| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
100,199 |
92,798 |
$11.50M |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
9,433 |
9,389 |
$504K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
11,684 |
11,677 |
$418K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12,573 |
12,537 |
$376K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
7,851 |
7,845 |
$370K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
59,107 |
55,377 |
$344K |
| 59425 |
|
4,523 |
2,870 |
$344K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,812 |
7,753 |
$216K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,486 |
1,481 |
$128K |
| 90686 |
|
18,675 |
18,661 |
$118K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,525 |
14,935 |
$116K |
| 92551 |
|
25,964 |
25,897 |
$114K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,174 |
1,172 |
$99K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
1,935 |
1,903 |
$89K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,559 |
1,748 |
$70K |
| 99243 |
|
1,939 |
1,810 |
$70K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,916 |
1,892 |
$66K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,352 |
1,344 |
$63K |
| 90651 |
|
5,534 |
5,527 |
$51K |
| 90670 |
|
7,163 |
7,109 |
$49K |
| 96127 |
|
7,499 |
7,451 |
$48K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
969 |
628 |
$44K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
835 |
747 |
$44K |
| 90715 |
|
2,842 |
2,838 |
$43K |
| 90647 |
|
5,114 |
5,076 |
$38K |
| 90734 |
|
4,194 |
4,193 |
$37K |
| 90633 |
|
4,450 |
4,429 |
$36K |
| 0072A |
|
661 |
381 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,720 |
9,440 |
$36K |
| 90723 |
|
4,906 |
4,869 |
$36K |
| 0071A |
|
671 |
412 |
$35K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
899 |
265 |
$32K |
| 99215 |
Prolong outpt/office vis |
207 |
206 |
$26K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
322 |
224 |
$26K |
| 90680 |
|
2,536 |
2,503 |
$21K |
| 90710 |
|
1,975 |
1,970 |
$19K |
| 90707 |
|
1,831 |
1,818 |
$18K |
| 0969 |
|
235 |
159 |
$17K |
| 90716 |
|
1,831 |
1,817 |
$17K |
| 90696 |
|
1,842 |
1,837 |
$17K |
| 90700 |
|
1,778 |
1,768 |
$16K |
| 59430 |
|
164 |
159 |
$13K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
271 |
266 |
$12K |
| 90620 |
|
1,053 |
1,050 |
$12K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
445 |
439 |
$12K |
| 76801 |
|
152 |
145 |
$11K |
| 90688 |
|
1,037 |
1,037 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
664 |
649 |
$11K |
| 81025 |
|
3,391 |
3,331 |
$10K |
| 0001A |
|
183 |
95 |
$10K |
| 90681 |
|
1,089 |
1,089 |
$9K |
| 99188 |
|
518 |
518 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
65 |
64 |
$7K |
| 0124A |
|
106 |
106 |
$7K |
| 99173 |
|
12,412 |
12,410 |
$7K |
| 0054A |
|
122 |
71 |
$7K |
| 0002A |
|
120 |
61 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
103 |
101 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
234 |
234 |
$6K |
| 90677 |
|
947 |
946 |
$6K |
| 81002 |
|
7,161 |
6,533 |
$5K |
| 0052A |
|
97 |
58 |
$5K |
| 90678 |
|
16 |
16 |
$5K |
| 90685 |
|
575 |
574 |
$5K |
| 90697 |
|
715 |
715 |
$4K |
| 76830 |
Ultrasound, transvaginal |
67 |
67 |
$4K |
| 99383 |
|
64 |
64 |
$4K |
| 0051A |
|
69 |
38 |
$4K |
| 85018 |
|
14,217 |
14,172 |
$3K |
| 0004A |
|
55 |
29 |
$3K |
| 59025 |
Fetal non-stress test |
90 |
53 |
$3K |
| J3490 |
Unclassified drugs |
126 |
126 |
$3K |
| H1000 |
Prenatal care, at-risk assessment |
15 |
15 |
$3K |
| 86580 |
|
700 |
697 |
$2K |
| 0144A |
|
42 |
42 |
$2K |
| 99384 |
|
25 |
25 |
$2K |
| 17110 |
|
15 |
14 |
$2K |
| 0074A |
|
21 |
21 |
$1K |
| 0154A |
|
17 |
17 |
$1K |
| G9920 |
Screening performed and negative |
1,285 |
1,285 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
120 |
120 |
$1K |
| 91321 |
|
68 |
68 |
$1K |
| 0081A |
|
12 |
12 |
$804.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
24 |
24 |
$772.44 |
| 99381 |
|
13 |
12 |
$752.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
30 |
27 |
$744.44 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
887 |
873 |
$693.99 |
| 90682 |
|
12 |
12 |
$636.00 |
| 91322 |
|
40 |
40 |
$520.00 |
| 0761 |
|
12 |
12 |
$343.43 |
| D1206 |
Topical application of fluoride varnish |
15 |
15 |
$324.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
12 |
12 |
$239.85 |
| 69209 |
|
15 |
14 |
$200.83 |
| 96160 |
|
1,185 |
1,185 |
$0.00 |
| Z6400 |
|
83 |
83 |
$0.00 |
| 96161 |
|
118 |
117 |
$0.00 |
| Z1034 |
|
2,757 |
1,990 |
$0.00 |
| 90656 |
|
798 |
798 |
$0.00 |