| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
20,446 |
15,759 |
$2.72M |
| 99051 |
|
884 |
768 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,335 |
10,521 |
$448.60 |
| 3074F |
|
3,133 |
2,239 |
$45.00 |
| 3078F |
|
3,114 |
2,231 |
$35.00 |
| 90734 |
|
28 |
27 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
164 |
126 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
534 |
506 |
$0.00 |
| 1003F |
|
4,153 |
2,752 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
109 |
65 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
787 |
635 |
$0.00 |
| 1158F |
|
1,971 |
1,262 |
$0.00 |
| 99173 |
|
202 |
169 |
$0.00 |
| 90685 |
|
135 |
109 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
431 |
366 |
$0.00 |
| 90670 |
|
78 |
65 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,269 |
1,029 |
$0.00 |
| 1159F |
|
1,869 |
1,323 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
200 |
175 |
$0.00 |
| 1160F |
|
1,870 |
1,323 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
142 |
116 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
120 |
111 |
$0.00 |
| 99401 |
|
103 |
79 |
$0.00 |
| J7510 |
Prednisolone oral, per 5 mg |
261 |
210 |
$0.00 |
| 90633 |
|
63 |
56 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90671 |
|
15 |
14 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
241 |
182 |
$0.00 |
| H0033 |
Oral medication administration, direct observation |
59 |
51 |
$0.00 |
| 1126F |
|
5,804 |
4,674 |
$0.00 |
| 2001F |
|
4,607 |
3,086 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
603 |
530 |
$0.00 |
| 2010F |
|
4,447 |
2,973 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
309 |
293 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
645 |
517 |
$0.00 |
| 90686 |
|
532 |
499 |
$0.00 |
| 3008F |
|
3,323 |
2,304 |
$0.00 |
| 90688 |
|
224 |
181 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
116 |
93 |
$0.00 |
| 2000F |
|
3,862 |
2,590 |
$0.00 |
| 96127 |
|
120 |
90 |
$0.00 |
| 92551 |
|
142 |
122 |
$0.00 |
| 90647 |
|
31 |
25 |
$0.00 |
| 90651 |
|
101 |
88 |
$0.00 |
| 90723 |
|
28 |
26 |
$0.00 |
| 90697 |
|
14 |
14 |
$0.00 |