| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
103,114 |
71,968 |
$7.45M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33,968 |
25,435 |
$856K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
78,109 |
57,533 |
$500K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,504 |
5,253 |
$173K |
| 99051 |
|
14,116 |
10,611 |
$163K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
539 |
188 |
$126K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
2,246 |
1,732 |
$124K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,135 |
3,965 |
$115K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,568 |
3,727 |
$105K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,601 |
6,936 |
$81K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16,007 |
12,546 |
$80K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,220 |
2,594 |
$70K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
10,736 |
8,635 |
$67K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,032 |
1,261 |
$39K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,962 |
5,317 |
$26K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
11,578 |
8,203 |
$26K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
121 |
111 |
$24K |
| 99215 |
Prolong outpt/office vis |
317 |
270 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
293 |
258 |
$18K |
| 83655 |
|
3,801 |
2,761 |
$15K |
| 80305 |
|
2,106 |
1,547 |
$12K |
| 92551 |
|
7,108 |
5,450 |
$12K |
| 80053 |
Comprehensive metabolic panel |
1,782 |
1,293 |
$11K |
| 90474 |
|
2,126 |
1,694 |
$10K |
| 87807 |
|
1,063 |
814 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,898 |
1,467 |
$9K |
| 99188 |
|
460 |
348 |
$8K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,647 |
1,255 |
$8K |
| 81002 |
|
7,052 |
5,050 |
$4K |
| 99499 |
|
403 |
333 |
$4K |
| 99173 |
|
10,978 |
8,320 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
408 |
230 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
8,012 |
5,403 |
$3K |
| 94060 |
|
91 |
71 |
$3K |
| 90473 |
|
548 |
405 |
$3K |
| 90647 |
|
2,109 |
1,561 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,276 |
976 |
$2K |
| 90672 |
|
715 |
502 |
$1K |
| 81025 |
|
982 |
711 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,638 |
1,237 |
$1K |
| 94016 |
|
91 |
71 |
$1K |
| 95115 |
|
231 |
97 |
$1K |
| 86318 |
|
135 |
99 |
$1K |
| 99381 |
|
113 |
99 |
$1K |
| 85018 |
|
769 |
651 |
$1K |
| 99201 |
|
26 |
26 |
$728.18 |
| 86308 |
|
210 |
163 |
$468.65 |
| 90620 |
|
196 |
143 |
$250.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,733 |
2,088 |
$224.23 |
| 90734 |
|
1,586 |
1,257 |
$221.25 |
| 90670 |
|
4,531 |
3,489 |
$214.62 |
| 90633 |
|
3,189 |
2,407 |
$115.03 |
| H2020 |
Therapeutic behavioral services, per diem |
33 |
26 |
$107.34 |
| 94010 |
|
102 |
71 |
$101.80 |
| 90686 |
|
2,089 |
1,450 |
$77.62 |
| 90715 |
|
683 |
552 |
$30.95 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,497 |
1,080 |
$10.00 |
| 90651 |
|
1,457 |
1,165 |
$0.71 |
| 90648 |
|
232 |
183 |
$0.00 |
| 90707 |
|
2,253 |
1,700 |
$0.00 |
| 90700 |
|
681 |
548 |
$0.00 |
| 90681 |
|
1,412 |
1,216 |
$0.00 |
| 90713 |
|
19 |
14 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
18 |
13 |
$0.00 |
| J7609 |
Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg |
1,371 |
985 |
$0.00 |
| 90716 |
|
2,263 |
1,693 |
$0.00 |
| 90698 |
|
772 |
719 |
$0.00 |
| 90723 |
|
2,400 |
1,674 |
$0.00 |
| 90696 |
|
786 |
556 |
$0.00 |
| 90697 |
|
194 |
173 |
$0.00 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
357 |
235 |
$0.00 |
| 90688 |
|
133 |
111 |
$0.00 |
| 90680 |
|
712 |
359 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
99 |
85 |
$0.00 |
| 90677 |
|
177 |
157 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
35 |
19 |
$0.00 |
| 90744 |
|
27 |
27 |
$0.00 |