| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,593 |
6,382 |
$702K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,439 |
3,257 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
187 |
144 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,172 |
846 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
273 |
247 |
$2K |
| 87430 |
|
202 |
198 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
127 |
110 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
32 |
26 |
$1K |
| 90688 |
|
138 |
94 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
47 |
47 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
60 |
58 |
$1K |
| 92552 |
|
105 |
103 |
$890.14 |
| 92551 |
|
153 |
151 |
$853.17 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
44 |
41 |
$563.94 |
| 90686 |
|
57 |
57 |
$556.47 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
100 |
100 |
$500.00 |
| H0049 |
Alcohol and/or drug screening |
99 |
98 |
$430.00 |
| 85018 |
|
545 |
499 |
$429.54 |
| 94010 |
|
14 |
14 |
$344.40 |
| 90651 |
|
30 |
30 |
$270.00 |
| 90734 |
|
29 |
29 |
$261.00 |
| 90715 |
|
28 |
28 |
$252.00 |
| 90658 |
|
24 |
24 |
$216.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
25 |
25 |
$213.50 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
43 |
37 |
$170.74 |
| 81025 |
|
38 |
38 |
$106.40 |
| 87400 |
|
23 |
12 |
$63.69 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
12 |
12 |
$60.00 |
| 81002 |
|
186 |
139 |
$43.97 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
53 |
28 |
$41.94 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
651 |
519 |
$35.09 |
| 36415 |
Collection of venous blood by venipuncture |
35 |
34 |
$0.00 |
| 3074F |
|
213 |
201 |
$0.00 |
| 3075F |
|
13 |
13 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
30 |
$0.00 |
| 3079F |
|
35 |
34 |
$0.00 |
| 99173 |
|
16 |
16 |
$0.00 |
| 3078F |
|
263 |
251 |
$0.00 |