| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,489 |
2,740 |
$1.20M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,643 |
22,041 |
$746K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,623 |
8,185 |
$75K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,304 |
2,218 |
$54K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
816 |
800 |
$42K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
834 |
813 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
729 |
703 |
$33K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
976 |
935 |
$32K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,740 |
1,444 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
493 |
481 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
358 |
354 |
$20K |
| 90677 |
|
618 |
600 |
$16K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
449 |
436 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
386 |
370 |
$10K |
| 99177 |
|
1,257 |
1,226 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
452 |
439 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
346 |
341 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
101 |
99 |
$4K |
| 90697 |
|
376 |
370 |
$4K |
| 90656 |
|
247 |
243 |
$2K |
| 90680 |
|
339 |
330 |
$2K |
| 90686 |
|
345 |
340 |
$2K |
| 90670 |
|
82 |
76 |
$2K |
| 99173 |
|
770 |
746 |
$1K |
| 90619 |
|
32 |
29 |
$1K |
| 73110 |
|
78 |
76 |
$822.72 |
| 73630 |
|
99 |
95 |
$786.85 |
| 83655 |
|
85 |
80 |
$697.83 |
| 69210 |
|
34 |
31 |
$479.57 |
| 90715 |
|
46 |
41 |
$437.03 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
52 |
51 |
$436.72 |
| 99381 |
|
12 |
12 |
$386.98 |
| 73140 |
|
74 |
71 |
$367.38 |
| 73610 |
|
39 |
37 |
$327.99 |
| 99385 |
|
13 |
12 |
$309.34 |
| 90710 |
|
12 |
12 |
$275.00 |
| 90716 |
|
12 |
12 |
$165.50 |
| 90672 |
|
14 |
14 |
$154.62 |
| 96127 |
|
106 |
103 |
$140.52 |
| 85018 |
|
114 |
107 |
$130.86 |
| 90696 |
|
12 |
12 |
$128.46 |
| 90633 |
|
39 |
39 |
$113.22 |
| 81003 |
|
13 |
13 |
$10.88 |
| 36416 |
|
87 |
72 |
$4.66 |
| 3074F |
|
11,523 |
10,911 |
$0.00 |
| 3079F |
|
1,458 |
1,387 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
5,186 |
2,004 |
$0.00 |
| 3075F |
|
478 |
456 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,675 |
809 |
$0.00 |
| 3078F |
|
10,508 |
9,974 |
$0.00 |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
90 |
79 |
$0.00 |
| 3077F |
|
66 |
64 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
260 |
260 |
$0.00 |