| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,955 |
1,465 |
$188K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,911 |
898 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,578 |
775 |
$37K |
| 90834 |
Psychotherapy, 45 minutes with patient |
404 |
135 |
$12K |
| 92587 |
|
641 |
381 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
137 |
65 |
$4K |
| 99188 |
|
260 |
223 |
$4K |
| 99384 |
|
102 |
51 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
78 |
57 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
149 |
101 |
$3K |
| 92015 |
Determination of refractive state |
218 |
138 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
63 |
38 |
$997.73 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
130 |
108 |
$782.36 |
| 86703 |
|
149 |
113 |
$707.35 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
17 |
16 |
$480.66 |
| 82962 |
|
320 |
148 |
$354.24 |
| 99173 |
|
374 |
210 |
$324.07 |
| 99406 |
|
69 |
29 |
$230.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
13 |
$137.54 |
| 81025 |
|
36 |
12 |
$109.82 |
| 3008F |
|
1,083 |
639 |
$0.00 |
| 1036F |
|
1,159 |
720 |
$0.00 |
| 1034F |
|
29 |
12 |
$0.00 |
| 90651 |
|
24 |
12 |
$0.00 |
| 3044F |
|
14 |
14 |
$0.00 |
| 90619 |
|
98 |
63 |
$0.00 |
| 4004F |
|
120 |
63 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |