| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
20,673 |
16,656 |
$1.42M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,514 |
10,718 |
$463K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
29,302 |
8,014 |
$242K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,811 |
2,593 |
$148K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,315 |
2,313 |
$116K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,999 |
1,089 |
$58K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
868 |
487 |
$28K |
| 92551 |
|
4,765 |
2,689 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
411 |
389 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
920 |
471 |
$5K |
| 90474 |
|
870 |
509 |
$4K |
| 99382 |
|
92 |
90 |
$4K |
| 99383 |
|
76 |
50 |
$3K |
| 99173 |
|
2,283 |
1,361 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
122 |
53 |
$3K |
| 90670 |
|
3,098 |
1,771 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
68 |
35 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
142 |
80 |
$2K |
| 99381 |
|
89 |
71 |
$2K |
| 85018 |
|
1,223 |
647 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
62 |
35 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$1K |
| 90698 |
|
3,159 |
1,804 |
$904.70 |
| 99384 |
|
19 |
13 |
$884.16 |
| 90677 |
|
518 |
307 |
$865.98 |
| 36416 |
|
426 |
227 |
$740.80 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
293 |
170 |
$624.88 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
75 |
43 |
$428.48 |
| 90633 |
|
1,482 |
880 |
$284.86 |
| 90651 |
|
211 |
119 |
$270.55 |
| 3008F |
|
2,171 |
1,732 |
$210.00 |
| 90686 |
|
2,738 |
1,620 |
$147.60 |
| 90734 |
|
283 |
168 |
$115.88 |
| 90680 |
|
1,278 |
755 |
$40.00 |
| 90688 |
|
365 |
196 |
$20.48 |
| 90744 |
|
911 |
529 |
$20.00 |
| 90681 |
|
110 |
52 |
$10.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
34 |
20 |
$9.69 |
| 90710 |
|
93 |
49 |
$0.00 |
| 90685 |
|
57 |
55 |
$0.00 |
| 90672 |
|
160 |
95 |
$0.00 |
| 90658 |
|
48 |
48 |
$0.00 |
| 90715 |
|
52 |
30 |
$0.00 |
| 90697 |
|
418 |
230 |
$0.00 |
| 90656 |
|
72 |
72 |
$0.00 |
| 94760 |
|
81 |
42 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
40 |
40 |
$0.00 |
| 90696 |
|
69 |
39 |
$0.00 |
| 90619 |
|
25 |
12 |
$0.00 |