| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,246 |
2,833 |
$928K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,649 |
14,557 |
$549K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,796 |
4,206 |
$208K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,482 |
3,012 |
$86K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,365 |
1,349 |
$50K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,401 |
1,289 |
$47K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,589 |
2,466 |
$41K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
507 |
499 |
$21K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
325 |
309 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,872 |
1,706 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
235 |
230 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
280 |
249 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
208 |
202 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,064 |
955 |
$10K |
| 90461 |
|
738 |
704 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
191 |
186 |
$9K |
| 81025 |
|
2,884 |
2,617 |
$8K |
| 0001A |
|
282 |
273 |
$8K |
| 57410 |
|
240 |
228 |
$7K |
| 99205 |
Prolong outpt/office vis |
81 |
79 |
$6K |
| 0002A |
|
222 |
212 |
$5K |
| 97802 |
|
236 |
213 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
328 |
312 |
$5K |
| 90686 |
|
909 |
851 |
$4K |
| 0013A |
|
198 |
186 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
97 |
89 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,054 |
737 |
$3K |
| 90656 |
|
652 |
615 |
$3K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
231 |
198 |
$3K |
| 0012A |
|
430 |
405 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,662 |
1,684 |
$2K |
| 90658 |
|
208 |
197 |
$2K |
| 81007 |
|
255 |
199 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
519 |
273 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,323 |
1,257 |
$2K |
| 99201 |
|
66 |
65 |
$2K |
| 90746 |
|
26 |
26 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
105 |
95 |
$1K |
| 0011A |
|
420 |
398 |
$1K |
| 92551 |
|
171 |
166 |
$1K |
| 0003A |
|
54 |
49 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
131 |
129 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
242 |
200 |
$1K |
| 0072A |
|
39 |
32 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
183 |
179 |
$970.97 |
| 0071A |
|
34 |
28 |
$920.00 |
| 89190 |
|
2,947 |
2,013 |
$890.53 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
47 |
47 |
$817.37 |
| A4250 |
Urine test or reagent strips or tablets (100 tablets or strips) |
1,054 |
938 |
$743.60 |
| 98960 |
|
229 |
189 |
$735.13 |
| 87428 |
|
39 |
37 |
$651.87 |
| 0134A |
|
63 |
58 |
$640.00 |
| 99382 |
|
12 |
12 |
$619.85 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$598.17 |
| 90674 |
|
40 |
40 |
$527.80 |
| 90677 |
|
41 |
40 |
$523.12 |
| 99385 |
|
12 |
12 |
$517.72 |
| 82950 |
|
718 |
562 |
$502.10 |
| 99173 |
|
190 |
171 |
$347.71 |
| 81003 |
|
693 |
630 |
$332.71 |
| 82962 |
|
905 |
682 |
$331.10 |
| 81002 |
|
646 |
608 |
$299.96 |
| 88142 |
|
14 |
14 |
$265.48 |
| 90716 |
|
17 |
15 |
$248.92 |
| S9452 |
Nutrition classes, non-physician provider, per session |
20 |
19 |
$232.00 |
| 99406 |
|
35 |
28 |
$190.51 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
44 |
37 |
$147.99 |
| 87430 |
|
37 |
29 |
$134.59 |
| 96127 |
|
71 |
64 |
$123.95 |
| 0124A |
|
12 |
12 |
$120.00 |
| 81001 |
|
59 |
58 |
$92.10 |
| 91300 |
|
563 |
513 |
$64.00 |
| 90633 |
|
111 |
107 |
$62.48 |
| 83655 |
|
57 |
50 |
$60.01 |
| 90837 |
Psychotherapy, 53 minutes with patient |
397 |
280 |
$60.00 |
| 91301 |
|
958 |
876 |
$42.00 |
| 99000 |
|
5,217 |
4,113 |
$41.93 |
| 3008F |
|
105 |
100 |
$40.00 |
| 81000 |
|
16 |
16 |
$16.32 |
| 87807 |
|
14 |
14 |
$16.27 |
| 99459 |
|
36 |
35 |
$11.70 |
| 3079F |
|
862 |
738 |
$4.00 |
| 3077F |
|
503 |
419 |
$3.00 |
| 3078F |
|
1,004 |
853 |
$2.00 |
| 3074F |
|
1,081 |
917 |
$1.00 |
| 3080F |
|
146 |
128 |
$1.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
684 |
546 |
$0.00 |
| 3075F |
|
474 |
413 |
$0.00 |
| 91307 |
|
47 |
40 |
$0.00 |
| 4037F |
|
118 |
104 |
$0.00 |
| 91306 |
|
21 |
19 |
$0.00 |
| 90657 |
|
12 |
12 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 3725F |
|
870 |
699 |
$0.00 |
| 99001 |
|
75 |
61 |
$0.00 |
| 90661 |
|
28 |
28 |
$0.00 |
| 90671 |
|
37 |
37 |
$0.00 |
| 91312 |
|
12 |
12 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
87 |
65 |
$0.00 |
| 4551F |
|
212 |
176 |
$0.00 |
| 91313 |
|
63 |
58 |
$0.00 |