| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
35,968 |
26,308 |
$4.90M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,053 |
925 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,529 |
1,154 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,220 |
1,768 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,643 |
1,408 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
676 |
553 |
$0.00 |
| 90681 |
|
383 |
335 |
$0.00 |
| 90648 |
|
945 |
838 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
195 |
167 |
$0.00 |
| 90633 |
|
323 |
288 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
590 |
564 |
$0.00 |
| 90473 |
|
144 |
128 |
$0.00 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
586 |
472 |
$0.00 |
| 90671 |
|
145 |
114 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
811 |
537 |
$0.00 |
| 81002 |
|
13 |
12 |
$0.00 |
| 90670 |
|
1,298 |
1,163 |
$0.00 |
| 99173 |
|
139 |
113 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
56 |
48 |
$0.00 |
| 81003 |
|
50 |
26 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
831 |
502 |
$0.00 |
| 90461 |
|
461 |
442 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
281 |
232 |
$0.00 |
| 86756 |
|
61 |
48 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
35 |
27 |
$0.00 |
| 90710 |
|
88 |
81 |
$0.00 |
| 90658 |
|
22 |
14 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
27 |
14 |
$0.00 |
| 90734 |
|
17 |
14 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
13 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,728 |
10,774 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,963 |
1,450 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
903 |
607 |
$0.00 |
| 99172 |
|
52 |
52 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,246 |
1,902 |
$0.00 |
| 87428 |
|
240 |
165 |
$0.00 |
| 90723 |
|
354 |
311 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,522 |
9,922 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
94 |
82 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
39 |
34 |
$0.00 |
| 90474 |
|
49 |
43 |
$0.00 |
| 90651 |
|
19 |
16 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
429 |
314 |
$0.00 |
| 99406 |
|
561 |
421 |
$0.00 |
| 92551 |
|
155 |
131 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
60 |
37 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
65 |
56 |
$0.00 |
| 97597 |
|
41 |
14 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
43 |
22 |
$0.00 |
| 97802 |
|
40 |
31 |
$0.00 |
| 90677 |
|
50 |
42 |
$0.00 |
| 99381 |
|
45 |
36 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
43 |
22 |
$0.00 |
| 90686 |
|
15 |
14 |
$0.00 |