| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
61,141 |
53,267 |
$11.51M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,867 |
22,801 |
$7K |
| 3074F |
|
11,493 |
10,886 |
$6K |
| 3079F |
|
3,050 |
2,955 |
$5K |
| 0071A |
|
124 |
124 |
$5K |
| 3078F |
|
8,905 |
8,480 |
$5K |
| 0072A |
|
90 |
90 |
$4K |
| 0052A |
|
91 |
91 |
$3K |
| 0013A |
|
86 |
86 |
$3K |
| 0001A |
|
70 |
70 |
$3K |
| 3075F |
|
630 |
610 |
$2K |
| 0051A |
|
60 |
60 |
$2K |
| 0003A |
|
53 |
53 |
$2K |
| 0002A |
|
47 |
47 |
$2K |
| 0054A |
|
50 |
50 |
$2K |
| 0064A |
|
31 |
31 |
$1K |
| 3077F |
|
220 |
204 |
$1K |
| 0011A |
|
62 |
62 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
679 |
673 |
$1K |
| 3080F |
|
246 |
234 |
$1K |
| 0012A |
|
56 |
55 |
$760.00 |
| 92551 |
|
1,128 |
1,114 |
$691.59 |
| 99173 |
|
1,909 |
1,887 |
$570.33 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
355 |
350 |
$498.35 |
| 0004A |
|
12 |
12 |
$480.00 |
| 97803 |
|
205 |
194 |
$362.80 |
| 0053A |
|
18 |
18 |
$360.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,914 |
1,897 |
$290.80 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,040 |
8,232 |
$142.13 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
261 |
258 |
$80.46 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
181 |
180 |
$69.88 |
| 97802 |
|
140 |
136 |
$37.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,244 |
4,186 |
$35.03 |
| 90686 |
|
1,713 |
1,608 |
$27.72 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
735 |
703 |
$26.00 |
| 90670 |
|
1,146 |
1,080 |
$10.00 |
| 3725F |
|
1,285 |
1,233 |
$10.00 |
| 90461 |
|
2,624 |
2,588 |
$0.01 |
| 1000F |
|
152 |
146 |
$0.00 |
| 3008F |
|
13,559 |
12,900 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,293 |
1,264 |
$0.00 |
| 90723 |
|
829 |
775 |
$0.00 |
| 1036F |
|
8,751 |
8,278 |
$0.00 |
| 1034F |
|
854 |
809 |
$0.00 |
| 96161 |
|
229 |
224 |
$0.00 |
| 85018 |
|
101 |
100 |
$0.00 |
| 90674 |
|
255 |
177 |
$0.00 |
| 90677 |
|
173 |
173 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
291 |
265 |
$0.00 |
| 91305 |
|
78 |
78 |
$0.00 |
| 91301 |
|
124 |
123 |
$0.00 |
| 96127 |
|
464 |
432 |
$0.00 |
| 1035F |
|
57 |
52 |
$0.00 |
| 90696 |
|
38 |
38 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
24 |
24 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
15 |
$0.00 |
| 90716 |
|
27 |
27 |
$0.00 |
| 90480 |
|
34 |
32 |
$0.00 |
| 90688 |
|
43 |
43 |
$0.00 |
| 91307 |
|
122 |
113 |
$0.00 |
| 36416 |
|
25 |
24 |
$0.00 |
| 81002 |
|
184 |
165 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,871 |
1,810 |
$0.00 |
| 1160F |
|
11,350 |
10,793 |
$0.00 |
| 90648 |
|
1,405 |
1,334 |
$0.00 |
| 1159F |
|
10,761 |
10,237 |
$0.00 |
| 90681 |
|
152 |
152 |
$0.00 |
| 80305 |
|
942 |
770 |
$0.00 |
| 90658 |
|
251 |
250 |
$0.00 |
| 90715 |
|
108 |
106 |
$0.00 |
| 81025 |
|
85 |
85 |
$0.00 |
| 92552 |
|
464 |
457 |
$0.00 |
| 83655 |
|
132 |
129 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
24 |
24 |
$0.00 |
| 91300 |
|
66 |
63 |
$0.00 |
| 90633 |
|
285 |
282 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
80 |
80 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 59025 |
Fetal non-stress test |
61 |
38 |
$0.00 |
| 90734 |
|
25 |
25 |
$0.00 |
| 90707 |
|
54 |
52 |
$0.00 |