| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,580 |
9,548 |
$2.31M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,379 |
23,739 |
$537K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,691 |
1,524 |
$44K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,620 |
2,392 |
$36K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,592 |
4,075 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,789 |
2,263 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,056 |
923 |
$27K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,583 |
2,273 |
$22K |
| 90671 |
|
344 |
283 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
544 |
517 |
$18K |
| 92551 |
|
3,765 |
3,430 |
$14K |
| 90697 |
|
293 |
261 |
$9K |
| 59025 |
Fetal non-stress test |
337 |
191 |
$8K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
7,838 |
6,854 |
$6K |
| 90686 |
|
1,259 |
1,092 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
536 |
443 |
$5K |
| 81025 |
|
2,112 |
1,798 |
$4K |
| 99173 |
|
3,833 |
3,491 |
$4K |
| 81002 |
|
13,156 |
9,852 |
$3K |
| 90658 |
|
213 |
212 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
254 |
249 |
$3K |
| 99401 |
|
1,301 |
1,043 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
135 |
100 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
65 |
65 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
37 |
33 |
$975.27 |
| 97802 |
|
2,457 |
2,040 |
$953.30 |
| 0011A |
|
31 |
31 |
$720.79 |
| 90698 |
|
150 |
99 |
$621.10 |
| 0001A |
|
16 |
15 |
$520.00 |
| 82962 |
|
673 |
519 |
$241.72 |
| 90670 |
|
218 |
160 |
$210.00 |
| 88142 |
|
20 |
13 |
$168.30 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
51 |
46 |
$153.97 |
| 97803 |
|
2,629 |
2,182 |
$144.65 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
149 |
123 |
$107.43 |
| 99381 |
|
283 |
282 |
$80.06 |
| 87590 |
|
70 |
54 |
$65.72 |
| 90688 |
|
53 |
53 |
$53.18 |
| 3044F |
|
45 |
38 |
$3.00 |
| 87490 |
|
113 |
105 |
$2.00 |
| 99000 |
|
740 |
581 |
$1.50 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
217 |
217 |
$0.00 |
| 86580 |
|
13 |
13 |
$0.00 |
| 90744 |
|
51 |
51 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
27 |
27 |
$0.00 |
| 0503F |
|
27 |
26 |
$0.00 |
| 90716 |
|
14 |
14 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90633 |
|
16 |
16 |
$0.00 |
| 90681 |
|
147 |
138 |
$0.00 |
| 0502F |
|
149 |
108 |
$0.00 |
| 90649 |
|
12 |
12 |
$0.00 |
| 3046F |
|
13 |
13 |
$0.00 |