| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
36,840 |
28,015 |
$6.92M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,750 |
3,164 |
$56K |
| G9920 |
Screening performed and negative |
7,209 |
4,584 |
$44K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,534 |
2,092 |
$24K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,345 |
1,349 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,368 |
2,015 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,579 |
3,879 |
$12K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,717 |
1,655 |
$12K |
| 92551 |
|
3,295 |
2,217 |
$12K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,789 |
1,100 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,679 |
1,596 |
$9K |
| 90686 |
|
2,918 |
2,050 |
$8K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,061 |
530 |
$7K |
| 90480 |
|
125 |
125 |
$5K |
| 92552 |
|
3,144 |
1,890 |
$5K |
| 90656 |
|
966 |
695 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,126 |
6,928 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
381 |
230 |
$1K |
| 99173 |
|
5,957 |
3,667 |
$1K |
| 90744 |
|
727 |
513 |
$894.75 |
| 90651 |
|
625 |
421 |
$669.25 |
| 90677 |
|
179 |
118 |
$359.00 |
| 86580 |
|
191 |
121 |
$354.80 |
| 90461 |
|
1,441 |
991 |
$353.12 |
| 90791 |
Psychiatric diagnostic evaluation |
32 |
27 |
$344.97 |
| 90734 |
|
368 |
248 |
$275.50 |
| 99384 |
|
49 |
44 |
$263.12 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,458 |
2,417 |
$240.32 |
| 90633 |
|
356 |
245 |
$230.25 |
| 99383 |
|
92 |
78 |
$219.32 |
| 90620 |
|
220 |
150 |
$200.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
180 |
117 |
$116.85 |
| 90670 |
|
229 |
144 |
$109.00 |
| 98940 |
|
17,746 |
7,196 |
$50.16 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
94 |
57 |
$41.38 |
| 90680 |
|
66 |
43 |
$39.50 |
| 90697 |
|
37 |
26 |
$30.00 |
| 90710 |
|
99 |
74 |
$23.75 |
| 90707 |
|
78 |
69 |
$19.00 |
| 97810 |
|
6,008 |
2,537 |
$18.00 |
| 90698 |
|
48 |
30 |
$10.00 |
| 90715 |
|
101 |
85 |
$9.50 |
| 90648 |
|
20 |
12 |
$9.50 |
| 90716 |
|
21 |
19 |
$9.50 |
| 90696 |
|
21 |
13 |
$4.75 |
| 97803 |
|
7,017 |
4,279 |
$0.02 |
| 3725F |
|
1,776 |
1,148 |
$0.00 |
| 92015 |
Determination of refractive state |
241 |
157 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
344 |
199 |
$0.00 |
| 97813 |
|
383 |
204 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
27 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,341 |
861 |
$0.00 |
| 3008F |
|
8,812 |
5,516 |
$0.00 |
| 98943 |
|
958 |
369 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
175 |
107 |
$0.00 |
| 97802 |
|
174 |
150 |
$0.00 |
| 92250 |
|
73 |
44 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
69 |
41 |
$0.00 |