| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
14,973 |
12,860 |
$1.04M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,490 |
8,302 |
$320K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14,587 |
5,906 |
$165K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,972 |
1,706 |
$92K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,556 |
994 |
$60K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,987 |
1,147 |
$60K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,703 |
1,005 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
946 |
729 |
$9K |
| 92551 |
|
1,945 |
1,170 |
$7K |
| 36416 |
|
3,450 |
1,990 |
$6K |
| 85018 |
|
5,569 |
3,254 |
$6K |
| 80305 |
|
1,026 |
591 |
$5K |
| 90832 |
Psychotherapy, 30 minutes with patient |
202 |
89 |
$5K |
| 99173 |
|
3,250 |
1,818 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
720 |
415 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
238 |
128 |
$3K |
| 90651 |
|
577 |
463 |
$2K |
| 99177 |
|
373 |
207 |
$2K |
| 90473 |
|
126 |
80 |
$1K |
| 90633 |
|
1,087 |
890 |
$991.13 |
| 90686 |
|
1,657 |
1,344 |
$986.87 |
| 99382 |
|
14 |
13 |
$936.33 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
98 |
52 |
$696.88 |
| 90670 |
|
961 |
794 |
$686.61 |
| 92558 |
|
71 |
41 |
$490.05 |
| 92587 |
|
49 |
30 |
$487.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
59 |
29 |
$436.90 |
| 90734 |
|
234 |
194 |
$413.67 |
| 90621 |
|
107 |
79 |
$385.45 |
| 90474 |
|
61 |
38 |
$239.04 |
| 90744 |
|
278 |
231 |
$233.28 |
| 90685 |
|
124 |
85 |
$193.25 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
75 |
39 |
$188.50 |
| 90698 |
|
650 |
545 |
$182.87 |
| 90715 |
|
70 |
55 |
$98.75 |
| 90700 |
|
57 |
40 |
$87.25 |
| 90710 |
|
145 |
102 |
$70.00 |
| 90461 |
|
1,009 |
706 |
$40.00 |
| 90713 |
|
18 |
13 |
$30.00 |
| 90672 |
|
128 |
107 |
$26.88 |
| 90680 |
|
235 |
203 |
$25.83 |
| 90656 |
|
69 |
69 |
$20.02 |
| 90677 |
|
147 |
128 |
$15.47 |
| 90619 |
|
28 |
24 |
$0.09 |
| 90648 |
|
13 |
12 |
$0.07 |
| 3078F |
|
4,430 |
4,127 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
2,952 |
2,737 |
$0.00 |
| 1159F |
|
486 |
466 |
$0.00 |
| 90696 |
|
67 |
44 |
$0.00 |
| 2001F |
|
4,894 |
4,530 |
$0.00 |
| 3074F |
|
4,464 |
4,160 |
$0.00 |
| 3008F |
|
4,894 |
4,530 |
$0.00 |
| 1036F |
|
4,661 |
4,277 |
$0.00 |
| 1111F |
|
2,993 |
2,713 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,949 |
2,740 |
$0.00 |
| 1126F |
|
209 |
204 |
$0.00 |
| 3048F |
|
41 |
40 |
$0.00 |
| 1034F |
|
223 |
210 |
$0.00 |
| 90716 |
|
31 |
25 |
$0.00 |
| 3079F |
|
14 |
13 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$0.00 |