| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
19,588 |
13,599 |
$4.59M |
| 99199 |
Unlisted special service, procedure or report |
95,866 |
67,714 |
$483K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,804 |
1,477 |
$185K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,699 |
1,387 |
$165K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,454 |
1,164 |
$152K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,148 |
917 |
$97K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,270 |
2,653 |
$80K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,651 |
4,627 |
$77K |
| D0145 |
Oral evaluation for a patient under three years of age |
995 |
783 |
$32K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,160 |
1,791 |
$16K |
| D1206 |
Topical application of fluoride varnish |
1,005 |
789 |
$14K |
| 92587 |
|
787 |
600 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
755 |
643 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
737 |
314 |
$8K |
| 92551 |
|
3,621 |
2,976 |
$8K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
204 |
177 |
$7K |
| 90474 |
|
355 |
284 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
257 |
208 |
$5K |
| 96127 |
|
1,448 |
1,234 |
$5K |
| 99173 |
|
3,560 |
2,909 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
58 |
39 |
$4K |
| 99381 |
|
46 |
40 |
$4K |
| 85018 |
|
1,143 |
900 |
$3K |
| 92081 |
|
80 |
69 |
$2K |
| 99383 |
|
20 |
12 |
$2K |
| 96160 |
|
1,136 |
836 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22 |
18 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
200 |
138 |
$990.97 |
| 90686 |
|
1,616 |
1,336 |
$743.31 |
| 90656 |
|
453 |
442 |
$564.66 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
48 |
35 |
$388.33 |
| 69210 |
|
12 |
12 |
$364.75 |
| 99177 |
|
825 |
660 |
$287.10 |
| 90715 |
|
241 |
181 |
$272.31 |
| 90480 |
|
16 |
15 |
$271.95 |
| 90677 |
|
173 |
172 |
$260.81 |
| 90620 |
|
283 |
219 |
$160.75 |
| 87807 |
|
24 |
15 |
$154.46 |
| 81003 |
|
43 |
39 |
$88.34 |
| 81025 |
|
16 |
12 |
$79.20 |
| 96161 |
|
91 |
73 |
$59.84 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
16 |
$44.32 |
| 94760 |
|
14 |
14 |
$10.53 |
| 36416 |
|
19 |
19 |
$3.16 |
| 1036F |
|
4,316 |
3,890 |
$0.00 |
| 2000F |
|
5,944 |
5,117 |
$0.00 |
| 3008F |
|
9,156 |
7,809 |
$0.00 |
| 3074F |
|
5,095 |
4,433 |
$0.00 |
| 90651 |
|
400 |
352 |
$0.00 |
| 1126F |
|
899 |
731 |
$0.00 |
| 90716 |
|
86 |
73 |
$0.00 |
| 2010F |
|
10,478 |
8,897 |
$0.00 |
| 2001F |
|
9,760 |
8,322 |
$0.00 |
| 90696 |
|
142 |
111 |
$0.00 |
| 90698 |
|
899 |
716 |
$0.00 |
| 3351F |
|
583 |
544 |
$0.00 |
| 4037F |
|
923 |
885 |
$0.00 |
| 90744 |
|
420 |
337 |
$0.00 |
| 3079F |
|
265 |
233 |
$0.00 |
| 90619 |
|
237 |
197 |
$0.00 |
| 1125F |
|
149 |
122 |
$0.00 |
| 90680 |
|
367 |
288 |
$0.00 |
| 91307 |
|
82 |
47 |
$0.00 |
| 3075F |
|
44 |
38 |
$0.00 |
| 3078F |
|
4,931 |
4,283 |
$0.00 |
| 1160F |
|
5,621 |
4,883 |
$0.00 |
| 4040F |
|
1,661 |
1,446 |
$0.00 |
| 3725F |
|
336 |
329 |
$0.00 |
| 4274F |
|
3,109 |
2,809 |
$0.00 |
| 1159F |
|
5,622 |
4,884 |
$0.00 |
| 90670 |
|
864 |
664 |
$0.00 |
| 90633 |
|
524 |
407 |
$0.00 |
| 90649 |
|
460 |
329 |
$0.00 |
| 90734 |
|
335 |
251 |
$0.00 |
| 90707 |
|
103 |
83 |
$0.00 |
| 3077F |
|
67 |
51 |
$0.00 |
| 90710 |
|
142 |
108 |
$0.00 |
| 90700 |
|
22 |
13 |
$0.00 |