| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
48,602 |
32,685 |
$3.87M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,836 |
1,108 |
$40K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
677 |
374 |
$31K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
71 |
51 |
$10K |
| 99205 |
Prolong outpt/office vis |
81 |
73 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,521 |
1,926 |
$4K |
| 99499 |
|
516 |
182 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40,701 |
27,435 |
$490.80 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
227 |
186 |
$0.46 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
607 |
518 |
$0.01 |
| 97802 |
|
2,591 |
1,963 |
$0.01 |
| 81002 |
|
1,468 |
1,120 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,990 |
2,436 |
$0.00 |
| 81025 |
|
285 |
248 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,134 |
938 |
$0.00 |
| 90670 |
|
931 |
803 |
$0.00 |
| 99173 |
|
2,838 |
2,288 |
$0.00 |
| 90633 |
|
689 |
573 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
826 |
638 |
$0.00 |
| 90734 |
|
444 |
354 |
$0.00 |
| 90707 |
|
29 |
25 |
$0.00 |
| 83655 |
|
45 |
29 |
$0.00 |
| 90648 |
|
120 |
106 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
739 |
637 |
$0.00 |
| 90685 |
|
13 |
12 |
$0.00 |
| 90649 |
|
471 |
381 |
$0.00 |
| 90715 |
|
162 |
126 |
$0.00 |
| 90710 |
|
40 |
35 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,403 |
2,726 |
$0.00 |
| 92551 |
|
2,644 |
2,131 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,624 |
1,960 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
34 |
26 |
$0.00 |
| 90698 |
|
114 |
109 |
$0.00 |
| 90686 |
|
80 |
67 |
$0.00 |
| 85018 |
|
620 |
408 |
$0.00 |
| 90680 |
|
128 |
114 |
$0.00 |
| 90474 |
|
129 |
114 |
$0.00 |
| 90716 |
|
30 |
26 |
$0.00 |
| 90723 |
|
22 |
16 |
$0.00 |
| 90744 |
|
53 |
50 |
$0.00 |
| 90688 |
|
17 |
17 |
$0.00 |
| 90696 |
|
57 |
44 |
$0.00 |