| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
23,513 |
18,565 |
$1.81M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,784 |
7,473 |
$348K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,962 |
8,784 |
$306K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,826 |
5,667 |
$52K |
| 90677 |
|
327 |
176 |
$42K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,783 |
1,531 |
$36K |
| 91322 |
|
620 |
426 |
$35K |
| 90746 |
|
943 |
514 |
$33K |
| 90651 |
|
531 |
356 |
$25K |
| 90674 |
|
1,670 |
887 |
$22K |
| 90686 |
|
3,252 |
1,741 |
$19K |
| 0012A |
|
1,375 |
838 |
$18K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,584 |
3,297 |
$17K |
| 90480 |
|
791 |
582 |
$16K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,798 |
1,107 |
$13K |
| 99215 |
Prolong outpt/office vis |
361 |
230 |
$13K |
| 90715 |
|
1,077 |
707 |
$12K |
| 0011A |
|
1,387 |
828 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
318 |
192 |
$10K |
| 0003A |
|
390 |
249 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
767 |
440 |
$9K |
| 0004A |
|
247 |
140 |
$7K |
| 0124A |
|
322 |
184 |
$6K |
| 0001A |
|
251 |
144 |
$6K |
| 91321 |
|
117 |
108 |
$6K |
| 0002A |
|
292 |
169 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
181 |
119 |
$4K |
| 90661 |
|
970 |
707 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
874 |
436 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
101 |
63 |
$3K |
| 90732 |
|
56 |
39 |
$3K |
| 81025 |
|
1,022 |
569 |
$3K |
| 90716 |
|
146 |
121 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
99 |
64 |
$3K |
| 80061 |
Lipid panel |
591 |
332 |
$2K |
| 90633 |
|
535 |
352 |
$2K |
| 90688 |
|
368 |
203 |
$1K |
| 90619 |
|
22 |
14 |
$1K |
| 90653 |
|
178 |
145 |
$1K |
| 0054A |
|
60 |
42 |
$966.18 |
| 99386 |
|
21 |
12 |
$907.68 |
| 99385 |
|
23 |
15 |
$744.16 |
| 81002 |
|
589 |
333 |
$587.11 |
| 81003 |
|
802 |
523 |
$571.83 |
| 90832 |
Psychotherapy, 30 minutes with patient |
34 |
12 |
$569.52 |
| 93000 |
|
46 |
24 |
$355.40 |
| 99188 |
|
79 |
50 |
$350.78 |
| 0154A |
|
18 |
12 |
$338.94 |
| 90658 |
|
251 |
128 |
$248.12 |
| 90713 |
|
425 |
273 |
$108.00 |
| 99406 |
|
23 |
12 |
$66.95 |
| 90744 |
|
49 |
28 |
$50.00 |
| 82962 |
|
30 |
15 |
$37.38 |
| 90756 |
|
31 |
16 |
$22.79 |
| 85018 |
|
29 |
14 |
$19.52 |
| 92551 |
|
18 |
16 |
$12.16 |
| 91301 |
|
2,763 |
1,626 |
$12.02 |
| 91300 |
|
1,327 |
743 |
$5.75 |
| 91305 |
|
68 |
47 |
$0.01 |
| 3078F |
|
168 |
145 |
$0.00 |
| 1160F |
|
282 |
249 |
$0.00 |
| 1159F |
|
282 |
249 |
$0.00 |
| 91312 |
|
284 |
165 |
$0.00 |
| 90685 |
|
40 |
17 |
$0.00 |
| 3074F |
|
240 |
210 |
$0.00 |
| 3008F |
|
320 |
279 |
$0.00 |
| 91307 |
|
109 |
66 |
$0.00 |
| 91315 |
|
20 |
13 |
$0.00 |