| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,130 |
10,410 |
$3.99M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,673 |
3,137 |
$134K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,026 |
918 |
$27K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
706 |
644 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
244 |
216 |
$13K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
277 |
237 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
823 |
755 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
311 |
218 |
$7K |
| D0140 |
Limited oral evaluation - problem focused |
328 |
307 |
$5K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
104 |
92 |
$5K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
789 |
721 |
$5K |
| 0012A |
|
139 |
137 |
$5K |
| D1206 |
Topical application of fluoride varnish |
363 |
350 |
$4K |
| 92015 |
Determination of refractive state |
427 |
356 |
$3K |
| 0064A |
|
87 |
80 |
$3K |
| 90686 |
|
307 |
266 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
610 |
542 |
$2K |
| 0011A |
|
148 |
146 |
$2K |
| 0072A |
|
61 |
51 |
$2K |
| 0071A |
|
56 |
52 |
$2K |
| 86328 |
|
55 |
52 |
$2K |
| 0002A |
|
50 |
49 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
184 |
160 |
$2K |
| 0001A |
|
46 |
43 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
201 |
190 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
303 |
259 |
$907.89 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$797.13 |
| 90688 |
|
57 |
52 |
$724.38 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
45 |
42 |
$509.03 |
| 80053 |
Comprehensive metabolic panel |
31 |
26 |
$178.74 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
14 |
14 |
$177.74 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
17 |
13 |
$119.85 |
| D0230 |
Intraoral - periapical each additional radiographic image |
70 |
14 |
$104.37 |
| 85027 |
|
14 |
13 |
$87.88 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14 |
12 |
$67.86 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
18 |
15 |
$61.88 |
| 99000 |
|
461 |
353 |
$0.00 |
| D1330 |
|
177 |
170 |
$0.00 |
| 91301 |
|
59 |
58 |
$0.00 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
238 |
209 |
$0.00 |
| 99173 |
|
16 |
12 |
$0.00 |
| D0460 |
|
14 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
15 |
$0.00 |