| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
38,807 |
33,768 |
$2.16M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,521 |
11,653 |
$153K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,775 |
14,418 |
$112K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,564 |
2,515 |
$27K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
880 |
875 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
780 |
780 |
$11K |
| 99215 |
Prolong outpt/office vis |
638 |
615 |
$11K |
| 90670 |
|
220 |
219 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
962 |
900 |
$8K |
| 90686 |
|
1,189 |
1,188 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,561 |
1,556 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,443 |
2,385 |
$6K |
| 90671 |
|
283 |
283 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
281 |
281 |
$5K |
| 87428 |
|
635 |
622 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,690 |
1,673 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
327 |
326 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,460 |
1,335 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
517 |
509 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
174 |
174 |
$3K |
| 90715 |
|
82 |
81 |
$1K |
| 96127 |
|
1,319 |
1,008 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
251 |
250 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
206 |
156 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
520 |
518 |
$1K |
| 90750 |
|
15 |
15 |
$890.40 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
331 |
325 |
$856.57 |
| 90656 |
|
104 |
104 |
$853.80 |
| 81025 |
|
466 |
458 |
$741.52 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
329 |
328 |
$675.09 |
| 99205 |
Prolong outpt/office vis |
26 |
26 |
$636.90 |
| 81003 |
|
1,386 |
1,357 |
$506.23 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
48 |
48 |
$270.90 |
| 0004A |
|
12 |
12 |
$227.10 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
364 |
348 |
$206.64 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$101.00 |
| 90461 |
|
758 |
756 |
$0.00 |
| 90648 |
|
337 |
337 |
$0.00 |
| 90633 |
|
12 |
12 |
$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) |
13 |
13 |
$0.00 |
| 91300 |
|
19 |
19 |
$0.00 |
| 90685 |
|
14 |
13 |
$0.00 |
| 36416 |
|
965 |
918 |
$0.00 |
| 90723 |
|
196 |
196 |
$0.00 |
| 90680 |
|
99 |
99 |
$0.00 |