| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
53,194 |
46,134 |
$2.95M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,338 |
14,482 |
$111K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,731 |
18,038 |
$84K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,246 |
2,219 |
$19K |
| 90686 |
|
2,549 |
2,536 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,282 |
2,137 |
$16K |
| 90670 |
|
1,494 |
1,472 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,154 |
2,119 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
825 |
820 |
$12K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,109 |
1,103 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,420 |
1,414 |
$10K |
| 90671 |
|
346 |
346 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
934 |
931 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,239 |
3,196 |
$9K |
| 90739 |
|
77 |
77 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
817 |
817 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,215 |
4,164 |
$5K |
| 90837 |
Psychotherapy, 53 minutes with patient |
764 |
558 |
$5K |
| 90715 |
|
497 |
490 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,291 |
1,282 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
719 |
653 |
$3K |
| 90746 |
|
61 |
61 |
$3K |
| 90651 |
|
161 |
161 |
$2K |
| 20610 |
|
639 |
551 |
$2K |
| 90750 |
|
78 |
78 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
313 |
185 |
$1K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
62 |
62 |
$1K |
| 90656 |
|
125 |
125 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,539 |
1,498 |
$709.22 |
| 90732 |
|
42 |
42 |
$685.26 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
319 |
309 |
$640.77 |
| 99243 |
|
79 |
76 |
$478.38 |
| 90791 |
Psychiatric diagnostic evaluation |
13 |
13 |
$427.83 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$336.00 |
| 80305 |
|
453 |
453 |
$305.31 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
266 |
264 |
$290.01 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
186 |
127 |
$276.78 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
278 |
269 |
$269.24 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
295 |
282 |
$254.24 |
| 98967 |
|
16 |
13 |
$214.56 |
| 99406 |
|
103 |
102 |
$186.05 |
| 96127 |
|
217 |
197 |
$124.39 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
70 |
69 |
$61.75 |
| 81003 |
|
383 |
367 |
$58.65 |
| 87807 |
|
48 |
40 |
$53.28 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
79 |
79 |
$24.12 |
| 81025 |
|
24 |
24 |
$21.39 |
| 90688 |
|
44 |
39 |
$17.84 |
| 90648 |
|
305 |
305 |
$0.00 |
| 90707 |
|
167 |
162 |
$0.00 |
| 90633 |
|
590 |
578 |
$0.00 |
| 90461 |
|
2,040 |
2,015 |
$0.00 |
| 90710 |
|
49 |
48 |
$0.00 |
| 90685 |
|
236 |
225 |
$0.00 |
| 91300 |
|
67 |
65 |
$0.00 |
| 90734 |
|
112 |
112 |
$0.00 |
| 90716 |
|
159 |
154 |
$0.00 |
| 90744 |
|
546 |
535 |
$0.00 |
| 90680 |
|
842 |
828 |
$0.00 |
| 36416 |
|
144 |
144 |
$0.00 |
| 90723 |
|
159 |
159 |
$0.00 |
| 90698 |
|
993 |
976 |
$0.00 |
| 90696 |
|
63 |
62 |
$0.00 |