| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,146 |
4,584 |
$1.36M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,643 |
13,692 |
$345K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,511 |
8,430 |
$295K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,684 |
2,475 |
$91K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,756 |
1,682 |
$63K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,257 |
3,094 |
$59K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,030 |
979 |
$31K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
375 |
348 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
419 |
372 |
$5K |
| 90837 |
Psychotherapy, 53 minutes with patient |
109 |
66 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
42 |
41 |
$3K |
| 99188 |
|
128 |
124 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
208 |
191 |
$2K |
| 90686 |
|
878 |
823 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
25 |
25 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
213 |
204 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
144 |
66 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
235 |
221 |
$930.28 |
| 99460 |
|
13 |
13 |
$869.86 |
| 87428 |
|
43 |
42 |
$277.10 |
| 81025 |
|
85 |
76 |
$235.03 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
14 |
$221.69 |
| 81003 |
|
437 |
394 |
$40.21 |
| 90647 |
|
1,124 |
1,024 |
$0.00 |
| 90723 |
|
1,215 |
1,125 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 96127 |
|
458 |
446 |
$0.00 |
| 99174 |
|
188 |
188 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
14 |
$0.00 |
| 99000 |
|
106 |
101 |
$0.00 |
| 90651 |
|
47 |
37 |
$0.00 |
| 90716 |
|
15 |
15 |
$0.00 |
| 90670 |
|
1,587 |
1,454 |
$0.00 |
| 90681 |
|
554 |
514 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
502 |
469 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90633 |
|
340 |
313 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
24 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
21 |
$0.00 |
| 90461 |
|
33 |
32 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90707 |
|
15 |
15 |
$0.00 |