| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
32,734 |
26,296 |
$3.21M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,807 |
17,664 |
$2.00M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,410 |
6,810 |
$750K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
4,118 |
3,935 |
$477K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,014 |
3,958 |
$396K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,420 |
3,349 |
$335K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,395 |
3,325 |
$327K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,538 |
2,489 |
$248K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,214 |
6,599 |
$239K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
9,703 |
9,112 |
$122K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,272 |
2,153 |
$113K |
| 96127 |
|
14,532 |
12,379 |
$108K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,167 |
1,976 |
$47K |
| G9153 |
Mapcp demonstration - physician incentive pool |
750 |
749 |
$45K |
| 90461 |
|
1,659 |
653 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,067 |
2,048 |
$15K |
| 81003 |
|
6,962 |
6,507 |
$13K |
| 83655 |
|
1,182 |
1,166 |
$13K |
| 99499 |
|
140 |
120 |
$10K |
| 80061 |
Lipid panel |
491 |
475 |
$5K |
| 96161 |
|
951 |
871 |
$5K |
| 87807 |
|
515 |
471 |
$5K |
| 81002 |
|
1,084 |
1,022 |
$5K |
| 85018 |
|
1,722 |
1,684 |
$4K |
| 96160 |
|
1,558 |
918 |
$3K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$1K |
| 0072A |
|
12 |
12 |
$480.00 |
| 90651 |
|
241 |
239 |
$264.35 |
| 90710 |
|
517 |
508 |
$220.84 |
| 92552 |
|
1,191 |
1,138 |
$202.32 |
| 86308 |
|
42 |
40 |
$188.58 |
| 90670 |
|
914 |
904 |
$185.25 |
| 90723 |
|
996 |
981 |
$77.27 |
| 90633 |
|
738 |
718 |
$57.46 |
| 90647 |
|
970 |
956 |
$25.69 |
| 90686 |
|
941 |
931 |
$16.42 |
| 94760 |
|
26 |
26 |
$7.84 |
| 90681 |
|
205 |
200 |
$0.00 |
| 90734 |
|
302 |
294 |
$0.00 |
| G8709 |
Uri episodes when the patient had competing diagnoses on or three days after the episode date (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis, mastoiditis, or bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia/gonococcal infections, venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis or uti, and acne) |
528 |
521 |
$0.00 |
| 90715 |
|
118 |
113 |
$0.00 |
| 99173 |
|
320 |
315 |
$0.00 |
| 90700 |
|
25 |
25 |
$0.00 |
| G8708 |
Patient not prescribed antibiotic |
962 |
938 |
$0.00 |
| 36416 |
|
509 |
500 |
$0.00 |
| 90696 |
|
95 |
90 |
$0.00 |
| 90677 |
|
330 |
324 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
103 |
103 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |