| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
30,582 |
23,155 |
$5.38M |
| 99199 |
Unlisted special service, procedure or report |
75,144 |
48,458 |
$440K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,721 |
1,378 |
$133K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,525 |
1,173 |
$115K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,664 |
2,093 |
$88K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,120 |
848 |
$83K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,294 |
2,205 |
$71K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
911 |
578 |
$61K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,369 |
4,899 |
$55K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,037 |
2,465 |
$49K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,755 |
3,076 |
$28K |
| D0145 |
Oral evaluation for a patient under three years of age |
1,055 |
699 |
$27K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,676 |
1,447 |
$22K |
| 96127 |
|
7,246 |
5,357 |
$14K |
| D1206 |
Topical application of fluoride varnish |
1,012 |
633 |
$11K |
| 97803 |
|
1,067 |
804 |
$9K |
| 92551 |
|
3,062 |
2,251 |
$7K |
| 99173 |
|
3,718 |
2,714 |
$3K |
| 87807 |
|
102 |
82 |
$2K |
| 96160 |
|
977 |
775 |
$1K |
| 81003 |
|
118 |
85 |
$400.84 |
| 90651 |
|
105 |
69 |
$257.98 |
| 85018 |
|
75 |
60 |
$206.80 |
| 90474 |
|
12 |
12 |
$164.52 |
| 96161 |
|
193 |
147 |
$157.08 |
| 90473 |
|
88 |
67 |
$109.68 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$33.36 |
| 90686 |
|
1,124 |
878 |
$19.19 |
| 3074F |
|
1,256 |
1,169 |
$0.57 |
| 3078F |
|
1,171 |
1,094 |
$0.55 |
| 3079F |
|
16 |
14 |
$0.02 |
| 90680 |
|
109 |
78 |
$0.00 |
| 90619 |
|
94 |
68 |
$0.00 |
| 90723 |
|
72 |
40 |
$0.00 |
| 90698 |
|
172 |
142 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
133 |
96 |
$0.00 |
| 90647 |
|
62 |
43 |
$0.00 |
| 90674 |
|
18 |
12 |
$0.00 |
| 90656 |
|
85 |
74 |
$0.00 |
| 90696 |
|
19 |
13 |
$0.00 |
| 90748 |
|
13 |
13 |
$0.00 |
| 90670 |
|
531 |
390 |
$0.00 |
| 90633 |
|
115 |
85 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
206 |
155 |
$0.00 |
| 90710 |
|
63 |
57 |
$0.00 |
| 90671 |
|
159 |
154 |
$0.00 |
| 90734 |
|
60 |
41 |
$0.00 |
| 90681 |
|
16 |
15 |
$0.00 |
| 90649 |
|
16 |
16 |
$0.00 |
| 90715 |
|
27 |
26 |
$0.00 |