| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,141 |
13,216 |
$2.01M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,740 |
7,681 |
$449K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,969 |
4,237 |
$215K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
918 |
905 |
$87K |
| 31231 |
|
90 |
86 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
90 |
90 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
125 |
122 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
73 |
69 |
$6K |
| 99215 |
Prolong outpt/office vis |
119 |
106 |
$5K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
54 |
54 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
297 |
138 |
$4K |
| 0002A |
|
124 |
121 |
$4K |
| 0001A |
|
159 |
156 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
93 |
89 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
609 |
473 |
$3K |
| 81002 |
|
713 |
660 |
$2K |
| 99442 |
|
58 |
55 |
$2K |
| 99335 |
|
37 |
26 |
$1K |
| 92504 |
|
74 |
61 |
$921.30 |
| 90686 |
|
63 |
61 |
$826.48 |
| 99336 |
|
19 |
14 |
$806.01 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
34 |
26 |
$663.20 |
| 92567 |
|
81 |
81 |
$594.08 |
| 99441 |
|
14 |
14 |
$461.66 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
29 |
$389.25 |
| 90656 |
|
15 |
15 |
$129.54 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
16 |
16 |
$114.96 |
| 81025 |
|
15 |
12 |
$94.68 |
| 90651 |
|
20 |
18 |
$63.40 |
| 90715 |
|
17 |
14 |
$58.34 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
26 |
25 |
$0.00 |
| 91300 |
|
268 |
240 |
$0.00 |