| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
45,938 |
40,761 |
$2.76M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,811 |
24,698 |
$130K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,583 |
6,304 |
$49K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,234 |
3,226 |
$47K |
| 90670 |
|
1,579 |
1,574 |
$46K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,475 |
3,295 |
$38K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,963 |
4,948 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,238 |
2,235 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
911 |
907 |
$8K |
| 90671 |
|
822 |
822 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
503 |
501 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
308 |
306 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,593 |
2,534 |
$3K |
| 90686 |
|
1,448 |
1,446 |
$3K |
| 87428 |
|
935 |
926 |
$3K |
| 90734 |
|
183 |
183 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
715 |
511 |
$2K |
| 90716 |
|
120 |
120 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
431 |
428 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,067 |
1,058 |
$1K |
| 90707 |
|
172 |
172 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
519 |
497 |
$800.03 |
| 59430 |
|
12 |
12 |
$587.88 |
| 0071A |
|
14 |
14 |
$378.50 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
157 |
157 |
$362.80 |
| 81003 |
|
1,684 |
1,642 |
$355.70 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
174 |
173 |
$312.26 |
| 0072A |
|
12 |
12 |
$302.48 |
| 87807 |
|
256 |
253 |
$260.40 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
125 |
122 |
$254.95 |
| 90651 |
|
100 |
100 |
$229.34 |
| 99381 |
|
41 |
41 |
$173.44 |
| 81025 |
|
56 |
55 |
$71.30 |
| 92551 |
|
75 |
75 |
$56.08 |
| 90744 |
|
523 |
521 |
$53.80 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
25 |
25 |
$35.17 |
| 36415 |
Collection of venous blood by venipuncture |
36 |
35 |
$16.20 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$0.00 |
| 85018 |
|
14 |
14 |
$0.00 |
| 90680 |
|
1,601 |
1,596 |
$0.00 |
| 90647 |
|
39 |
39 |
$0.00 |
| 90698 |
|
797 |
792 |
$0.00 |
| 90723 |
|
1,111 |
1,111 |
$0.00 |
| 90696 |
|
157 |
157 |
$0.00 |
| 36416 |
|
14 |
14 |
$0.00 |
| 90656 |
|
128 |
128 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
21 |
13 |
$0.00 |
| 90710 |
|
262 |
262 |
$0.00 |
| 90461 |
|
3,437 |
3,432 |
$0.00 |
| 90700 |
|
145 |
145 |
$0.00 |
| 90633 |
|
1,172 |
1,172 |
$0.00 |
| 99173 |
|
338 |
338 |
$0.00 |
| 90648 |
|
1,370 |
1,370 |
$0.00 |
| 90715 |
|
84 |
84 |
$0.00 |
| 90685 |
|
54 |
53 |
$0.00 |
| 90672 |
|
29 |
29 |
$0.00 |