| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
24,819 |
16,848 |
$1.35M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,932 |
6,496 |
$247K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,267 |
4,189 |
$122K |
| 90791 |
Psychiatric diagnostic evaluation |
1,999 |
1,144 |
$91K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,681 |
1,536 |
$79K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,035 |
1,061 |
$65K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,154 |
2,571 |
$53K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,589 |
883 |
$45K |
| 92015 |
Determination of refractive state |
6,122 |
3,997 |
$32K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,588 |
942 |
$32K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,358 |
1,422 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
808 |
432 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
738 |
372 |
$17K |
| 99384 |
|
388 |
211 |
$14K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,683 |
1,845 |
$11K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
339 |
339 |
$7K |
| V2020 |
Frames, purchases |
424 |
422 |
$7K |
| 92551 |
|
1,936 |
1,179 |
$6K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
138 |
74 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
333 |
317 |
$3K |
| 92341 |
|
307 |
194 |
$2K |
| 90670 |
|
473 |
301 |
$2K |
| 90651 |
|
1,090 |
651 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
144 |
106 |
$1K |
| 90734 |
|
1,308 |
773 |
$1K |
| 90723 |
|
314 |
187 |
$582.35 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
82 |
46 |
$537.55 |
| 99173 |
|
424 |
280 |
$495.39 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
13 |
13 |
$452.40 |
| 92002 |
|
41 |
33 |
$410.85 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
71 |
50 |
$396.50 |
| 90620 |
|
696 |
439 |
$211.23 |
| 90661 |
|
51 |
50 |
$184.25 |
| 90658 |
|
48 |
26 |
$178.19 |
| 90686 |
|
847 |
512 |
$123.30 |
| 90688 |
|
193 |
127 |
$104.36 |
| 90633 |
|
532 |
327 |
$89.61 |
| 90715 |
|
749 |
432 |
$87.87 |
| 90674 |
|
155 |
84 |
$32.56 |
| 90647 |
|
239 |
157 |
$31.04 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
20 |
18 |
$29.73 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
47 |
40 |
$27.53 |
| 90687 |
|
188 |
134 |
$9.87 |
| 90710 |
|
44 |
26 |
$0.19 |
| 3078F |
|
8,330 |
5,481 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
677 |
389 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
8,678 |
5,439 |
$0.00 |
| 4004F |
|
365 |
292 |
$0.00 |
| 1159F |
|
64 |
39 |
$0.00 |
| 3077F |
|
739 |
435 |
$0.00 |
| 3074F |
|
8,842 |
5,738 |
$0.00 |
| 1036F |
|
7,838 |
5,047 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
8,986 |
5,624 |
$0.00 |
| 3008F |
|
11,128 |
6,894 |
$0.00 |
| 2001F |
|
11,154 |
6,900 |
$0.00 |
| 3079F |
|
1,790 |
1,165 |
$0.00 |
| 3080F |
|
222 |
122 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
348 |
191 |
$0.00 |
| 3075F |
|
924 |
634 |
$0.00 |