| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
38,718 |
30,261 |
$1.49M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,661 |
14,251 |
$276K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,843 |
10,115 |
$261K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,590 |
1,638 |
$181K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,718 |
1,009 |
$60K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,448 |
4,279 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,190 |
1,181 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,055 |
1,064 |
$11K |
| 90832 |
Psychotherapy, 30 minutes with patient |
406 |
287 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
252 |
251 |
$7K |
| 99215 |
Prolong outpt/office vis |
205 |
194 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
112 |
112 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
302 |
292 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
962 |
906 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
521 |
511 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
663 |
649 |
$3K |
| 90686 |
|
604 |
600 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
569 |
566 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
70 |
70 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
138 |
136 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
58 |
58 |
$2K |
| 81002 |
|
1,147 |
1,102 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
37 |
37 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
364 |
364 |
$1K |
| 96127 |
|
579 |
487 |
$724.66 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
24 |
24 |
$664.91 |
| 90791 |
Psychiatric diagnostic evaluation |
14 |
14 |
$600.64 |
| 84703 |
|
208 |
201 |
$516.68 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
14 |
$82.55 |
| G0009 |
Administration of pneumococcal vaccine |
12 |
12 |
$68.55 |
| 3074F |
|
10,685 |
9,752 |
$51.39 |
| 90715 |
|
14 |
14 |
$32.55 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
12 |
12 |
$22.50 |
| 3079F |
|
4,674 |
4,420 |
$0.00 |
| 3075F |
|
3,006 |
2,892 |
$0.00 |
| 3080F |
|
2,038 |
1,921 |
$0.00 |
| 3044F |
|
42 |
42 |
$0.00 |
| 3078F |
|
9,592 |
8,796 |
$0.00 |
| 3077F |
|
2,636 |
2,472 |
$0.00 |
| G9920 |
Screening performed and negative |
435 |
434 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 90734 |
|
27 |
27 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
54 |
54 |
$0.00 |