| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
48,113 |
38,147 |
$2.15M |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
1,264 |
1,191 |
$40K |
| G9001 |
Coordinated care fee, initial rate |
566 |
560 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,155 |
1,038 |
$2K |
| 81002 |
|
1,083 |
944 |
$683.15 |
| 83655 |
|
208 |
165 |
$413.41 |
| 85018 |
|
286 |
224 |
$157.94 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,549 |
15,412 |
$73.46 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,209 |
6,552 |
$34.60 |
| 81000 |
|
25 |
12 |
$16.08 |
| 99173 |
|
2,703 |
2,507 |
$2.45 |
| 81003 |
|
39 |
24 |
$2.23 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
809 |
782 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,890 |
3,673 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,421 |
5,903 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,427 |
3,578 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
774 |
744 |
$0.00 |
| 96160 |
|
2,378 |
2,165 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,721 |
1,647 |
$0.00 |
| 90648 |
|
904 |
774 |
$0.00 |
| 90633 |
|
397 |
384 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,734 |
3,536 |
$0.00 |
| 90734 |
|
41 |
40 |
$0.00 |
| 90461 |
|
3,394 |
3,089 |
$0.00 |
| 90670 |
|
1,082 |
989 |
$0.00 |
| 90473 |
|
202 |
197 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
120 |
61 |
$0.00 |
| 90681 |
|
170 |
156 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
100 |
92 |
$0.00 |
| 90685 |
|
109 |
102 |
$0.00 |
| 90672 |
|
29 |
29 |
$0.00 |
| J7610 |
Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg |
92 |
78 |
$0.00 |
| 90671 |
|
103 |
97 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
56 |
53 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
317 |
108 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
135 |
56 |
$0.00 |
| 91300 |
|
32 |
30 |
$0.00 |
| 0054A |
|
12 |
12 |
$0.00 |
| 90677 |
|
296 |
290 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,064 |
1,007 |
$0.00 |
| 99000 |
|
1,648 |
1,513 |
$0.00 |
| 96127 |
|
3,638 |
3,456 |
$0.00 |
| 90686 |
|
2,566 |
2,498 |
$0.00 |
| 96161 |
|
10,397 |
9,423 |
$0.00 |
| 90680 |
|
387 |
367 |
$0.00 |
| 92551 |
|
2,122 |
2,004 |
$0.00 |
| 90723 |
|
499 |
433 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,151 |
2,110 |
$0.00 |
| 36416 |
|
118 |
79 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
265 |
222 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
86 |
72 |
$0.00 |
| 90697 |
|
291 |
281 |
$0.00 |
| 94760 |
|
312 |
296 |
$0.00 |
| 90656 |
|
78 |
78 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
14 |
13 |
$0.00 |
| 90480 |
|
16 |
15 |
$0.00 |
| 90651 |
|
77 |
76 |
$0.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
59 |
49 |
$0.00 |
| 0001A |
|
30 |
29 |
$0.00 |
| 90632 |
|
15 |
15 |
$0.00 |
| 92587 |
|
13 |
13 |
$0.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
14 |
14 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
24 |
16 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
37 |
30 |
$0.00 |