| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
20,590 |
16,740 |
$855K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,833 |
11,372 |
$557K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,905 |
4,420 |
$152K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,507 |
1,442 |
$80K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,610 |
1,500 |
$77K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
877 |
864 |
$51K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
542 |
536 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
535 |
435 |
$29K |
| 90633 |
|
684 |
668 |
$19K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
431 |
377 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
409 |
384 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
722 |
641 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
707 |
653 |
$8K |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
990 |
379 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
129 |
128 |
$7K |
| 90686 |
|
343 |
327 |
$6K |
| 83655 |
|
433 |
425 |
$5K |
| 36416 |
|
1,028 |
1,009 |
$2K |
| 0001A |
|
36 |
36 |
$2K |
| 90656 |
|
520 |
424 |
$2K |
| 0002A |
|
40 |
39 |
$1K |
| 85018 |
|
659 |
649 |
$1K |
| 0072A |
|
12 |
12 |
$1K |
| 90670 |
|
1,520 |
1,482 |
$1K |
| 0071A |
|
12 |
12 |
$1K |
| 87807 |
|
105 |
89 |
$1K |
| 90698 |
|
974 |
951 |
$368.80 |
| 90461 |
|
2,868 |
2,724 |
$307.78 |
| 90651 |
|
370 |
365 |
$255.23 |
| 90734 |
|
361 |
351 |
$237.55 |
| 90680 |
|
843 |
824 |
$220.40 |
| 90710 |
|
503 |
488 |
$166.11 |
| 90715 |
|
237 |
231 |
$143.69 |
| 90655 |
|
137 |
132 |
$105.00 |
| 90744 |
|
521 |
509 |
$94.72 |
| 90696 |
|
161 |
155 |
$10.00 |
| 91300 |
|
59 |
53 |
$0.59 |
| 91307 |
|
24 |
20 |
$0.24 |
| 94760 |
|
16 |
12 |
$0.00 |
| 90697 |
|
42 |
42 |
$0.00 |
| 90688 |
|
13 |
13 |
$0.00 |
| 90621 |
|
46 |
46 |
$0.00 |
| 90700 |
|
15 |
15 |
$0.00 |
| 90648 |
|
44 |
39 |
$0.00 |