| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
30,216 |
26,731 |
$1.80M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,899 |
12,017 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,396 |
8,080 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,545 |
1,543 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,536 |
1,534 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,159 |
1,158 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,251 |
1,249 |
$7K |
| 90686 |
|
2,269 |
2,261 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,223 |
1,220 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,860 |
4,837 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
734 |
468 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,279 |
1,164 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,945 |
1,940 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
685 |
658 |
$2K |
| 90651 |
|
167 |
167 |
$1K |
| 90677 |
|
91 |
91 |
$884.74 |
| 0002A |
|
23 |
23 |
$832.70 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,081 |
1,063 |
$780.33 |
| 0001A |
|
30 |
30 |
$697.25 |
| 0071A |
|
14 |
14 |
$489.49 |
| 90715 |
|
205 |
205 |
$455.71 |
| 0064A |
|
12 |
12 |
$454.20 |
| 90670 |
|
272 |
272 |
$422.78 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
276 |
159 |
$359.03 |
| 90656 |
|
76 |
76 |
$201.15 |
| 98966 |
|
56 |
49 |
$105.42 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
31 |
31 |
$82.26 |
| 81002 |
|
314 |
303 |
$60.48 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
501 |
497 |
$27.60 |
| 3008F |
|
2,218 |
2,123 |
$0.01 |
| 3078F |
|
2,837 |
2,705 |
$0.00 |
| 90461 |
|
36 |
34 |
$0.00 |
| 90685 |
|
35 |
34 |
$0.00 |
| 90734 |
|
132 |
132 |
$0.00 |
| 90648 |
|
78 |
78 |
$0.00 |
| 90633 |
|
58 |
58 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
28 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
45 |
45 |
$0.00 |
| 96160 |
|
13 |
13 |
$0.00 |
| 3075F |
|
478 |
466 |
$0.00 |
| 3074F |
|
3,112 |
2,952 |
$0.00 |
| 3044F |
|
386 |
358 |
$0.00 |
| 3079F |
|
967 |
934 |
$0.00 |
| 99406 |
|
31 |
30 |
$0.00 |
| 90698 |
|
147 |
147 |
$0.00 |
| 90680 |
|
14 |
14 |
$0.00 |
| S0250 |
Comprehensive geriatric assessment and treatment planning performed by assessment team |
12 |
12 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |
| 90474 |
|
14 |
14 |
$0.00 |
| 90723 |
|
43 |
43 |
$0.00 |