| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,080 |
5,826 |
$1.46M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,510 |
22,290 |
$532K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,607 |
2,582 |
$94K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,258 |
2,227 |
$82K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,161 |
2,115 |
$77K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,705 |
4,626 |
$75K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,876 |
6,655 |
$72K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,257 |
1,239 |
$47K |
| 59426 |
|
1,209 |
672 |
$42K |
| 90677 |
|
273 |
266 |
$39K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,663 |
1,568 |
$35K |
| 90697 |
|
498 |
472 |
$35K |
| 59425 |
|
1,516 |
1,262 |
$33K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,970 |
2,929 |
$30K |
| 90619 |
|
236 |
228 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,202 |
1,147 |
$24K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,800 |
1,751 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
322 |
318 |
$10K |
| 90651 |
|
608 |
594 |
$8K |
| 90474 |
|
717 |
708 |
$7K |
| 90686 |
|
2,067 |
2,012 |
$3K |
| 90710 |
|
327 |
319 |
$3K |
| 90670 |
|
688 |
666 |
$3K |
| 81000 |
|
5,420 |
4,006 |
$2K |
| 90461 |
|
122 |
120 |
$1K |
| 90680 |
|
440 |
415 |
$1K |
| 92551 |
|
798 |
796 |
$971.74 |
| 90633 |
|
701 |
675 |
$835.37 |
| 90734 |
|
157 |
156 |
$818.31 |
| 90723 |
|
27 |
26 |
$712.35 |
| 0071A |
|
34 |
34 |
$688.42 |
| 90715 |
|
278 |
265 |
$617.53 |
| 90656 |
|
231 |
231 |
$613.69 |
| 90696 |
|
137 |
135 |
$546.54 |
| 0111A |
|
13 |
13 |
$496.51 |
| 0074A |
|
12 |
12 |
$480.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
75 |
73 |
$435.04 |
| 90698 |
|
132 |
127 |
$383.70 |
| 90716 |
|
64 |
63 |
$348.64 |
| 90733 |
|
14 |
13 |
$327.00 |
| 0011A |
|
22 |
22 |
$213.88 |
| 0012A |
|
32 |
32 |
$200.00 |
| 99173 |
|
513 |
512 |
$167.68 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
20 |
12 |
$162.16 |
| 90707 |
|
25 |
25 |
$92.49 |
| 3074F |
|
14,798 |
12,699 |
$62.01 |
| 90647 |
|
42 |
42 |
$52.46 |
| 3078F |
|
13,805 |
11,923 |
$51.01 |
| 90654 |
|
184 |
184 |
$33.93 |
| 85018 |
|
111 |
111 |
$23.00 |
| 3079F |
|
1,632 |
1,471 |
$20.00 |
| 83655 |
|
93 |
93 |
$6.73 |
| 91307 |
|
74 |
74 |
$6.00 |
| 3075F |
|
544 |
496 |
$6.00 |
| 91301 |
|
84 |
80 |
$4.00 |
| 3080F |
|
92 |
85 |
$3.00 |
| 3077F |
|
134 |
128 |
$3.00 |
| 94760 |
|
230 |
220 |
$0.00 |
| 91305 |
|
15 |
15 |
$0.00 |
| 0502F |
|
2,557 |
1,786 |
$0.00 |
| 81025 |
|
750 |
738 |
$0.00 |
| 87806 |
|
94 |
93 |
$0.00 |
| 90661 |
|
46 |
46 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
41 |
39 |
$0.00 |
| 91311 |
|
15 |
14 |
$0.00 |