| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
8,996 |
7,922 |
$2.39M |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
7,025 |
5,794 |
$326K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,914 |
1,853 |
$99K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,916 |
1,855 |
$99K |
| 99199 |
Unlisted special service, procedure or report |
947 |
763 |
$53K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,142 |
1,117 |
$46K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,005 |
989 |
$30K |
| 87390 |
|
978 |
963 |
$22K |
| 84703 |
|
2,310 |
2,125 |
$17K |
| 86702 |
|
957 |
946 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,415 |
1,859 |
$11K |
| 86701 |
|
957 |
946 |
$10K |
| 0521 |
|
166 |
140 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,488 |
1,195 |
$8K |
| 92551 |
|
517 |
516 |
$8K |
| 96127 |
|
721 |
705 |
$5K |
| 86592 |
|
749 |
734 |
$5K |
| 91320 |
|
19 |
19 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
38 |
38 |
$668.78 |
| T1016 |
Case management, each 15 minutes |
13 |
12 |
$575.30 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
14 |
$494.98 |
| 85018 |
|
106 |
105 |
$431.43 |
| 86803 |
|
12 |
12 |
$306.88 |
| 83718 |
|
12 |
12 |
$157.92 |
| 99215 |
Prolong outpt/office vis |
16 |
12 |
$139.22 |
| 82465 |
|
12 |
12 |
$90.60 |
| 99000 |
|
43 |
41 |
$56.64 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
36 |
29 |
$36.20 |
| Z7500 |
|
6,763 |
5,947 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
122 |
120 |
$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) |
26 |
25 |
$0.00 |
| 99173 |
|
61 |
61 |
$0.00 |
| 99001 |
|
42 |
40 |
$0.00 |
| 99408 |
|
27 |
27 |
$0.00 |
| 86480 |
|
12 |
12 |
$0.00 |
| 90461 |
|
13 |
13 |
$0.00 |
| 96160 |
|
25 |
25 |
$0.00 |
| 87340 |
|
13 |
13 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
180 |
178 |
$0.00 |
| 90686 |
|
64 |
64 |
$0.00 |
| 86706 |
|
13 |
13 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
15 |
15 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
14 |
13 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
16 |
16 |
$0.00 |