| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
46,243 |
28,196 |
$5.11M |
| 90734 |
|
594 |
385 |
$5K |
| 90670 |
|
2,816 |
1,659 |
$4K |
| 90651 |
|
620 |
411 |
$2K |
| 90686 |
|
2,307 |
1,643 |
$2K |
| 90633 |
|
1,413 |
857 |
$995.08 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,386 |
13,096 |
$884.64 |
| 90715 |
|
215 |
119 |
$751.88 |
| 90723 |
|
2,209 |
1,324 |
$481.58 |
| 90710 |
|
195 |
114 |
$428.74 |
| 90716 |
|
326 |
160 |
$413.53 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,490 |
4,782 |
$333.45 |
| 90647 |
|
2,087 |
1,242 |
$248.55 |
| 90681 |
|
1,374 |
789 |
$224.20 |
| 96127 |
|
14,517 |
10,189 |
$219.00 |
| 90707 |
|
344 |
152 |
$97.88 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,554 |
853 |
$74.22 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,808 |
1,336 |
$47.10 |
| 97802 |
|
2,254 |
1,399 |
$30.00 |
| 81002 |
|
3,552 |
2,135 |
$18.20 |
| 90700 |
|
188 |
135 |
$6.40 |
| 97803 |
|
12,019 |
8,053 |
$0.00 |
| 99173 |
|
244 |
151 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,573 |
2,604 |
$0.00 |
| 0502F |
|
259 |
184 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,455 |
2,314 |
$0.00 |
| 59426 |
|
1,208 |
506 |
$0.00 |
| 59425 |
|
372 |
278 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,066 |
807 |
$0.00 |
| 99201 |
|
71 |
70 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,367 |
1,571 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
731 |
566 |
$0.00 |
| 81025 |
|
26 |
25 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
69 |
55 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
128 |
110 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
43 |
13 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
15 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,848 |
1,261 |
$0.00 |
| 99381 |
|
352 |
325 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
122 |
120 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,098 |
4,019 |
$0.00 |
| 90474 |
|
1,068 |
575 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,222 |
1,105 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
14,240 |
9,278 |
$0.00 |
| 88142 |
|
12 |
12 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
55 |
55 |
$0.00 |
| 90696 |
|
76 |
58 |
$0.00 |
| 99383 |
|
35 |
33 |
$0.00 |
| 99384 |
|
12 |
12 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
48 |
38 |
$0.00 |
| 86580 |
|
24 |
20 |
$0.00 |