| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
17,096 |
12,991 |
$2.99M |
| 99199 |
Unlisted special service, procedure or report |
60,115 |
23,198 |
$300K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
862 |
724 |
$51K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
209 |
190 |
$29K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
514 |
411 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
118 |
96 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
64 |
46 |
$5K |
| 87428 |
|
77 |
77 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
450 |
371 |
$3K |
| 80305 |
|
212 |
106 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
14 |
$983.19 |
| 99173 |
|
299 |
243 |
$204.48 |
| 92552 |
|
120 |
99 |
$87.91 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
548 |
438 |
$56.97 |
| 36415 |
Collection of venous blood by venipuncture |
39 |
39 |
$8.34 |
| 90834 |
Psychotherapy, 45 minutes with patient |
54 |
42 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
602 |
530 |
$0.00 |
| 3074F |
|
169 |
150 |
$0.00 |
| 3008F |
|
425 |
329 |
$0.00 |
| 90686 |
|
76 |
54 |
$0.00 |
| 1036F |
|
13 |
13 |
$0.00 |
| 1160F |
|
251 |
161 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
155 |
97 |
$0.00 |
| 3078F |
|
113 |
102 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
47 |
41 |
$0.00 |
| 1159F |
|
251 |
161 |
$0.00 |