| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
65,066 |
46,914 |
$11.34M |
| T1027 |
Family training and counseling for child development, per 15 minutes |
8,838 |
5,295 |
$105K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,133 |
10,748 |
$21K |
| 92015 |
Determination of refractive state |
2,604 |
2,138 |
$17K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
103 |
102 |
$16K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
541 |
470 |
$10K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
685 |
436 |
$10K |
| 90832 |
Psychotherapy, 30 minutes with patient |
8,417 |
3,671 |
$7K |
| V2020 |
Frames, purchases |
1,071 |
939 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
607 |
333 |
$6K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,754 |
1,626 |
$6K |
| 90461 |
|
6,826 |
5,327 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,118 |
2,548 |
$5K |
| 86328 |
|
159 |
149 |
$4K |
| 90686 |
|
6,218 |
5,344 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
396 |
358 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,862 |
14,041 |
$3K |
| V2750 |
Anti-reflective coating, per lens |
124 |
108 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
755 |
655 |
$2K |
| V2760 |
Scratch resistant coating, per lens |
1,088 |
618 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,025 |
3,420 |
$2K |
| 99177 |
|
297 |
255 |
$2K |
| 90648 |
|
1,518 |
1,213 |
$1K |
| V2755 |
U-v lens, per lens |
565 |
487 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
252 |
227 |
$799.24 |
| 90633 |
|
314 |
234 |
$792.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
79 |
74 |
$788.02 |
| 90723 |
|
753 |
614 |
$657.27 |
| 90480 |
|
35 |
31 |
$640.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,905 |
1,549 |
$498.89 |
| 92551 |
|
202 |
172 |
$498.44 |
| 90867 |
|
18 |
16 |
$306.00 |
| 90670 |
|
881 |
726 |
$276.50 |
| 99401 |
|
776 |
269 |
$270.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,187 |
2,495 |
$269.82 |
| 90656 |
|
327 |
293 |
$264.71 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
130 |
120 |
$239.14 |
| 87400 |
|
51 |
46 |
$205.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
127 |
105 |
$203.46 |
| 90680 |
|
428 |
343 |
$192.00 |
| 83655 |
|
27 |
24 |
$139.36 |
| 90707 |
|
76 |
70 |
$73.71 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,715 |
3,167 |
$67.95 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,726 |
3,137 |
$67.95 |
| 85018 |
|
65 |
51 |
$62.16 |
| 90677 |
|
70 |
63 |
$0.00 |
| 90620 |
|
45 |
39 |
$0.00 |
| 90651 |
|
186 |
150 |
$0.00 |
| 90716 |
|
102 |
93 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
44 |
40 |
$0.00 |
| 36416 |
|
30 |
25 |
$0.00 |
| 90697 |
|
50 |
43 |
$0.00 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
16 |
14 |
$0.00 |
| 90669 |
|
549 |
379 |
$0.00 |
| 91321 |
|
15 |
14 |
$0.00 |
| 99173 |
|
182 |
164 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
175 |
142 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
20 |
15 |
$0.00 |
| 90687 |
|
20 |
16 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
40 |
36 |
$0.00 |
| 90734 |
|
162 |
124 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
70 |
12 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
12 |
$0.00 |