| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
204,469 |
152,011 |
$14.73M |
| 99051 |
|
29,754 |
23,183 |
$327K |
| H2020 |
Therapeutic behavioral services, per diem |
312 |
180 |
$20K |
| 99499 |
|
533 |
430 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
113,911 |
87,747 |
$321.89 |
| 92551 |
|
20,561 |
16,316 |
$139.43 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13,500 |
10,018 |
$132.15 |
| 99050 |
|
42 |
30 |
$107.04 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
7,968 |
6,424 |
$92.15 |
| 99173 |
|
21,755 |
17,362 |
$92.15 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
9,379 |
7,129 |
$30.44 |
| 90633 |
|
4,608 |
3,647 |
$18.01 |
| 90649 |
|
413 |
341 |
$13.38 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12,511 |
10,334 |
$8.88 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,461 |
2,732 |
$5.33 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,051 |
7,408 |
$5.07 |
| 90686 |
|
2,300 |
1,965 |
$2.30 |
| 90651 |
|
832 |
677 |
$2.20 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,791 |
21,439 |
$1.81 |
| 94760 |
|
1,233 |
933 |
$1.35 |
| 90648 |
|
3,905 |
3,152 |
$1.31 |
| 97802 |
|
434 |
380 |
$0.31 |
| 90734 |
|
1,323 |
1,051 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
11,726 |
9,506 |
$0.00 |
| 90707 |
|
630 |
496 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,401 |
2,975 |
$0.00 |
| 90473 |
|
3,758 |
3,072 |
$0.00 |
| 90670 |
|
5,855 |
4,771 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14,972 |
12,151 |
$0.00 |
| 90671 |
|
1,363 |
1,169 |
$0.00 |
| 69210 |
|
332 |
265 |
$0.00 |
| 90700 |
|
402 |
323 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
338 |
242 |
$0.00 |
| 96160 |
|
2,000 |
1,676 |
$0.00 |
| 90710 |
|
451 |
382 |
$0.00 |
| 81002 |
|
86 |
69 |
$0.00 |
| 69200 |
|
94 |
80 |
$0.00 |
| 90715 |
|
369 |
304 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
64 |
29 |
$0.00 |
| 90672 |
|
118 |
96 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
22 |
12 |
$0.00 |
| 99188 |
|
85 |
28 |
$0.00 |
| 90658 |
|
52 |
35 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
376 |
290 |
$0.00 |
| 90697 |
|
1,885 |
1,629 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
226 |
156 |
$0.00 |
| 90620 |
|
698 |
532 |
$0.00 |
| 90680 |
|
3,897 |
3,206 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
50 |
41 |
$0.00 |
| 90723 |
|
2,604 |
2,114 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
126 |
95 |
$0.00 |
| 87807 |
|
2,844 |
2,207 |
$0.00 |
| 90716 |
|
635 |
507 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,181 |
1,034 |
$0.00 |
| 90619 |
|
456 |
338 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16,706 |
13,479 |
$0.00 |
| 99381 |
|
1,635 |
1,129 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
154 |
108 |
$0.00 |
| 90696 |
|
345 |
286 |
$0.00 |
| V5008 |
Hearing screening |
24 |
17 |
$0.00 |
| 90698 |
|
85 |
77 |
$0.00 |
| 85018 |
|
185 |
138 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
93 |
75 |
$0.00 |
| 36416 |
|
18 |
15 |
$0.00 |
| 96127 |
|
91 |
74 |
$0.00 |
| 3008F |
|
18 |
18 |
$0.00 |
| 90656 |
|
74 |
51 |
$0.00 |
| 99383 |
|
16 |
15 |
$0.00 |