| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
54,384 |
47,818 |
$3.32M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,892 |
20,326 |
$88K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,092 |
20,518 |
$64K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,988 |
1,977 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,179 |
7,923 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
730 |
729 |
$5K |
| 99215 |
Prolong outpt/office vis |
1,034 |
1,012 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
299 |
274 |
$2K |
| 90682 |
|
54 |
54 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,886 |
2,858 |
$2K |
| 90715 |
|
136 |
135 |
$2K |
| 90686 |
|
400 |
400 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,030 |
1,024 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,374 |
1,320 |
$1K |
| 90688 |
|
112 |
112 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
414 |
395 |
$1K |
| 98966 |
|
462 |
387 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
501 |
480 |
$958.21 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
213 |
211 |
$884.29 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
203 |
202 |
$873.48 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
243 |
242 |
$719.12 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
163 |
163 |
$650.72 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
136 |
136 |
$555.98 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
109 |
109 |
$516.18 |
| 90837 |
Psychotherapy, 53 minutes with patient |
414 |
255 |
$465.90 |
| 81002 |
|
1,922 |
1,850 |
$339.16 |
| 81025 |
|
1,064 |
1,046 |
$244.77 |
| 0054A |
|
13 |
13 |
$225.18 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
183 |
175 |
$155.72 |
| 81003 |
|
1,126 |
1,105 |
$73.54 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
39 |
39 |
$41.13 |
| G9002 |
Coordinated care fee, maintenance rate |
16 |
16 |
$40.44 |
| 99406 |
|
225 |
214 |
$30.87 |
| 93000 |
|
28 |
26 |
$8.32 |
| 3079F |
|
1,096 |
1,073 |
$0.00 |
| 3008F |
|
984 |
956 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
1,028 |
961 |
$0.00 |
| S0250 |
Comprehensive geriatric assessment and treatment planning performed by assessment team |
832 |
821 |
$0.00 |
| 3074F |
|
2,408 |
2,339 |
$0.00 |
| 3075F |
|
433 |
423 |
$0.00 |
| 3080F |
|
25 |
24 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
127 |
125 |
$0.00 |
| 3044F |
|
319 |
304 |
$0.00 |
| 90651 |
|
15 |
15 |
$0.00 |
| 3078F |
|
1,986 |
1,932 |
$0.00 |
| 3077F |
|
43 |
42 |
$0.00 |
| 90670 |
|
40 |
39 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
18 |
18 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |