| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
24,585 |
21,404 |
$3.54M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,053 |
13,476 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,170 |
6,533 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
655 |
572 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,847 |
4,448 |
$10K |
| 90656 |
|
302 |
302 |
$7K |
| 90837 |
Psychotherapy, 53 minutes with patient |
369 |
216 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
800 |
787 |
$3K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
437 |
405 |
$2K |
| 99215 |
Prolong outpt/office vis |
354 |
328 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
276 |
272 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
295 |
292 |
$1K |
| 99188 |
|
58 |
58 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
31 |
31 |
$998.20 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
762 |
681 |
$940.08 |
| J3490 |
Unclassified drugs |
12 |
12 |
$926.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
495 |
463 |
$761.98 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
59 |
59 |
$741.37 |
| 90658 |
|
32 |
32 |
$712.70 |
| D1206 |
Topical application of fluoride varnish |
31 |
31 |
$558.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19 |
19 |
$341.75 |
| 81002 |
|
523 |
487 |
$305.72 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
25 |
$277.52 |
| 81003 |
|
154 |
148 |
$245.00 |
| 80305 |
|
24 |
24 |
$240.82 |
| 99000 |
|
58 |
55 |
$214.17 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
24 |
$212.40 |
| 80306 |
|
15 |
13 |
$205.65 |
| 81025 |
|
69 |
66 |
$193.20 |
| 90650 |
|
17 |
17 |
$153.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
13 |
12 |
$119.48 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
17 |
12 |
$80.86 |
| 11721 |
|
57 |
56 |
$52.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
58 |
57 |
$34.95 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$0.00 |
| 99307 |
|
173 |
143 |
$0.00 |