| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
59,820 |
53,042 |
$8.43M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47,054 |
26,921 |
$87K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,579 |
513 |
$31K |
| 90686 |
|
2,443 |
1,759 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,122 |
10,910 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,361 |
4,367 |
$10K |
| H0049 |
Alcohol and/or drug screening |
3,092 |
3,086 |
$8K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,619 |
605 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
169 |
98 |
$5K |
| 90715 |
|
305 |
207 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,554 |
868 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
165 |
87 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,296 |
885 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
257 |
206 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,330 |
823 |
$4K |
| 90670 |
|
474 |
334 |
$4K |
| 92551 |
|
4,086 |
2,434 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
135 |
135 |
$3K |
| 90648 |
|
438 |
313 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
433 |
310 |
$3K |
| 0012A |
|
38 |
38 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
768 |
421 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
190 |
174 |
$2K |
| 0011A |
|
24 |
24 |
$2K |
| 80305 |
|
255 |
209 |
$2K |
| 90723 |
|
144 |
124 |
$1K |
| 0134A |
|
32 |
32 |
$1K |
| 98929 |
|
14 |
12 |
$916.48 |
| 98928 |
|
20 |
12 |
$867.75 |
| 0004A |
|
12 |
12 |
$737.00 |
| 85018 |
|
4,071 |
2,560 |
$652.04 |
| 90633 |
|
93 |
71 |
$612.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
56 |
36 |
$549.50 |
| 90656 |
|
63 |
35 |
$528.91 |
| 99383 |
|
53 |
53 |
$493.47 |
| 83655 |
|
60 |
37 |
$393.31 |
| 90707 |
|
34 |
24 |
$393.00 |
| 81002 |
|
676 |
504 |
$387.07 |
| 90680 |
|
60 |
48 |
$369.00 |
| 81025 |
|
113 |
102 |
$287.45 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
324 |
248 |
$251.64 |
| 90716 |
|
23 |
12 |
$232.01 |
| 90688 |
|
12 |
12 |
$226.75 |
| 90619 |
|
39 |
24 |
$216.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
51 |
43 |
$205.80 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
377 |
357 |
$190.03 |
| 99201 |
|
29 |
29 |
$181.10 |
| 90649 |
|
30 |
16 |
$135.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$115.05 |
| 99215 |
Prolong outpt/office vis |
170 |
92 |
$114.40 |
| 90651 |
|
24 |
12 |
$108.00 |
| 90734 |
|
12 |
12 |
$99.00 |
| 90744 |
|
19 |
14 |
$90.00 |
| 81000 |
|
81 |
69 |
$80.30 |
| 90698 |
|
16 |
12 |
$72.00 |
| 0064A |
|
14 |
13 |
$67.00 |
| 90662 |
|
15 |
15 |
$50.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
469 |
455 |
$35.68 |
| 87210 |
|
12 |
12 |
$35.60 |
| 99443 |
|
16 |
16 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
300 |
109 |
$0.00 |
| 91306 |
|
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
23 |
23 |
$0.00 |
| 90480 |
|
25 |
25 |
$0.00 |
| 99173 |
|
1,689 |
1,688 |
$0.00 |
| 99442 |
|
130 |
112 |
$0.00 |
| 91322 |
|
25 |
25 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16 |
16 |
$0.00 |
| 99188 |
|
29 |
29 |
$0.00 |
| 91313 |
|
14 |
14 |
$0.00 |