| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
54,711 |
46,625 |
$3.08M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,688 |
20,954 |
$326K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,160 |
16,737 |
$177K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
728 |
727 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,132 |
1,125 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,004 |
988 |
$18K |
| 99215 |
Prolong outpt/office vis |
851 |
841 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,003 |
978 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
523 |
523 |
$12K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,812 |
1,774 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
466 |
454 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,918 |
2,895 |
$8K |
| 90834 |
Psychotherapy, 45 minutes with patient |
235 |
147 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
344 |
343 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
198 |
198 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
811 |
777 |
$3K |
| 90686 |
|
985 |
983 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
263 |
260 |
$2K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
320 |
315 |
$985.37 |
| 90837 |
Psychotherapy, 53 minutes with patient |
87 |
64 |
$860.19 |
| 90656 |
|
49 |
49 |
$509.40 |
| 90670 |
|
579 |
577 |
$499.37 |
| 99406 |
|
176 |
172 |
$282.65 |
| 0124A |
|
18 |
18 |
$262.71 |
| 90651 |
|
102 |
101 |
$229.34 |
| 90473 |
|
135 |
135 |
$167.08 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
12 |
12 |
$86.57 |
| 96127 |
|
59 |
59 |
$82.99 |
| 90715 |
|
69 |
68 |
$69.93 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
16 |
$13.12 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
28 |
27 |
$11.40 |
| 90633 |
|
102 |
101 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 3077F |
|
29 |
28 |
$0.00 |
| 90734 |
|
48 |
48 |
$0.00 |
| 81002 |
|
19 |
19 |
$0.00 |
| 90710 |
|
38 |
38 |
$0.00 |
| 3078F |
|
19 |
19 |
$0.00 |
| 90648 |
|
14 |
14 |
$0.00 |
| 90723 |
|
25 |
25 |
$0.00 |
| 90698 |
|
338 |
337 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
406 |
405 |
$0.00 |
| 90680 |
|
176 |
175 |
$0.00 |
| 90696 |
|
38 |
38 |
$0.00 |
| 90744 |
|
118 |
118 |
$0.00 |
| 3074F |
|
36 |
36 |
$0.00 |
| 3075F |
|
15 |
15 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
15 |
13 |
$0.00 |
| 90647 |
|
39 |
38 |
$0.00 |
| 3079F |
|
19 |
19 |
$0.00 |
| 3080F |
|
16 |
14 |
$0.00 |