| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
61,646 |
50,511 |
$9.64M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39,371 |
35,183 |
$682K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,156 |
13,699 |
$439K |
| 59425 |
|
1,902 |
1,145 |
$176K |
| 90791 |
Psychiatric diagnostic evaluation |
2,256 |
2,148 |
$141K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,797 |
2,500 |
$112K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,235 |
2,806 |
$89K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,664 |
6,282 |
$89K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,110 |
1,102 |
$82K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,534 |
1,506 |
$77K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,135 |
1,120 |
$73K |
| 92551 |
|
4,452 |
4,400 |
$59K |
| 90651 |
|
831 |
821 |
$53K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,539 |
1,237 |
$51K |
| 99215 |
Prolong outpt/office vis |
3,257 |
2,727 |
$42K |
| 90686 |
|
2,530 |
2,507 |
$39K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
282 |
281 |
$24K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
527 |
527 |
$21K |
| 90750 |
|
140 |
140 |
$19K |
| 99173 |
|
4,446 |
4,396 |
$16K |
| 90715 |
|
525 |
519 |
$15K |
| 90670 |
|
546 |
542 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
225 |
225 |
$12K |
| 81003 |
|
9,748 |
8,413 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
173 |
172 |
$11K |
| 90734 |
|
332 |
327 |
$10K |
| 85018 |
|
7,184 |
7,063 |
$10K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
312 |
254 |
$6K |
| 90648 |
|
350 |
347 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,442 |
1,438 |
$5K |
| 90620 |
|
108 |
108 |
$4K |
| 90633 |
|
190 |
183 |
$3K |
| 90682 |
|
223 |
223 |
$3K |
| 81025 |
|
1,102 |
1,020 |
$3K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
510 |
505 |
$3K |
| 98940 |
|
198 |
167 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
311 |
308 |
$3K |
| G9920 |
Screening performed and negative |
145 |
145 |
$2K |
| 90723 |
|
131 |
131 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
25 |
25 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
157 |
83 |
$1K |
| J3490 |
Unclassified drugs |
13 |
13 |
$1K |
| 90656 |
|
77 |
77 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
189 |
183 |
$943.48 |
| 82962 |
|
442 |
404 |
$837.59 |
| 90680 |
|
55 |
55 |
$684.00 |
| 90619 |
|
30 |
30 |
$495.00 |
| 90700 |
|
12 |
12 |
$216.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
28 |
27 |
$124.29 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12 |
12 |
$76.92 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
13 |
$75.53 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
12 |
12 |
$68.20 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
73 |
73 |
$42.26 |
| 73130 |
|
15 |
12 |
$30.44 |
| 84443 |
Thyroid stimulating hormone (TSH) |
112 |
112 |
$27.51 |
| 80061 |
Lipid panel |
105 |
105 |
$21.69 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
103 |
103 |
$15.90 |
| 80053 |
Comprehensive metabolic panel |
133 |
133 |
$15.36 |
| 84439 |
|
82 |
82 |
$8.07 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
150 |
150 |
$6.89 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
16 |
16 |
$1.43 |
| 3078F |
|
4,144 |
3,674 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
125 |
125 |
$0.00 |
| 3077F |
|
531 |
496 |
$0.00 |
| 3051F |
|
47 |
47 |
$0.00 |
| 3046F |
|
28 |
24 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
13 |
$0.00 |
| 90662 |
|
13 |
13 |
$0.00 |
| 2001F |
|
3,517 |
3,088 |
$0.00 |
| 3074F |
|
4,351 |
3,851 |
$0.00 |
| 3080F |
|
345 |
322 |
$0.00 |
| 3008F |
|
3,513 |
3,085 |
$0.00 |
| Z1034 |
|
1,459 |
819 |
$0.00 |
| 1036F |
|
4,929 |
4,182 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
56 |
56 |
$0.00 |
| 3075F |
|
717 |
686 |
$0.00 |
| 3079F |
|
1,198 |
1,134 |
$0.00 |
| 3044F |
|
123 |
121 |
$0.00 |
| 1034F |
|
39 |
33 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
13 |
13 |
$0.00 |