| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
64,569 |
51,690 |
$5.11M |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
598 |
537 |
$879K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58,396 |
48,978 |
$839K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
5,833 |
5,317 |
$159K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
9,361 |
6,361 |
$131K |
| G9357 |
Post-partum screenings, evaluations and education performed |
1,160 |
1,045 |
$120K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
9,388 |
8,504 |
$115K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,570 |
2,152 |
$114K |
| H1000 |
Prenatal care, at-risk assessment |
1,553 |
875 |
$99K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,138 |
1,034 |
$77K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
179 |
174 |
$73K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,298 |
4,996 |
$60K |
| 76801 |
|
1,434 |
1,133 |
$56K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,245 |
4,926 |
$52K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,949 |
4,611 |
$48K |
| 90700 |
|
5,041 |
4,843 |
$47K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
803 |
777 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,222 |
1,077 |
$40K |
| 90648 |
|
3,886 |
3,731 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,040 |
3,776 |
$35K |
| 90713 |
|
3,839 |
3,678 |
$34K |
| 90688 |
|
3,373 |
3,216 |
$33K |
| 90670 |
|
3,059 |
2,953 |
$29K |
| 54150 |
|
176 |
165 |
$28K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
443 |
378 |
$24K |
| 90680 |
|
2,459 |
2,357 |
$20K |
| 90633 |
|
1,955 |
1,883 |
$16K |
| 87510 |
|
768 |
637 |
$14K |
| 87480 |
|
768 |
637 |
$14K |
| 90744 |
|
1,645 |
1,583 |
$14K |
| 90716 |
|
1,558 |
1,489 |
$13K |
| 90707 |
|
1,548 |
1,479 |
$13K |
| 87797 |
|
644 |
530 |
$12K |
| 90687 |
|
1,227 |
1,179 |
$12K |
| 81025 |
|
4,761 |
3,891 |
$11K |
| 90651 |
|
1,230 |
1,174 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
5,235 |
4,479 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
857 |
718 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
359 |
310 |
$8K |
| 99460 |
|
302 |
258 |
$8K |
| 92551 |
|
2,067 |
1,918 |
$7K |
| 90671 |
|
922 |
859 |
$7K |
| 90461 |
|
102 |
96 |
$5K |
| 90734 |
|
634 |
612 |
$5K |
| 90715 |
|
401 |
382 |
$5K |
| 87420 |
|
316 |
274 |
$4K |
| 90619 |
|
455 |
436 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
140 |
122 |
$3K |
| 90620 |
|
444 |
426 |
$3K |
| 99173 |
|
952 |
880 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
141 |
108 |
$3K |
| 90661 |
|
512 |
339 |
$3K |
| 59426 |
|
174 |
171 |
$2K |
| 81003 |
|
921 |
766 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
389 |
367 |
$2K |
| 87660 |
|
88 |
76 |
$2K |
| 90672 |
|
181 |
166 |
$1K |
| 36416 |
|
582 |
516 |
$1K |
| 99462 |
|
84 |
73 |
$1K |
| 85018 |
|
447 |
431 |
$1K |
| 96160 |
|
359 |
311 |
$870.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
139 |
129 |
$658.00 |
| 86677 |
|
12 |
12 |
$198.00 |
| 86308 |
|
27 |
25 |
$150.00 |
| 90381 |
|
16 |
16 |
$128.00 |
| 81002 |
|
5,462 |
2,845 |
$6.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
43 |
39 |
$0.00 |
| 01960 |
|
89 |
89 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
5,326 |
4,947 |
$0.00 |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
78 |
77 |
$0.00 |