| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,979 |
5,714 |
$164K |
| T1015 |
Clinic visit/encounter, all-inclusive |
2,562 |
1,921 |
$104K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
587 |
580 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
409 |
407 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
242 |
242 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
387 |
363 |
$12K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
613 |
432 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
443 |
429 |
$9K |
| 92551 |
|
827 |
824 |
$8K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
579 |
551 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
829 |
715 |
$8K |
| 17110 |
|
72 |
41 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
385 |
366 |
$6K |
| 90461 |
|
407 |
381 |
$6K |
| 85018 |
|
1,764 |
1,743 |
$4K |
| 90656 |
|
143 |
143 |
$4K |
| 90697 |
|
286 |
266 |
$2K |
| 90671 |
|
277 |
257 |
$2K |
| 90680 |
|
274 |
255 |
$2K |
| 83655 |
|
199 |
195 |
$2K |
| 90633 |
|
215 |
212 |
$2K |
| 90710 |
|
190 |
187 |
$2K |
| 90686 |
|
185 |
184 |
$2K |
| 90651 |
|
162 |
162 |
$1K |
| 90677 |
|
129 |
129 |
$1K |
| 90619 |
|
111 |
111 |
$999.00 |
| 90696 |
|
77 |
77 |
$693.00 |
| 90698 |
|
51 |
50 |
$450.00 |
| 90715 |
|
46 |
46 |
$447.77 |
| 90620 |
|
48 |
48 |
$432.00 |
| 90744 |
|
14 |
14 |
$126.00 |
| 90381 |
|
12 |
12 |
$108.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$104.85 |
| 81002 |
|
40 |
39 |
$84.27 |
| 97803 |
|
79 |
79 |
$79.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
38 |
38 |
$38.00 |