| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
19,970 |
15,629 |
$2.53M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,996 |
4,318 |
$180K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,942 |
5,021 |
$177K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,007 |
1,867 |
$104K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,161 |
1,912 |
$100K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,471 |
1,331 |
$78K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,575 |
5,069 |
$45K |
| 87428 |
|
2,755 |
2,456 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
693 |
656 |
$42K |
| 99383 |
|
497 |
460 |
$29K |
| 99381 |
|
470 |
452 |
$24K |
| 99382 |
|
379 |
355 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,109 |
1,890 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,635 |
1,541 |
$7K |
| 87807 |
|
958 |
853 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
85 |
67 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
425 |
205 |
$3K |
| 90461 |
|
1,122 |
829 |
$1K |
| 99384 |
|
12 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
75 |
69 |
$981.03 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
49 |
42 |
$620.22 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
32 |
24 |
$567.29 |
| 90686 |
|
1,448 |
1,286 |
$333.70 |
| 96380 |
|
77 |
75 |
$305.44 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
56 |
44 |
$195.67 |
| 90633 |
|
1,112 |
1,058 |
$195.31 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
40 |
29 |
$140.79 |
| 90710 |
|
415 |
396 |
$138.39 |
| 90696 |
|
280 |
248 |
$138.39 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
178 |
159 |
$128.04 |
| 81003 |
|
86 |
71 |
$54.81 |
| 88720 |
|
31 |
25 |
$50.64 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
41 |
28 |
$38.81 |
| 90619 |
|
228 |
220 |
$1.13 |
| 90707 |
|
252 |
203 |
$0.00 |
| 90681 |
|
228 |
227 |
$0.00 |
| 90715 |
|
228 |
208 |
$0.00 |
| 90648 |
|
403 |
338 |
$0.00 |
| 90380 |
|
62 |
60 |
$0.00 |
| 90670 |
|
1,209 |
1,019 |
$0.00 |
| 90700 |
|
212 |
192 |
$0.00 |
| 90671 |
|
46 |
45 |
$0.00 |
| 90734 |
|
107 |
88 |
$0.00 |
| 90697 |
|
862 |
816 |
$0.00 |
| 90680 |
|
637 |
561 |
$0.00 |
| 96127 |
|
615 |
582 |
$0.00 |
| 90651 |
|
540 |
489 |
$0.00 |
| 90677 |
|
772 |
762 |
$0.00 |
| 90716 |
|
467 |
413 |
$0.00 |
| 90698 |
|
339 |
326 |
$0.00 |
| 90656 |
|
200 |
197 |
$0.00 |
| 90723 |
|
40 |
40 |
$0.00 |