| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
50,840 |
40,279 |
$8.41M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,098 |
18,279 |
$613K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,418 |
4,238 |
$233K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,360 |
4,260 |
$208K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,412 |
3,089 |
$199K |
| 90832 |
Psychotherapy, 30 minutes with patient |
5,545 |
3,877 |
$197K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,238 |
3,157 |
$189K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,689 |
1,549 |
$101K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,747 |
2,437 |
$67K |
| 87428 |
|
1,613 |
1,488 |
$26K |
| 99381 |
|
290 |
279 |
$26K |
| 90619 |
|
384 |
375 |
$23K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
985 |
947 |
$22K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,611 |
4,903 |
$17K |
| 99000 |
|
6,747 |
6,196 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,771 |
1,681 |
$11K |
| 90791 |
Psychiatric diagnostic evaluation |
90 |
87 |
$7K |
| 90834 |
Psychotherapy, 45 minutes with patient |
83 |
59 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
521 |
498 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
34 |
27 |
$2K |
| 99383 |
|
31 |
29 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
11,115 |
10,810 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
33 |
$2K |
| 90620 |
|
277 |
271 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
13 |
$1K |
| 90686 |
|
4,698 |
4,600 |
$857.20 |
| 0012A |
|
25 |
25 |
$808.29 |
| 92551 |
|
3,501 |
3,384 |
$633.68 |
| 81002 |
|
280 |
266 |
$551.16 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12,248 |
6,786 |
$449.00 |
| 90651 |
|
1,080 |
1,067 |
$417.36 |
| 0011A |
|
27 |
27 |
$413.34 |
| 90677 |
|
566 |
551 |
$213.03 |
| 87420 |
|
34 |
33 |
$128.48 |
| 90715 |
|
492 |
486 |
$126.43 |
| 90716 |
|
310 |
308 |
$68.00 |
| 81025 |
|
13 |
12 |
$50.61 |
| 90707 |
|
324 |
320 |
$39.20 |
| 90473 |
|
580 |
562 |
$27.50 |
| 90474 |
|
373 |
365 |
$16.32 |
| 96160 |
|
139 |
111 |
$13.50 |
| 91301 |
|
78 |
78 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,952 |
1,883 |
$0.00 |
| 36416 |
|
2,002 |
1,783 |
$0.00 |
| 3074F |
|
568 |
450 |
$0.00 |
| 90723 |
|
123 |
122 |
$0.00 |
| 90698 |
|
776 |
756 |
$0.00 |
| 1036F |
|
442 |
333 |
$0.00 |
| 3008F |
|
722 |
589 |
$0.00 |
| 1126F |
|
408 |
333 |
$0.00 |
| 90656 |
|
145 |
140 |
$0.00 |
| 90697 |
|
515 |
505 |
$0.00 |
| 90680 |
|
1,641 |
1,606 |
$0.00 |
| 90696 |
|
337 |
328 |
$0.00 |
| 90744 |
|
124 |
122 |
$0.00 |
| 96127 |
|
83 |
73 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
15 |
12 |
$0.00 |
| 96161 |
|
40 |
32 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
12 |
$0.00 |
| 90670 |
|
2,373 |
2,339 |
$0.00 |
| 90734 |
|
507 |
502 |
$0.00 |
| 3725F |
|
371 |
261 |
$0.00 |
| 90633 |
|
1,501 |
1,478 |
$0.00 |
| 90710 |
|
412 |
400 |
$0.00 |
| 3078F |
|
556 |
444 |
$0.00 |
| 90687 |
|
335 |
332 |
$0.00 |
| 90700 |
|
247 |
242 |
$0.00 |
| 99173 |
|
4,373 |
4,219 |
$0.00 |
| 90648 |
|
575 |
566 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
139 |
137 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
14 |
$0.00 |