| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
36,003 |
29,320 |
$4.28M |
| 99199 |
Unlisted special service, procedure or report |
207,163 |
91,363 |
$1.80M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
296 |
280 |
$45K |
| 87428 |
|
482 |
435 |
$28K |
| 36415 |
Collection of venous blood by venipuncture |
8,214 |
6,763 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
82 |
80 |
$19K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
332 |
260 |
$12K |
| 0011A |
|
165 |
163 |
$8K |
| 0012A |
|
147 |
138 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
501 |
423 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
287 |
246 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
324 |
252 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
52 |
44 |
$3K |
| 81025 |
|
369 |
323 |
$3K |
| 99385 |
|
27 |
26 |
$2K |
| 81000 |
|
496 |
438 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
150 |
142 |
$1K |
| 0001A |
|
19 |
19 |
$1K |
| 0002A |
|
18 |
18 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
14 |
$1K |
| 90474 |
|
97 |
90 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
44 |
40 |
$600.18 |
| 99401 |
|
15 |
13 |
$526.26 |
| 59025 |
Fetal non-stress test |
45 |
25 |
$488.80 |
| 87420 |
|
30 |
30 |
$437.10 |
| 90677 |
|
230 |
216 |
$268.63 |
| 90697 |
|
88 |
82 |
$150.74 |
| 96161 |
|
41 |
40 |
$134.64 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
23 |
13 |
$102.24 |
| 96160 |
|
57 |
51 |
$67.32 |
| 90686 |
|
251 |
232 |
$19.58 |
| 4274F |
|
1,885 |
1,330 |
$0.00 |
| 1160F |
|
5,156 |
4,494 |
$0.00 |
| 4004F |
|
1,891 |
1,634 |
$0.00 |
| 4040F |
|
515 |
435 |
$0.00 |
| 3078F |
|
3,478 |
2,844 |
$0.00 |
| 1159F |
|
5,157 |
4,495 |
$0.00 |
| 3085F |
|
1,170 |
572 |
$0.00 |
| 3077F |
|
35 |
31 |
$0.00 |
| 90633 |
|
25 |
25 |
$0.00 |
| 90710 |
|
16 |
12 |
$0.00 |
| 99408 |
|
13 |
12 |
$0.00 |
| 91300 |
|
37 |
28 |
$0.00 |
| 3351F |
|
4,486 |
3,755 |
$0.00 |
| 1036F |
|
5,769 |
4,262 |
$0.00 |
| 2010F |
|
8,847 |
7,214 |
$0.00 |
| 2001F |
|
8,333 |
6,792 |
$0.00 |
| 3008F |
|
8,329 |
6,819 |
$0.00 |
| 3074F |
|
4,343 |
3,566 |
$0.00 |
| 1034F |
|
1,052 |
731 |
$0.00 |
| 0513F |
|
435 |
347 |
$0.00 |
| 2000F |
|
6,609 |
5,436 |
$0.00 |
| 3079F |
|
598 |
520 |
$0.00 |
| 4037F |
|
202 |
182 |
$0.00 |
| 1126F |
|
204 |
164 |
$0.00 |
| 91301 |
|
334 |
311 |
$0.00 |
| 90680 |
|
155 |
147 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |
| 4010F |
|
18 |
13 |
$0.00 |
| 3075F |
|
15 |
15 |
$0.00 |
| 90674 |
|
54 |
34 |
$0.00 |
| 90656 |
|
73 |
70 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
30 |
29 |
$0.00 |