| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
61,184 |
47,770 |
$2.74M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,204 |
22,014 |
$203K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,907 |
18,458 |
$111K |
| 99215 |
Prolong outpt/office vis |
2,864 |
2,704 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,658 |
1,654 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,254 |
1,241 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,162 |
1,158 |
$10K |
| 90670 |
|
689 |
681 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,524 |
5,326 |
$8K |
| 90688 |
|
879 |
869 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,176 |
2,151 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
857 |
840 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
175 |
172 |
$4K |
| 96160 |
|
2,801 |
2,736 |
$4K |
| 90677 |
|
121 |
121 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,591 |
2,177 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
469 |
462 |
$3K |
| 90651 |
|
216 |
215 |
$3K |
| 98966 |
|
510 |
479 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,418 |
1,373 |
$2K |
| 90734 |
|
202 |
202 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
257 |
247 |
$1K |
| 90686 |
|
828 |
819 |
$1K |
| 99441 |
|
85 |
80 |
$809.58 |
| 99422 |
|
82 |
79 |
$786.50 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
346 |
341 |
$774.18 |
| 97802 |
|
3,522 |
3,507 |
$690.00 |
| 99421 |
|
69 |
68 |
$657.80 |
| 81003 |
|
2,261 |
2,134 |
$626.41 |
| 0013A |
|
15 |
15 |
$492.05 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
46 |
46 |
$473.37 |
| 90658 |
|
30 |
30 |
$441.31 |
| 81025 |
|
320 |
308 |
$284.03 |
| 90716 |
|
148 |
147 |
$272.52 |
| 90707 |
|
110 |
110 |
$224.30 |
| 90620 |
|
58 |
58 |
$169.60 |
| 90715 |
|
65 |
65 |
$148.85 |
| 0031A |
|
29 |
28 |
$100.88 |
| 93000 |
|
126 |
125 |
$89.60 |
| 90656 |
|
19 |
19 |
$44.70 |
| 90685 |
|
31 |
30 |
$43.62 |
| 99406 |
|
100 |
98 |
$36.00 |
| 36415 |
Collection of venous blood by venipuncture |
32 |
31 |
$22.93 |
| 3079F |
|
2,302 |
2,021 |
$19.28 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
56 |
39 |
$13.68 |
| 94760 |
|
2,309 |
2,097 |
$2.34 |
| 3044F |
|
98 |
97 |
$0.00 |
| 90723 |
|
400 |
395 |
$0.00 |
| 91301 |
|
59 |
59 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,232 |
1,220 |
$0.00 |
| 3008F |
|
2,373 |
2,345 |
$0.00 |
| 90680 |
|
205 |
203 |
$0.00 |
| 3080F |
|
207 |
196 |
$0.00 |
| 1036F |
|
975 |
947 |
$0.00 |
| 3075F |
|
1,615 |
1,415 |
$0.00 |
| 1034F |
|
686 |
632 |
$0.00 |
| 3074F |
|
3,623 |
3,124 |
$0.00 |
| 1035F |
|
13 |
12 |
$0.00 |
| 91303 |
|
36 |
28 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$0.00 |
| 90733 |
|
29 |
29 |
$0.00 |
| 99173 |
|
3,111 |
3,099 |
$0.00 |
| 90648 |
|
701 |
694 |
$0.00 |
| 3078F |
|
2,935 |
2,585 |
$0.00 |
| 90633 |
|
140 |
135 |
$0.00 |
| G9920 |
Screening performed and negative |
167 |
167 |
$0.00 |
| 99072 |
|
5,720 |
4,820 |
$0.00 |
| 3077F |
|
199 |
187 |
$0.00 |