| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
285,222 |
189,211 |
$42.15M |
| 90651 |
|
8,853 |
7,592 |
$99K |
| 90734 |
|
9,558 |
8,360 |
$86K |
| 90620 |
|
7,588 |
6,713 |
$83K |
| 90716 |
|
4,123 |
3,139 |
$36K |
| 90686 |
|
19,437 |
17,193 |
$30K |
| 90670 |
|
9,142 |
7,627 |
$22K |
| 90707 |
|
3,865 |
2,972 |
$20K |
| 90696 |
|
3,661 |
3,162 |
$12K |
| 90715 |
|
4,673 |
4,087 |
$11K |
| 90633 |
|
6,915 |
5,777 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
132,282 |
92,283 |
$8K |
| 90723 |
|
7,953 |
6,850 |
$4K |
| 90700 |
|
2,860 |
2,415 |
$3K |
| 90648 |
|
10,341 |
8,759 |
$2K |
| 90680 |
|
6,389 |
5,452 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
33,328 |
28,912 |
$2K |
| 0500F |
|
3,551 |
2,334 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,274 |
5,121 |
$1K |
| 0071A |
|
27 |
26 |
$1K |
| 0502F |
|
17,306 |
6,585 |
$1K |
| 0503F |
|
767 |
614 |
$825.00 |
| 90744 |
|
193 |
151 |
$579.86 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
21,158 |
18,193 |
$475.30 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
31,878 |
25,360 |
$442.18 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,001 |
3,457 |
$408.81 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
38 |
33 |
$296.21 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12,381 |
10,050 |
$282.53 |
| 90713 |
|
127 |
111 |
$278.63 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16,078 |
13,045 |
$278.33 |
| 96127 |
|
14,969 |
7,181 |
$219.00 |
| 90710 |
|
2,810 |
2,693 |
$179.20 |
| 99173 |
|
33,430 |
28,834 |
$178.80 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
21,913 |
18,014 |
$153.68 |
| 99381 |
|
1,974 |
1,732 |
$141.51 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
530 |
375 |
$71.90 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
210 |
88 |
$31.10 |
| 96160 |
|
1,582 |
1,282 |
$29.20 |
| 86580 |
|
4,826 |
3,482 |
$2.00 |
| 94664 |
|
7,061 |
4,932 |
$1.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,704 |
1,119 |
$0.00 |
| 94760 |
|
191 |
115 |
$0.00 |
| 99058 |
|
20,445 |
13,570 |
$0.00 |
| 99385 |
|
757 |
543 |
$0.00 |
| 82962 |
|
376 |
273 |
$0.00 |
| 99384 |
|
2,383 |
1,716 |
$0.00 |
| 59430 |
|
188 |
134 |
$0.00 |
| 99383 |
|
3,176 |
2,388 |
$0.00 |
| 76801 |
|
195 |
160 |
$0.00 |
| 90656 |
|
1,635 |
1,608 |
$0.00 |
| 99386 |
|
326 |
232 |
$0.00 |
| 97802 |
|
1,689 |
1,351 |
$0.00 |
| 85018 |
|
367 |
273 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
215 |
117 |
$0.00 |
| 92558 |
|
36 |
19 |
$0.00 |
| 99382 |
|
1,171 |
887 |
$0.00 |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,036 |
830 |
$0.00 |
| 98960 |
|
300 |
290 |
$0.00 |
| 94060 |
|
599 |
421 |
$0.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
175 |
133 |
$0.00 |
| 81002 |
|
480 |
318 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,048 |
3,247 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
312 |
247 |
$0.00 |
| H1000 |
Prenatal care, at-risk assessment |
3,430 |
1,654 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
102 |
100 |
$0.00 |
| 81025 |
|
240 |
195 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
28 |
28 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
227 |
132 |
$0.00 |
| 94726 |
|
536 |
380 |
$0.00 |
| 94728 |
|
147 |
100 |
$0.00 |
| 97803 |
|
1,128 |
850 |
$0.00 |
| 90649 |
|
13 |
13 |
$0.00 |
| 90671 |
|
78 |
70 |
$0.00 |
| 69210 |
|
40 |
39 |
$0.00 |