| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
43,892 |
34,052 |
$3.18M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40,169 |
22,808 |
$941K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,167 |
7,080 |
$428K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,161 |
9,166 |
$250K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,810 |
3,366 |
$180K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,223 |
3,006 |
$165K |
| 90832 |
Psychotherapy, 30 minutes with patient |
7,372 |
2,573 |
$147K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,486 |
2,572 |
$119K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,123 |
1,801 |
$111K |
| 92557 |
|
3,065 |
1,978 |
$44K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,812 |
1,220 |
$33K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,677 |
1,091 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,047 |
1,210 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,104 |
660 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
337 |
194 |
$5K |
| 90670 |
|
3,036 |
1,815 |
$4K |
| 99381 |
|
122 |
64 |
$4K |
| 99188 |
|
463 |
269 |
$3K |
| 90710 |
|
1,062 |
635 |
$2K |
| 90651 |
|
865 |
499 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
406 |
225 |
$2K |
| 90686 |
|
4,073 |
2,610 |
$2K |
| 90723 |
|
1,674 |
1,032 |
$1K |
| 82962 |
|
874 |
516 |
$970.67 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
61 |
58 |
$929.35 |
| 90633 |
|
1,273 |
772 |
$829.94 |
| 90647 |
|
1,730 |
1,045 |
$778.76 |
| 90734 |
|
464 |
282 |
$690.96 |
| 81002 |
|
549 |
337 |
$675.97 |
| 90681 |
|
546 |
293 |
$399.20 |
| 81025 |
|
96 |
56 |
$225.44 |
| 90715 |
|
174 |
104 |
$179.57 |
| 85018 |
|
83 |
82 |
$90.72 |
| 90700 |
|
83 |
54 |
$77.05 |
| 90473 |
|
29 |
16 |
$35.22 |
| 90680 |
|
122 |
117 |
$30.00 |
| 90619 |
|
247 |
146 |
$0.27 |
| 90697 |
|
672 |
373 |
$0.13 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
475 |
258 |
$0.00 |
| 1159F |
|
19,812 |
9,854 |
$0.00 |
| 1160F |
|
19,839 |
9,863 |
$0.00 |
| 3725F |
|
7,628 |
3,992 |
$0.00 |
| 3078F |
|
17,545 |
9,873 |
$0.00 |
| 99173 |
|
364 |
252 |
$0.00 |
| 4004F |
|
913 |
486 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,168 |
1,708 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,466 |
803 |
$0.00 |
| 90671 |
|
139 |
76 |
$0.00 |
| 90685 |
|
34 |
34 |
$0.00 |
| 3077F |
|
323 |
173 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
921 |
496 |
$0.00 |
| 1034F |
|
1,646 |
921 |
$0.00 |
| 1036F |
|
12,166 |
6,613 |
$0.00 |
| 3008F |
|
23,357 |
12,679 |
$0.00 |
| 3074F |
|
18,739 |
10,547 |
$0.00 |
| 1035F |
|
887 |
476 |
$0.00 |
| 3075F |
|
1,242 |
700 |
$0.00 |
| 90677 |
|
164 |
115 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
79 |
53 |
$0.00 |
| 3079F |
|
2,601 |
1,463 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
420 |
233 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
514 |
281 |
$0.00 |
| 3080F |
|
123 |
70 |
$0.00 |
| 92551 |
|
402 |
280 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
76 |
47 |
$0.00 |
| 90696 |
|
28 |
15 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |