| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
41,864 |
33,428 |
$12.92M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,502 |
13,422 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,086 |
7,243 |
$18K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,949 |
3,806 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,951 |
2,725 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,763 |
1,622 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,470 |
1,402 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
756 |
708 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,171 |
1,116 |
$690.92 |
| 87428 |
|
335 |
326 |
$317.95 |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,036 |
668 |
$290.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
661 |
594 |
$182.16 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
181 |
179 |
$153.60 |
| 99174 |
|
371 |
341 |
$149.28 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
553 |
518 |
$107.49 |
| 90686 |
|
572 |
509 |
$31.67 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
481 |
444 |
$24.56 |
| 81003 |
|
932 |
854 |
$18.62 |
| 90671 |
|
222 |
211 |
$15.43 |
| 90670 |
|
384 |
342 |
$0.77 |
| 90723 |
|
291 |
257 |
$0.77 |
| 81025 |
|
159 |
146 |
$0.00 |
| 90633 |
|
146 |
141 |
$0.00 |
| 90715 |
|
86 |
86 |
$0.00 |
| 90681 |
|
74 |
73 |
$0.00 |
| 80305 |
|
42 |
42 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
286 |
240 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$0.00 |
| 90461 |
|
64 |
43 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
22 |
$0.00 |
| 90677 |
|
213 |
208 |
$0.00 |
| 90647 |
|
318 |
284 |
$0.00 |
| 90680 |
|
256 |
247 |
$0.00 |
| 96127 |
|
414 |
411 |
$0.00 |
| 99000 |
|
108 |
105 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
14 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
12 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |