| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
91,932 |
65,166 |
$5.72M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
47,992 |
24,992 |
$1.52M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
56,861 |
27,110 |
$1.27M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15,165 |
9,042 |
$519K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12,968 |
8,518 |
$404K |
| G9920 |
Screening performed and negative |
16,879 |
9,658 |
$302K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,057 |
4,702 |
$298K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,610 |
2,627 |
$211K |
| 99460 |
|
4,499 |
2,776 |
$154K |
| 92551 |
|
20,113 |
11,585 |
$141K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
3,657 |
2,117 |
$90K |
| 99381 |
|
2,140 |
1,462 |
$82K |
| 90648 |
|
11,271 |
7,253 |
$65K |
| 90670 |
|
8,521 |
5,637 |
$52K |
| 90680 |
|
7,718 |
5,094 |
$50K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,734 |
2,818 |
$50K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,309 |
817 |
$48K |
| 90723 |
|
8,290 |
5,442 |
$46K |
| 90686 |
|
7,494 |
4,446 |
$46K |
| 90633 |
|
6,479 |
3,958 |
$40K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
551 |
539 |
$38K |
| 85018 |
|
29,101 |
17,105 |
$28K |
| 90651 |
|
3,360 |
1,985 |
$27K |
| 90685 |
|
3,814 |
2,353 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
294 |
271 |
$23K |
| G9919 |
Screening performed and positive and provision of recommendations |
1,214 |
744 |
$22K |
| 83655 |
|
3,803 |
2,368 |
$22K |
| 90671 |
|
2,298 |
1,365 |
$20K |
| 90700 |
|
3,181 |
1,930 |
$19K |
| 99173 |
|
7,271 |
4,529 |
$18K |
| 90740 |
|
2,384 |
1,345 |
$17K |
| 96127 |
|
4,867 |
2,774 |
$15K |
| 90696 |
|
2,561 |
1,486 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,837 |
2,407 |
$14K |
| 90716 |
|
2,339 |
1,395 |
$14K |
| 90707 |
|
2,216 |
1,316 |
$13K |
| 99462 |
|
617 |
362 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
930 |
505 |
$12K |
| 90734 |
|
1,378 |
852 |
$8K |
| 90715 |
|
1,513 |
869 |
$8K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
739 |
452 |
$8K |
| 90619 |
|
1,291 |
700 |
$8K |
| 99383 |
|
172 |
119 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,488 |
6,211 |
$7K |
| 90621 |
|
717 |
380 |
$7K |
| 90710 |
|
974 |
640 |
$7K |
| 81003 |
|
5,733 |
3,113 |
$6K |
| 94664 |
|
680 |
414 |
$4K |
| 90677 |
|
563 |
314 |
$3K |
| 86580 |
|
1,376 |
927 |
$3K |
| 90461 |
|
3,801 |
3,675 |
$3K |
| 99382 |
|
62 |
45 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
548 |
387 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
599 |
398 |
$2K |
| 90655 |
|
103 |
97 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
40 |
20 |
$926.24 |
| 90658 |
|
61 |
52 |
$604.86 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
132 |
83 |
$495.86 |
| 99177 |
|
6,313 |
5,924 |
$414.00 |
| 90657 |
|
23 |
22 |
$245.25 |
| 90713 |
|
20 |
19 |
$186.75 |
| 90656 |
|
12 |
12 |
$129.60 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
24 |
12 |
$69.46 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
42 |
41 |
$16.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
103 |
97 |
$13.46 |
| 90381 |
|
115 |
65 |
$0.52 |
| 90380 |
|
46 |
28 |
$0.20 |
| 91305 |
|
196 |
176 |
$0.00 |
| 0052A |
|
97 |
97 |
$0.00 |
| 96380 |
|
14 |
14 |
$0.00 |
| J1094 |
Injection, dexamethasone acetate, 1 mg |
49 |
38 |
$0.00 |
| 0051A |
|
76 |
74 |
$0.00 |
| 0001A |
|
223 |
207 |
$0.00 |
| 91307 |
|
282 |
250 |
$0.00 |
| 0002A |
|
159 |
146 |
$0.00 |
| 91300 |
|
300 |
270 |
$0.00 |
| 96381 |
|
63 |
63 |
$0.00 |