| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
64,672 |
51,993 |
$8.95M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,379 |
26,010 |
$1.54M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,760 |
5,654 |
$501K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,367 |
5,310 |
$379K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,128 |
4,068 |
$283K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,133 |
2,957 |
$253K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
502 |
452 |
$242K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,972 |
2,916 |
$203K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,217 |
3,074 |
$149K |
| 99381 |
|
1,249 |
1,222 |
$136K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
21,063 |
8,662 |
$129K |
| 59514 |
|
141 |
140 |
$94K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
510 |
488 |
$61K |
| 59430 |
|
1,165 |
1,098 |
$54K |
| 59025 |
Fetal non-stress test |
1,445 |
793 |
$44K |
| 81003 |
|
16,275 |
11,587 |
$44K |
| 90620 |
|
525 |
511 |
$38K |
| 99460 |
|
426 |
422 |
$32K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,004 |
3,783 |
$31K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
38 |
37 |
$27K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
535 |
528 |
$26K |
| 87428 |
|
1,070 |
1,019 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
291 |
281 |
$21K |
| 90832 |
Psychotherapy, 30 minutes with patient |
466 |
346 |
$21K |
| 90461 |
|
4,420 |
3,779 |
$17K |
| 99462 |
|
449 |
310 |
$16K |
| 90715 |
|
1,353 |
1,325 |
$15K |
| 81025 |
|
4,949 |
4,544 |
$13K |
| 90791 |
Psychiatric diagnostic evaluation |
130 |
127 |
$11K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
410 |
397 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,318 |
4,196 |
$6K |
| 99383 |
|
86 |
86 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
694 |
669 |
$5K |
| 90686 |
|
3,660 |
3,556 |
$5K |
| 90834 |
Psychotherapy, 45 minutes with patient |
67 |
54 |
$4K |
| A4267 |
Contraceptive supply, condom, male, each |
805 |
788 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
792 |
759 |
$3K |
| 99384 |
|
35 |
34 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
59 |
56 |
$3K |
| 87807 |
|
309 |
298 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
271 |
269 |
$2K |
| 90651 |
|
1,378 |
1,349 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,085 |
2,155 |
$792.56 |
| 90677 |
|
1,590 |
1,545 |
$786.87 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
81 |
49 |
$666.02 |
| CP002 |
|
64 |
58 |
$597.28 |
| 90656 |
|
313 |
306 |
$593.99 |
| 85018 |
|
1,388 |
1,362 |
$368.04 |
| 90707 |
|
932 |
923 |
$365.89 |
| 0071A |
|
14 |
12 |
$342.12 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
228 |
222 |
$300.06 |
| 0002A |
|
32 |
32 |
$295.51 |
| 83655 |
|
38 |
38 |
$244.11 |
| 0001A |
|
31 |
31 |
$240.51 |
| 92551 |
|
808 |
792 |
$202.00 |
| 87400 |
|
24 |
20 |
$189.92 |
| 90700 |
|
952 |
938 |
$167.19 |
| 90734 |
|
935 |
920 |
$150.23 |
| 90648 |
|
3,588 |
3,530 |
$136.22 |
| 90716 |
|
950 |
940 |
$136.15 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
24 |
$126.88 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
237 |
232 |
$64.60 |
| 81001 |
|
14 |
14 |
$21.28 |
| 90474 |
|
966 |
942 |
$20.76 |
| 90723 |
|
2,660 |
2,622 |
$0.04 |
| 90633 |
|
2,107 |
2,077 |
$0.02 |
| 90710 |
|
885 |
873 |
$0.02 |
| 90681 |
|
2,312 |
2,285 |
$0.02 |
| 90380 |
|
17 |
17 |
$0.01 |
| 90696 |
|
661 |
656 |
$0.01 |
| 90670 |
|
3,131 |
3,104 |
$0.00 |
| 3078F |
|
1,913 |
1,392 |
$0.00 |
| 99173 |
|
877 |
859 |
$0.00 |
| 3077F |
|
27 |
26 |
$0.00 |
| 0502F |
|
21 |
16 |
$0.00 |
| 3074F |
|
2,294 |
1,665 |
$0.00 |
| 3079F |
|
734 |
601 |
$0.00 |
| 3008F |
|
70 |
69 |
$0.00 |
| 3075F |
|
333 |
284 |
$0.00 |
| 90733 |
|
206 |
200 |
$0.00 |
| 96127 |
|
327 |
314 |
$0.00 |
| 90698 |
|
1,102 |
1,095 |
$0.00 |
| 1036F |
|
111 |
105 |
$0.00 |
| 90744 |
|
53 |
53 |
$0.00 |
| 91307 |
|
13 |
12 |
$0.00 |
| 3080F |
|
13 |
12 |
$0.00 |