| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
95,632 |
85,910 |
$17.24M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32,042 |
30,246 |
$99K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,512 |
15,651 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,446 |
3,364 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,895 |
2,841 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,591 |
3,289 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,091 |
1,937 |
$12K |
| 90686 |
|
3,684 |
3,640 |
$11K |
| 99215 |
Prolong outpt/office vis |
6,522 |
6,234 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,618 |
1,591 |
$7K |
| G0008 |
Administration of influenza virus vaccine |
2,440 |
2,374 |
$4K |
| 99499 |
|
205 |
194 |
$3K |
| 90732 |
|
48 |
47 |
$2K |
| 90715 |
|
820 |
792 |
$2K |
| 90670 |
|
1,748 |
1,707 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
382 |
369 |
$1K |
| 0012A |
|
226 |
222 |
$1K |
| 0011A |
|
151 |
147 |
$960.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
816 |
792 |
$869.76 |
| 90647 |
|
1,613 |
1,576 |
$803.40 |
| 90723 |
|
1,890 |
1,831 |
$799.70 |
| 90746 |
|
294 |
290 |
$788.91 |
| 85610 |
|
231 |
175 |
$625.65 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
284 |
277 |
$600.02 |
| 90633 |
|
987 |
968 |
$592.20 |
| 99442 |
|
122 |
117 |
$557.37 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
492 |
463 |
$553.60 |
| 93793 |
|
98 |
65 |
$496.79 |
| 90710 |
|
917 |
898 |
$458.60 |
| 90651 |
|
875 |
855 |
$365.90 |
| 0124A |
|
42 |
42 |
$360.00 |
| 90734 |
|
663 |
647 |
$355.90 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
8,025 |
7,487 |
$348.60 |
| 99177 |
|
795 |
782 |
$345.00 |
| 92551 |
|
4,477 |
4,354 |
$304.88 |
| 90680 |
|
1,186 |
1,154 |
$270.80 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
82 |
81 |
$218.04 |
| 3074F |
|
168 |
165 |
$170.00 |
| 98967 |
|
13 |
12 |
$152.01 |
| 3078F |
|
153 |
149 |
$150.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,062 |
1,041 |
$146.60 |
| 99173 |
|
3,238 |
3,171 |
$143.85 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
124 |
112 |
$136.68 |
| 86580 |
|
15 |
12 |
$79.38 |
| 81025 |
|
13 |
13 |
$55.48 |
| 83655 |
|
2,264 |
2,196 |
$54.50 |
| 3077F |
|
62 |
60 |
$40.00 |
| 3079F |
|
53 |
51 |
$30.00 |
| 96127 |
|
485 |
482 |
$11.50 |
| 3080F |
|
14 |
13 |
$10.00 |
| 90677 |
|
1,274 |
1,249 |
$8.60 |
| 80061 |
Lipid panel |
833 |
822 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
567 |
561 |
$0.00 |
| 90648 |
|
219 |
204 |
$0.00 |
| 90380 |
|
14 |
14 |
$0.00 |
| 81003 |
|
13 |
12 |
$0.00 |
| 90681 |
|
160 |
145 |
$0.00 |
| 90700 |
|
134 |
134 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
33 |
33 |
$0.00 |
| 90750 |
|
15 |
15 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16 |
16 |
$0.00 |
| 3008F |
|
3,790 |
3,643 |
$0.00 |
| 85018 |
|
733 |
719 |
$0.00 |
| 99459 |
|
269 |
268 |
$0.00 |
| 99385 |
|
86 |
85 |
$0.00 |
| G0010 |
Administration of hepatitis b vaccine |
343 |
338 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
260 |
249 |
$0.00 |
| 90656 |
|
616 |
610 |
$0.00 |
| 90696 |
|
256 |
249 |
$0.00 |
| 99381 |
|
275 |
249 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 90739 |
|
12 |
12 |
$0.00 |
| 99383 |
|
41 |
40 |
$0.00 |
| 91301 |
|
113 |
113 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90381 |
|
28 |
28 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
13 |
$0.00 |
| 99417 |
Prolong home eval add 15m |
12 |
12 |
$0.00 |