |
|
1,598 |
1,455 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
839 |
791 |
$0.00 |
| 3037F |
|
917 |
778 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
35 |
29 |
$0.00 |
| 90651 |
|
39 |
36 |
$0.00 |
| D1330 |
|
208 |
199 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
385 |
374 |
$0.00 |
| 90688 |
|
326 |
319 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
34 |
28 |
$0.00 |
| 3074F |
|
592 |
487 |
$0.00 |
| 1125F |
|
201 |
181 |
$0.00 |
| D0601 |
|
137 |
135 |
$0.00 |
| 3079F |
|
104 |
90 |
$0.00 |
| 87807 |
|
32 |
31 |
$0.00 |
| 99406 |
|
47 |
38 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
35 |
29 |
$0.00 |
| 1036F |
|
18 |
15 |
$0.00 |
| 36416 |
|
13 |
13 |
$0.00 |