| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
96,561 |
83,797 |
$12.63M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
59,003 |
48,907 |
$2.19M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,260 |
8,620 |
$449K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18,572 |
15,604 |
$405K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,668 |
4,612 |
$344K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,746 |
3,732 |
$303K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,904 |
2,876 |
$203K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,956 |
1,956 |
$147K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,121 |
1,121 |
$90K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
572 |
571 |
$53K |
| 90686 |
|
4,507 |
4,495 |
$50K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
469 |
468 |
$49K |
| 99381 |
|
395 |
395 |
$37K |
| G9920 |
Screening performed and negative |
851 |
837 |
$36K |
| 90670 |
|
5,446 |
5,417 |
$29K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
501 |
495 |
$29K |
| 90647 |
|
5,438 |
5,414 |
$27K |
| 90723 |
|
5,232 |
5,206 |
$26K |
| 90680 |
|
4,406 |
4,384 |
$22K |
| 90633 |
|
3,147 |
3,139 |
$19K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
213 |
211 |
$19K |
| 90651 |
|
913 |
913 |
$16K |
| 90715 |
|
764 |
762 |
$14K |
| 90710 |
|
2,057 |
2,055 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
767 |
701 |
$8K |
| 90700 |
|
989 |
988 |
$7K |
| 81003 |
|
4,062 |
3,833 |
$7K |
| 99201 |
|
166 |
158 |
$6K |
| 90734 |
|
558 |
558 |
$5K |
| 81025 |
|
1,174 |
1,150 |
$4K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
780 |
740 |
$4K |
| 90707 |
|
161 |
161 |
$3K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
18 |
18 |
$2K |
| 99383 |
|
26 |
26 |
$2K |
| 90716 |
|
123 |
123 |
$2K |
| 90656 |
|
261 |
261 |
$2K |
| 90696 |
|
181 |
181 |
$1K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
866 |
772 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
182 |
170 |
$854.10 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
147 |
100 |
$747.08 |
| J1071 |
Injection, testosterone cypionate, 1 mg |
304 |
149 |
$679.07 |
| 86580 |
|
147 |
142 |
$523.32 |
| 99188 |
|
18 |
18 |
$441.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
56 |
55 |
$419.80 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
19 |
19 |
$102.60 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
13 |
12 |
$46.01 |
| 90677 |
|
417 |
415 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
257 |
251 |
$0.00 |
| 90381 |
|
17 |
17 |
$0.00 |
| 90461 |
|
3,670 |
3,649 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,219 |
4,182 |
$0.00 |
| 90671 |
|
193 |
193 |
$0.00 |
| 90380 |
|
12 |
12 |
$0.00 |