| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
21,377 |
16,854 |
$3.04M |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
340 |
293 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,889 |
8,235 |
$21K |
| 87428 |
|
314 |
298 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,039 |
4,282 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
198 |
177 |
$4K |
| 90686 |
|
332 |
316 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
95 |
89 |
$1K |
| 90688 |
|
164 |
144 |
$1K |
| 80305 |
|
115 |
89 |
$931.83 |
| 90700 |
|
152 |
117 |
$888.00 |
| 0001A |
|
30 |
18 |
$560.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
21 |
21 |
$527.40 |
| 99215 |
Prolong outpt/office vis |
501 |
369 |
$491.96 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
214 |
201 |
$451.15 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
67 |
64 |
$410.00 |
| 90670 |
|
57 |
49 |
$392.00 |
| 90713 |
|
55 |
50 |
$392.00 |
| 92551 |
|
64 |
60 |
$320.80 |
| 90658 |
|
25 |
24 |
$184.00 |
| 90672 |
|
27 |
21 |
$152.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
83 |
79 |
$139.66 |
| 90734 |
|
12 |
12 |
$96.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
56 |
55 |
$63.76 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
49 |
43 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
52 |
51 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
97 |
70 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
43 |
32 |
$0.00 |
| 91300 |
|
52 |
30 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
13 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
252 |
181 |
$0.00 |
| 0011A |
|
18 |
12 |
$0.00 |