| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
58,159 |
49,443 |
$10.45M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,075 |
24,368 |
$359K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,003 |
2,849 |
$132K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,682 |
4,546 |
$100K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,948 |
4,839 |
$98K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,173 |
3,085 |
$73K |
| D0999 |
Unspecified diagnostic procedure, by report |
325 |
320 |
$59K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,575 |
3,437 |
$52K |
| 99381 |
|
486 |
452 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,343 |
1,288 |
$17K |
| 90834 |
Psychotherapy, 45 minutes with patient |
863 |
628 |
$14K |
| 0002A |
|
510 |
466 |
$5K |
| 99383 |
|
153 |
153 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,148 |
1,133 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
144 |
144 |
$3K |
| 99384 |
|
76 |
76 |
$3K |
| 0001A |
|
385 |
356 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
94 |
81 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
223 |
176 |
$2K |
| 90620 |
|
357 |
352 |
$2K |
| 90619 |
|
764 |
757 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
53 |
52 |
$1K |
| 99382 |
|
14 |
14 |
$858.08 |
| 0081A |
|
64 |
61 |
$720.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,007 |
7,080 |
$645.90 |
| 0071A |
|
176 |
153 |
$635.20 |
| 99000 |
|
5,730 |
5,438 |
$583.97 |
| 0082A |
|
17 |
17 |
$520.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
602 |
595 |
$410.64 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
5,546 |
5,398 |
$360.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20 |
19 |
$310.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,042 |
3,777 |
$272.82 |
| 90461 |
|
3,395 |
3,258 |
$219.90 |
| 0072A |
|
29 |
28 |
$120.00 |
| 0003A |
|
13 |
13 |
$80.00 |
| 69210 |
|
99 |
99 |
$39.86 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
244 |
214 |
$34.81 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,765 |
9,335 |
$31.36 |
| 90697 |
|
1,266 |
1,194 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
4,253 |
4,115 |
$0.00 |
| 90716 |
|
531 |
507 |
$0.00 |
| 90696 |
|
739 |
690 |
$0.00 |
| 90686 |
|
6,791 |
6,517 |
$0.00 |
| J7609 |
Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg |
200 |
185 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
220 |
219 |
$0.00 |
| 90698 |
|
518 |
487 |
$0.00 |
| 87428 |
|
551 |
543 |
$0.00 |
| D1330 |
|
215 |
213 |
$0.00 |
| 90744 |
|
260 |
258 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
845 |
828 |
$0.00 |
| 90680 |
|
1,879 |
1,754 |
$0.00 |
| 90677 |
|
833 |
830 |
$0.00 |
| 90651 |
|
679 |
659 |
$0.00 |
| 91307 |
|
319 |
291 |
$0.00 |
| D0601 |
|
196 |
196 |
$0.00 |
| 90656 |
|
910 |
905 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
60 |
58 |
$0.00 |
| 36416 |
|
44 |
41 |
$0.00 |
| G0047 |
Pediatric patient with minor blunt head trauma and pecarn prediction criteria are not assessed |
206 |
206 |
$0.00 |
| 91319 |
|
16 |
16 |
$0.00 |
| 90474 |
|
108 |
84 |
$0.00 |
| 90381 |
|
58 |
57 |
$0.00 |
| 90723 |
|
22 |
22 |
$0.00 |
| 90700 |
|
324 |
272 |
$0.00 |
| 90633 |
|
1,685 |
1,591 |
$0.00 |
| 81002 |
|
593 |
566 |
$0.00 |
| 90710 |
|
820 |
771 |
$0.00 |
| 90649 |
|
704 |
687 |
$0.00 |
| 90707 |
|
542 |
515 |
$0.00 |
| 90670 |
|
2,016 |
1,825 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,157 |
2,109 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
269 |
265 |
$0.00 |
| 91308 |
|
190 |
180 |
$0.00 |
| 90734 |
|
671 |
614 |
$0.00 |
| 90715 |
|
874 |
829 |
$0.00 |
| 90648 |
|
330 |
324 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,489 |
2,148 |
$0.00 |
| 91300 |
|
168 |
137 |
$0.00 |
| D1120 |
Prophylaxis - child |
202 |
201 |
$0.00 |
| 91321 |
|
88 |
88 |
$0.00 |
| 90380 |
|
15 |
15 |
$0.00 |
| 0073A |
|
33 |
31 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
44 |
44 |
$0.00 |
| 90658 |
|
16 |
16 |
$0.00 |
| 91320 |
|
20 |
18 |
$0.00 |