| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
73,884 |
61,033 |
$20.03M |
| 99199 |
Unlisted special service, procedure or report |
640,027 |
374,722 |
$3.78M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12,465 |
10,643 |
$1.10M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
10,605 |
9,563 |
$904K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,976 |
9,067 |
$882K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
7,572 |
6,698 |
$663K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
22,306 |
20,066 |
$500K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37,979 |
34,158 |
$481K |
| D0145 |
Oral evaluation for a patient under three years of age |
3,867 |
3,523 |
$130K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
11,873 |
10,891 |
$96K |
| 99381 |
|
995 |
816 |
$79K |
| D1206 |
Topical application of fluoride varnish |
3,906 |
3,556 |
$58K |
| 90474 |
|
4,000 |
3,569 |
$54K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,634 |
3,425 |
$50K |
| 92587 |
|
5,188 |
4,624 |
$45K |
| 90649 |
|
4,616 |
4,053 |
$34K |
| 92551 |
|
22,759 |
20,487 |
$26K |
| 96160 |
|
7,254 |
6,458 |
$19K |
| 83655 |
|
1,435 |
1,244 |
$15K |
| 99173 |
|
23,479 |
21,163 |
$14K |
| 99383 |
|
154 |
127 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
672 |
507 |
$13K |
| 85018 |
|
7,382 |
6,632 |
$13K |
| 90620 |
|
1,511 |
1,298 |
$11K |
| 96127 |
|
5,874 |
5,459 |
$11K |
| 0071A |
|
211 |
148 |
$10K |
| 0072A |
|
169 |
131 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
603 |
335 |
$8K |
| 0002A |
|
186 |
132 |
$8K |
| 0001A |
|
187 |
131 |
$7K |
| 81003 |
|
4,375 |
4,033 |
$6K |
| 99384 |
|
60 |
39 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
1,825 |
1,712 |
$5K |
| 96161 |
|
2,259 |
1,962 |
$5K |
| 90686 |
|
12,960 |
11,990 |
$4K |
| 90715 |
|
1,396 |
1,153 |
$3K |
| 90480 |
|
66 |
62 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
85 |
65 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
81 |
64 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
20 |
12 |
$1K |
| 99382 |
|
12 |
12 |
$1K |
| 90734 |
|
2,530 |
2,169 |
$952.20 |
| 94760 |
|
468 |
415 |
$918.03 |
| 99177 |
|
2,657 |
2,305 |
$843.03 |
| 90656 |
|
1,983 |
1,950 |
$823.55 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
253 |
188 |
$805.47 |
| 81025 |
|
100 |
71 |
$583.78 |
| 90633 |
|
3,722 |
3,296 |
$428.46 |
| 96380 |
|
29 |
29 |
$342.80 |
| 90716 |
|
839 |
718 |
$321.00 |
| 86580 |
|
52 |
45 |
$162.49 |
| 91320 |
|
16 |
16 |
$160.01 |
| 90707 |
|
712 |
594 |
$150.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
112 |
47 |
$129.48 |
| 90619 |
|
617 |
531 |
$125.00 |
| 91321 |
|
12 |
12 |
$120.00 |
| 90744 |
|
4,183 |
3,687 |
$47.32 |
| 1159F |
|
8,988 |
8,023 |
$0.00 |
| 90670 |
|
7,295 |
6,429 |
$0.00 |
| 4040F |
|
8,517 |
7,737 |
$0.00 |
| 1160F |
|
8,982 |
8,018 |
$0.00 |
| 3078F |
|
9,130 |
8,277 |
$0.00 |
| 4274F |
|
13,324 |
12,227 |
$0.00 |
| 90710 |
|
1,077 |
910 |
$0.00 |
| 90681 |
|
406 |
402 |
$0.00 |
| 90700 |
|
131 |
121 |
$0.00 |
| 90655 |
|
234 |
228 |
$0.00 |
| 3725F |
|
37 |
34 |
$0.00 |
| 91300 |
|
451 |
303 |
$0.00 |
| 90648 |
|
29 |
29 |
$0.00 |
| 90698 |
|
8,789 |
7,907 |
$0.00 |
| 2000F |
|
9,360 |
8,488 |
$0.00 |
| 3351F |
|
1,237 |
1,136 |
$0.00 |
| 90696 |
|
944 |
800 |
$0.00 |
| 2010F |
|
24,053 |
20,656 |
$0.00 |
| 3008F |
|
18,628 |
16,318 |
$0.00 |
| 90680 |
|
3,712 |
3,290 |
$0.00 |
| 90677 |
|
1,873 |
1,845 |
$0.00 |
| 1036F |
|
11,301 |
10,313 |
$0.00 |
| 4037F |
|
3,000 |
2,864 |
$0.00 |
| 3074F |
|
9,295 |
8,432 |
$0.00 |
| 2001F |
|
22,514 |
19,296 |
$0.00 |
| 90651 |
|
1,085 |
959 |
$0.00 |
| 3352F |
|
12 |
12 |
$0.00 |
| 1034F |
|
170 |
152 |
$0.00 |
| 91307 |
|
397 |
275 |
$0.00 |
| 90381 |
|
12 |
12 |
$0.00 |
| 36416 |
|
36 |
36 |
$0.00 |
| 3079F |
|
13 |
13 |
$0.00 |