| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
106,237 |
83,012 |
$15.83M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42,641 |
35,826 |
$856K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,107 |
26,947 |
$234K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,057 |
6,003 |
$93K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,228 |
5,730 |
$81K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,223 |
5,402 |
$61K |
| 90686 |
|
4,948 |
4,578 |
$40K |
| 90670 |
|
3,678 |
3,496 |
$38K |
| 90648 |
|
3,680 |
3,361 |
$27K |
| 90633 |
|
2,206 |
2,031 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,035 |
920 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
361 |
335 |
$19K |
| 90681 |
|
1,983 |
1,793 |
$18K |
| 90723 |
|
2,525 |
2,284 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
9,786 |
8,427 |
$18K |
| 90698 |
|
1,358 |
1,253 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,633 |
2,232 |
$18K |
| D1206 |
Topical application of fluoride varnish |
3,551 |
3,148 |
$17K |
| 99070 |
|
2,261 |
2,110 |
$14K |
| 90688 |
|
767 |
756 |
$14K |
| 90744 |
|
948 |
880 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,081 |
4,276 |
$12K |
| 99215 |
Prolong outpt/office vis |
333 |
258 |
$11K |
| 92551 |
|
12,411 |
10,561 |
$11K |
| 90671 |
|
1,965 |
1,358 |
$10K |
| 99173 |
|
13,009 |
11,107 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,426 |
1,178 |
$9K |
| 81002 |
|
14,045 |
11,586 |
$8K |
| 90687 |
|
365 |
363 |
$7K |
| 96127 |
|
10,523 |
8,647 |
$7K |
| 90716 |
|
541 |
474 |
$5K |
| 90651 |
|
503 |
436 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
177 |
159 |
$5K |
| 90707 |
|
533 |
469 |
$5K |
| 90734 |
|
507 |
476 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
19,146 |
16,057 |
$5K |
| D0145 |
Oral evaluation for a patient under three years of age |
822 |
747 |
$5K |
| 83655 |
|
850 |
721 |
$5K |
| 90700 |
|
399 |
358 |
$4K |
| 94664 |
|
495 |
476 |
$4K |
| 90710 |
|
363 |
343 |
$4K |
| 90649 |
|
448 |
430 |
$3K |
| 90696 |
|
342 |
336 |
$3K |
| 90685 |
|
166 |
166 |
$3K |
| 90672 |
|
273 |
254 |
$3K |
| 94060 |
|
83 |
80 |
$3K |
| 90657 |
|
601 |
324 |
$2K |
| 90715 |
|
212 |
191 |
$2K |
| 94010 |
|
92 |
82 |
$2K |
| 90620 |
|
97 |
95 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,205 |
932 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
162 |
156 |
$1K |
| 85014 |
|
1,119 |
1,010 |
$1K |
| 85018 |
|
1,121 |
1,011 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
735 |
686 |
$990.00 |
| 90656 |
|
175 |
103 |
$726.35 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
88 |
78 |
$475.20 |
| 96138 |
|
232 |
212 |
$414.08 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
85 |
75 |
$410.00 |
| 90660 |
|
47 |
47 |
$376.00 |
| 81025 |
|
1,550 |
1,161 |
$347.20 |
| 80305 |
|
13 |
13 |
$136.11 |
| 90381 |
|
28 |
15 |
$112.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,426 |
1,306 |
$70.38 |
| 94761 |
|
2,377 |
2,267 |
$0.00 |
| 0001A |
|
80 |
80 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
50 |
48 |
$0.00 |
| 36416 |
|
298 |
254 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
217 |
170 |
$0.00 |
| 87807 |
|
197 |
191 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
284 |
246 |
$0.00 |
| 99174 |
|
91 |
88 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
148 |
114 |
$0.00 |
| 99384 |
|
14 |
13 |
$0.00 |
| 0072A |
|
66 |
35 |
$0.00 |
| 99381 |
|
49 |
40 |
$0.00 |
| 99383 |
|
14 |
12 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,339 |
1,959 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,053 |
686 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,904 |
968 |
$0.00 |
| 0002A |
|
60 |
60 |
$0.00 |
| 99080 |
|
493 |
446 |
$0.00 |
| 0071A |
|
65 |
46 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
22 |
17 |
$0.00 |
| 96160 |
|
91 |
86 |
$0.00 |