| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
59,466 |
43,683 |
$7.95M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,041 |
5,384 |
$127.30 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,358 |
3,855 |
$71.16 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,327 |
5,377 |
$40.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,531 |
5,660 |
$18.26 |
| 83655 |
|
2,199 |
1,607 |
$12.00 |
| 90473 |
|
1,826 |
1,645 |
$10.43 |
| 96161 |
|
3,335 |
3,048 |
$4.00 |
| 85018 |
|
2,356 |
1,742 |
$2.36 |
| 99381 |
|
309 |
290 |
$0.00 |
| 3008F |
|
5,418 |
4,933 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,458 |
6,329 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,043 |
27,821 |
$0.00 |
| 90680 |
|
2,205 |
1,968 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
219 |
203 |
$0.00 |
| 90744 |
|
1,254 |
1,128 |
$0.00 |
| 90688 |
|
446 |
372 |
$0.00 |
| 90698 |
|
1,773 |
1,620 |
$0.00 |
| 90697 |
|
803 |
733 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
121 |
89 |
$0.00 |
| 81001 |
|
1,062 |
775 |
$0.00 |
| 90696 |
|
242 |
215 |
$0.00 |
| 90651 |
|
1,148 |
994 |
$0.00 |
| 92551 |
|
1,457 |
1,307 |
$0.00 |
| 90619 |
|
306 |
279 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
612 |
566 |
$0.00 |
| 90732 |
|
12 |
12 |
$0.00 |
| 90620 |
|
554 |
500 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
36 |
29 |
$0.00 |
| V5008 |
Hearing screening |
615 |
542 |
$0.00 |
| A7016 |
Dome and mouthpiece, used with small volume ultrasonic nebulizer |
34 |
24 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
152 |
76 |
$0.00 |
| 87430 |
|
17 |
13 |
$0.00 |
| 90723 |
|
41 |
35 |
$0.00 |
| 90677 |
|
93 |
86 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
114 |
51 |
$0.00 |
| 90716 |
|
175 |
130 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
12 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,093 |
2,736 |
$0.00 |
| 99173 |
|
4,436 |
3,981 |
$0.00 |
| 81003 |
|
1,836 |
1,428 |
$0.00 |
| 90633 |
|
1,817 |
1,560 |
$0.00 |
| 90715 |
|
170 |
142 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,758 |
2,429 |
$0.00 |
| 90700 |
|
271 |
229 |
$0.00 |
| 90670 |
|
2,782 |
2,556 |
$0.00 |
| 81002 |
|
565 |
435 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,130 |
892 |
$0.00 |
| 90734 |
|
581 |
516 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
835 |
665 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
282 |
247 |
$0.00 |
| 96160 |
|
2,162 |
1,963 |
$0.00 |
| 90681 |
|
74 |
64 |
$0.00 |
| 90671 |
|
663 |
581 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
73 |
66 |
$0.00 |
| 90710 |
|
932 |
845 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
112 |
102 |
$0.00 |
| 90707 |
|
163 |
119 |
$0.00 |
| 90648 |
|
215 |
182 |
$0.00 |
| 86318 |
|
643 |
477 |
$0.00 |
| 81025 |
|
28 |
25 |
$0.00 |
| 90658 |
|
88 |
59 |
$0.00 |