| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
24,822 |
21,834 |
$6.12M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,599 |
8,853 |
$98K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,399 |
3,290 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
381 |
381 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,423 |
3,405 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
222 |
212 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,649 |
1,644 |
$8K |
| 90832 |
Psychotherapy, 30 minutes with patient |
236 |
189 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
409 |
409 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
79 |
79 |
$4K |
| 90677 |
|
64 |
63 |
$3K |
| 87428 |
|
418 |
410 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,158 |
1,128 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
111 |
111 |
$939.51 |
| 90834 |
Psychotherapy, 45 minutes with patient |
12 |
12 |
$701.28 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
185 |
185 |
$692.44 |
| 0072A |
|
14 |
14 |
$560.00 |
| 0071A |
|
14 |
14 |
$560.00 |
| 0002A |
|
14 |
13 |
$560.00 |
| 90656 |
|
38 |
38 |
$481.39 |
| 99188 |
|
55 |
55 |
$412.88 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
468 |
468 |
$358.32 |
| 90715 |
|
25 |
25 |
$113.01 |
| 90674 |
|
604 |
604 |
$58.00 |
| 90686 |
|
394 |
394 |
$41.08 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
55 |
55 |
$31.43 |
| 90723 |
|
219 |
219 |
$0.00 |
| 3074F |
|
1,134 |
1,088 |
$0.00 |
| 4010F |
|
32 |
30 |
$0.00 |
| 1111F |
|
1,704 |
1,541 |
$0.00 |
| 87807 |
|
111 |
109 |
$0.00 |
| 90647 |
|
220 |
219 |
$0.00 |
| 3008F |
|
1,891 |
1,753 |
$0.00 |
| 90474 |
|
26 |
26 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 3079F |
|
50 |
48 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
16 |
$0.00 |
| 90651 |
|
54 |
54 |
$0.00 |
| 97802 |
|
14 |
14 |
$0.00 |
| 90671 |
|
223 |
223 |
$0.00 |
| 3078F |
|
1,113 |
1,069 |
$0.00 |
| 90681 |
|
40 |
40 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
147 |
147 |
$0.00 |
| 90661 |
|
191 |
191 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
238 |
238 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
166 |
166 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
41 |
41 |
$0.00 |
| 90670 |
|
108 |
108 |
$0.00 |
| 90633 |
|
15 |
14 |
$0.00 |