| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
20,334 |
15,354 |
$1.63M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,606 |
9,467 |
$272K |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,709 |
1,709 |
$122K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,038 |
1,293 |
$52K |
| 99442 |
|
3,166 |
1,576 |
$32K |
| 99443 |
|
564 |
332 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
515 |
268 |
$5K |
| 0011A |
|
127 |
126 |
$5K |
| 0012A |
|
95 |
93 |
$3K |
| 90686 |
|
670 |
531 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
916 |
714 |
$2K |
| 0064A |
|
48 |
46 |
$2K |
| 90661 |
|
55 |
51 |
$957.84 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
18 |
$864.66 |
| 0004A |
|
13 |
12 |
$826.92 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24 |
14 |
$788.06 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
95 |
72 |
$756.66 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
238 |
151 |
$633.01 |
| 90674 |
|
72 |
45 |
$600.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
28 |
14 |
$579.32 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
28 |
15 |
$548.92 |
| 0124A |
|
23 |
12 |
$451.92 |
| 82962 |
|
533 |
351 |
$327.89 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
12 |
$278.72 |
| 81003 |
|
379 |
281 |
$138.53 |
| 91300 |
|
47 |
42 |
$100.34 |
| 96160 |
|
120 |
101 |
$30.87 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
55 |
43 |
$19.00 |
| 90461 |
|
76 |
26 |
$15.00 |
| 81025 |
|
24 |
24 |
$12.92 |
| 91301 |
|
243 |
240 |
$2.33 |
| 91307 |
|
15 |
14 |
$0.13 |
| 3078F |
|
6,335 |
4,112 |
$0.00 |
| 3077F |
|
64 |
57 |
$0.00 |
| 91312 |
|
23 |
12 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$0.00 |
| 3079F |
|
1,838 |
1,269 |
$0.00 |
| 3080F |
|
17 |
14 |
$0.00 |
| 3008F |
|
6,222 |
3,369 |
$0.00 |
| 3074F |
|
5,638 |
4,507 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
30 |
15 |
$0.00 |
| 3075F |
|
480 |
375 |
$0.00 |
| 91306 |
|
50 |
47 |
$0.00 |