| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
255,141 |
174,193 |
$85.52M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
52,089 |
41,320 |
$94K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
69,726 |
52,891 |
$87K |
| 90747 |
|
631 |
368 |
$40K |
| 99215 |
Prolong outpt/office vis |
17,957 |
14,201 |
$28K |
| 11721 |
|
1,416 |
560 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,199 |
2,339 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14,509 |
11,865 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
10,036 |
8,623 |
$10K |
| 90670 |
|
676 |
432 |
$9K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
10,368 |
7,577 |
$8K |
| 90674 |
|
3,153 |
2,333 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,515 |
3,968 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13,030 |
9,150 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
8,324 |
7,020 |
$7K |
| 99201 |
|
4,198 |
3,206 |
$4K |
| 92134 |
|
2,704 |
1,928 |
$4K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
132 |
56 |
$3K |
| 99205 |
Prolong outpt/office vis |
1,236 |
989 |
$3K |
| 92015 |
Determination of refractive state |
1,970 |
1,478 |
$3K |
| 90732 |
|
423 |
331 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,380 |
7,421 |
$2K |
| 92250 |
|
427 |
309 |
$2K |
| 92083 |
|
894 |
694 |
$2K |
| 96402 |
|
684 |
442 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
736 |
630 |
$1K |
| 90715 |
|
588 |
432 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,899 |
2,083 |
$1K |
| 90630 |
|
908 |
626 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,710 |
2,285 |
$977.90 |
| 90834 |
Psychotherapy, 45 minutes with patient |
401 |
279 |
$785.78 |
| 92133 |
|
832 |
646 |
$670.77 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
166 |
119 |
$622.96 |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
428 |
374 |
$459.90 |
| 90791 |
Psychiatric diagnostic evaluation |
330 |
240 |
$366.33 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
378 |
243 |
$248.88 |
| 92002 |
|
411 |
331 |
$137.75 |
| 90837 |
Psychotherapy, 53 minutes with patient |
272 |
174 |
$133.42 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
222 |
186 |
$130.45 |
| 90686 |
|
126 |
84 |
$117.88 |
| 96900 |
|
100 |
25 |
$112.02 |
| 99243 |
|
185 |
157 |
$100.95 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
47 |
30 |
$78.75 |
| 90723 |
|
189 |
99 |
$64.00 |
| 92025 |
|
74 |
53 |
$48.75 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
348 |
257 |
$46.45 |
| 90685 |
|
105 |
50 |
$45.36 |
| 90680 |
|
154 |
89 |
$44.80 |
| 92227 |
|
33 |
25 |
$13.00 |
| 90656 |
|
123 |
123 |
$0.00 |
| 90688 |
|
641 |
640 |
$0.00 |
| 99381 |
|
281 |
279 |
$0.00 |
| J1950 |
Injection, leuprolide acetate (for depot suspension), per 3.75 mg |
26 |
14 |
$0.00 |
| 92082 |
|
27 |
16 |
$0.00 |
| 0500F |
|
60 |
60 |
$0.00 |
| 20610 |
|
15 |
14 |
$0.00 |
| 99412 |
|
15 |
12 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 90662 |
|
64 |
64 |
$0.00 |
| 90750 |
|
26 |
26 |
$0.00 |
| 31575 |
|
42 |
38 |
$0.00 |
| S0190 |
Mifepristone, oral, 200 mg |
18 |
13 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
161 |
71 |
$0.00 |
| J9217 |
Leuprolide acetate (for depot suspension), 7.5 mg |
136 |
97 |
$0.00 |
| 96130 |
|
17 |
15 |
$0.00 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
58 |
49 |
$0.00 |
| 92504 |
|
15 |
13 |
$0.00 |
| 99245 |
|
16 |
14 |
$0.00 |