| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
65,424 |
46,967 |
$4.51M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33,228 |
25,536 |
$61K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,346 |
15,303 |
$36K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,558 |
4,514 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,774 |
2,332 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
294 |
265 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,004 |
2,277 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,159 |
1,664 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,418 |
992 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,387 |
1,594 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
475 |
370 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
114 |
107 |
$859.21 |
| 0001A |
|
87 |
33 |
$321.04 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
90 |
70 |
$262.39 |
| 0002A |
|
47 |
16 |
$258.36 |
| 92551 |
|
384 |
320 |
$183.48 |
| 81003 |
|
1,243 |
990 |
$169.73 |
| 90686 |
|
1,229 |
979 |
$95.15 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
743 |
476 |
$60.88 |
| 99173 |
|
1,123 |
914 |
$36.01 |
| 81025 |
|
62 |
52 |
$25.25 |
| 85018 |
|
311 |
244 |
$21.24 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
74 |
56 |
$14.42 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
15 |
13 |
$9.66 |
| 90474 |
|
297 |
194 |
$9.13 |
| 82962 |
|
146 |
120 |
$8.10 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
32 |
26 |
$0.64 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,236 |
920 |
$0.00 |
| 90680 |
|
327 |
204 |
$0.00 |
| 99443 |
|
149 |
70 |
$0.00 |
| 90698 |
|
100 |
95 |
$0.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
61 |
45 |
$0.00 |
| 90656 |
|
61 |
50 |
$0.00 |
| 92558 |
|
234 |
121 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
29 |
26 |
$0.00 |
| 87428 |
|
60 |
57 |
$0.00 |
| 90677 |
|
223 |
180 |
$0.00 |
| 90697 |
|
119 |
75 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
13 |
$0.00 |
| 99381 |
|
27 |
14 |
$0.00 |
| 90651 |
|
14 |
13 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
12 |
12 |
$0.00 |
| 90480 |
|
14 |
14 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
13 |
12 |
$0.00 |
| 90673 |
|
14 |
13 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
14 |
12 |
$0.00 |
| 90670 |
|
96 |
77 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
300 |
238 |
$0.00 |
| 90633 |
|
103 |
72 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
446 |
337 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
144 |
137 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
47 |
40 |
$0.00 |
| 99177 |
|
161 |
109 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
252 |
217 |
$0.00 |
| 91300 |
|
198 |
64 |
$0.00 |
| 91320 |
|
14 |
14 |
$0.00 |
| 90672 |
|
17 |
17 |
$0.00 |
| 90671 |
|
124 |
62 |
$0.00 |