| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
67,238 |
55,356 |
$3.66M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,326 |
23,323 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,378 |
7,366 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,289 |
6,671 |
$12K |
| 90670 |
|
4,307 |
4,298 |
$11K |
| D0190 |
|
7,772 |
7,757 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,087 |
5,085 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,025 |
10,200 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,180 |
13,137 |
$7K |
| 90677 |
|
629 |
629 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,841 |
2,839 |
$7K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
1,775 |
1,197 |
$4K |
| 90651 |
|
1,296 |
1,293 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,503 |
2,421 |
$2K |
| 90716 |
|
1,088 |
1,087 |
$2K |
| 99000 |
|
1,335 |
1,309 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
368 |
366 |
$2K |
| 90707 |
|
1,114 |
1,113 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,925 |
3,841 |
$1K |
| 90734 |
|
760 |
758 |
$855.76 |
| 0072A |
|
31 |
31 |
$790.37 |
| 90744 |
|
2,615 |
2,608 |
$684.44 |
| 90686 |
|
2,491 |
2,491 |
$636.18 |
| 99188 |
|
1,421 |
1,414 |
$595.98 |
| 0071A |
|
36 |
36 |
$527.66 |
| G9002 |
Coordinated care fee, maintenance rate |
726 |
672 |
$526.25 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,189 |
1,143 |
$484.60 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
773 |
732 |
$438.72 |
| 90715 |
|
353 |
352 |
$217.20 |
| 98966 |
|
546 |
467 |
$179.54 |
| 92551 |
|
524 |
524 |
$130.80 |
| 85018 |
|
1,473 |
1,467 |
$119.68 |
| 87807 |
|
486 |
473 |
$110.12 |
| 81003 |
|
1,233 |
1,164 |
$79.00 |
| 90688 |
|
475 |
475 |
$71.36 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
574 |
434 |
$55.86 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
225 |
218 |
$54.12 |
| 90685 |
|
640 |
639 |
$43.62 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
737 |
730 |
$40.00 |
| 90661 |
|
267 |
267 |
$36.85 |
| 90674 |
|
222 |
222 |
$34.17 |
| 90713 |
|
32 |
32 |
$29.09 |
| 99173 |
|
4,895 |
4,893 |
$0.00 |
| 90633 |
|
2,563 |
2,557 |
$0.00 |
| 99051 |
|
57 |
54 |
$0.00 |
| 90710 |
|
946 |
945 |
$0.00 |
| 94664 |
|
642 |
637 |
$0.00 |
| 90648 |
|
906 |
904 |
$0.00 |
| 90700 |
|
1,180 |
1,177 |
$0.00 |
| 90461 |
|
1,388 |
1,385 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
86 |
86 |
$0.00 |
| 69210 |
|
25 |
25 |
$0.00 |
| 90687 |
|
75 |
75 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$0.00 |
| 17110 |
|
13 |
13 |
$0.00 |
| 90680 |
|
3,332 |
3,328 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
801 |
773 |
$0.00 |
| 90698 |
|
3,726 |
3,718 |
$0.00 |
| 96127 |
|
1,061 |
1,056 |
$0.00 |
| 90696 |
|
910 |
909 |
$0.00 |
| 90620 |
|
143 |
143 |
$0.00 |
| 91307 |
|
73 |
72 |
$0.00 |
| 99381 |
|
96 |
95 |
$0.00 |
| 90619 |
|
369 |
369 |
$0.00 |
| 90723 |
|
42 |
42 |
$0.00 |