| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
34,691 |
31,129 |
$2.15M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,797 |
12,084 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,288 |
12,405 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,944 |
2,933 |
$7K |
| 90686 |
|
789 |
783 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,046 |
1,043 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,159 |
1,104 |
$994.94 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,292 |
3,213 |
$917.23 |
| 0012A |
|
23 |
23 |
$810.46 |
| 71046 |
Radiologic examination, chest; 2 views |
416 |
399 |
$776.33 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
688 |
687 |
$732.06 |
| 0011A |
|
20 |
20 |
$631.55 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
148 |
148 |
$631.17 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
343 |
343 |
$514.11 |
| 90837 |
Psychotherapy, 53 minutes with patient |
191 |
102 |
$470.95 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
239 |
231 |
$355.19 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,167 |
1,156 |
$245.45 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
173 |
171 |
$239.82 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
540 |
503 |
$233.07 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
462 |
430 |
$130.10 |
| 81002 |
|
1,244 |
1,203 |
$84.34 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
87 |
86 |
$80.39 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
143 |
138 |
$45.76 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
95 |
91 |
$14.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$6.54 |
| 81003 |
|
123 |
122 |
$3.74 |
| 99406 |
|
513 |
498 |
$0.01 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
214 |
199 |
$0.00 |
| 3074F |
|
3,584 |
3,461 |
$0.00 |
| 3079F |
|
680 |
665 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
676 |
665 |
$0.00 |
| 3075F |
|
582 |
573 |
$0.00 |
| 3008F |
|
656 |
626 |
$0.00 |
| 3044F |
|
98 |
95 |
$0.00 |
| 93000 |
|
14 |
14 |
$0.00 |
| S0250 |
Comprehensive geriatric assessment and treatment planning performed by assessment team |
27 |
27 |
$0.00 |
| 3078F |
|
3,597 |
3,468 |
$0.00 |
| 96160 |
|
388 |
381 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
40 |
40 |
$0.00 |
| 90461 |
|
13 |
13 |
$0.00 |