| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
61,695 |
52,183 |
$8.49M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,431 |
25,596 |
$1.36M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,453 |
4,361 |
$427K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,876 |
4,817 |
$380K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,023 |
4,966 |
$366K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,879 |
3,809 |
$295K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,489 |
6,164 |
$186K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19,196 |
8,086 |
$129K |
| 99381 |
|
913 |
905 |
$123K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
11,721 |
10,930 |
$115K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,351 |
1,263 |
$72K |
| 90620 |
|
734 |
714 |
$72K |
| 87428 |
|
2,370 |
2,218 |
$52K |
| 90832 |
Psychotherapy, 30 minutes with patient |
855 |
619 |
$42K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,758 |
1,661 |
$34K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,751 |
2,545 |
$24K |
| 90461 |
|
4,087 |
3,466 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
309 |
295 |
$17K |
| 90791 |
Psychiatric diagnostic evaluation |
165 |
165 |
$15K |
| 81003 |
|
5,407 |
4,297 |
$12K |
| 59430 |
|
149 |
144 |
$7K |
| 90715 |
|
1,109 |
1,087 |
$6K |
| 59025 |
Fetal non-stress test |
207 |
115 |
$6K |
| 87807 |
|
733 |
705 |
$4K |
| 99384 |
|
52 |
52 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
61 |
51 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
144 |
135 |
$3K |
| 99383 |
|
28 |
27 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,287 |
3,220 |
$2K |
| 81025 |
|
799 |
737 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
256 |
253 |
$2K |
| 90686 |
|
3,036 |
2,967 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
55 |
53 |
$866.80 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
127 |
118 |
$865.68 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19 |
18 |
$740.38 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
26 |
$611.75 |
| 85018 |
|
623 |
607 |
$482.93 |
| 0001A |
|
36 |
36 |
$372.68 |
| 90656 |
|
303 |
297 |
$244.58 |
| 90651 |
|
1,403 |
1,373 |
$208.87 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,596 |
1,859 |
$201.24 |
| 92551 |
|
982 |
973 |
$121.20 |
| CP002 |
|
12 |
12 |
$120.00 |
| 87400 |
|
16 |
14 |
$118.70 |
| 90648 |
|
2,818 |
2,789 |
$97.30 |
| 90707 |
|
838 |
825 |
$88.20 |
| 90474 |
|
641 |
628 |
$10.38 |
| 90621 |
|
64 |
64 |
$0.52 |
| 90723 |
|
2,066 |
2,043 |
$0.03 |
| 90710 |
|
880 |
863 |
$0.01 |
| 90696 |
|
794 |
779 |
$0.01 |
| 90734 |
|
1,310 |
1,287 |
$0.00 |
| 90633 |
|
1,882 |
1,860 |
$0.00 |
| 90681 |
|
1,748 |
1,729 |
$0.00 |
| 99173 |
|
1,012 |
1,000 |
$0.00 |
| 99051 |
|
813 |
786 |
$0.00 |
| 90670 |
|
2,565 |
2,543 |
$0.00 |
| 90700 |
|
794 |
791 |
$0.00 |
| 3078F |
|
708 |
598 |
$0.00 |
| 91300 |
|
28 |
28 |
$0.00 |
| 90733 |
|
242 |
240 |
$0.00 |
| 90677 |
|
1,033 |
1,018 |
$0.00 |
| 90698 |
|
738 |
730 |
$0.00 |
| 3075F |
|
81 |
75 |
$0.00 |
| 3079F |
|
265 |
240 |
$0.00 |
| 90716 |
|
843 |
829 |
$0.00 |
| 3074F |
|
923 |
767 |
$0.00 |
| 96127 |
|
536 |
503 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
12 |
$0.00 |