| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
21,315 |
17,667 |
$8.50M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,091 |
5,176 |
$252K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,794 |
2,289 |
$121K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,680 |
1,444 |
$67K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,847 |
3,241 |
$48K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,056 |
903 |
$26K |
| D0140 |
Limited oral evaluation - problem focused |
1,144 |
1,008 |
$26K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
125 |
117 |
$15K |
| D0330 |
Panoramic radiographic image |
372 |
351 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
78 |
68 |
$6K |
| 0001A |
|
156 |
141 |
$5K |
| 0012A |
|
228 |
212 |
$5K |
| D9110 |
|
127 |
118 |
$5K |
| D1206 |
Topical application of fluoride varnish |
422 |
383 |
$5K |
| 0002A |
|
117 |
104 |
$4K |
| 0011A |
|
253 |
227 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
862 |
779 |
$3K |
| 0071A |
|
59 |
58 |
$2K |
| 90688 |
|
187 |
162 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
145 |
134 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
276 |
238 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
131 |
107 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
19 |
17 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
565 |
497 |
$1K |
| 80053 |
Comprehensive metabolic panel |
151 |
134 |
$1K |
| 90686 |
|
144 |
135 |
$1K |
| 91322 |
|
17 |
16 |
$945.00 |
| D0220 |
Intraoral - periapical first radiographic image |
81 |
74 |
$815.72 |
| 0072A |
|
19 |
19 |
$760.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
94 |
88 |
$706.98 |
| 81000 |
|
254 |
219 |
$652.00 |
| 0134A |
|
37 |
35 |
$640.00 |
| 0003A |
|
14 |
14 |
$560.00 |
| 0031A |
|
14 |
14 |
$520.00 |
| 0064A |
|
12 |
12 |
$440.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
29 |
26 |
$418.00 |
| 83655 |
|
16 |
13 |
$144.60 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
15 |
$128.10 |
| 80061 |
Lipid panel |
15 |
14 |
$127.44 |
| 81025 |
|
18 |
16 |
$124.92 |
| 82652 |
|
14 |
12 |
$120.90 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
28 |
25 |
$116.02 |
| D0230 |
Intraoral - periapical each additional radiographic image |
36 |
12 |
$98.97 |
| 36416 |
|
54 |
34 |
$75.76 |
| 90734 |
|
15 |
13 |
$73.80 |
| 81003 |
|
30 |
27 |
$45.85 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
96 |
87 |
$45.09 |
| 87806 |
|
16 |
15 |
$33.20 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
43 |
40 |
$0.00 |
| 91301 |
|
584 |
517 |
$0.00 |
| 91307 |
|
108 |
90 |
$0.00 |
| 91303 |
|
13 |
13 |
$0.00 |
| D0190 |
|
115 |
108 |
$0.00 |
| 91300 |
|
302 |
271 |
$0.00 |
| D0191 |
|
105 |
101 |
$0.00 |
| 90649 |
|
23 |
21 |
$0.00 |