| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
65,601 |
47,040 |
$18.99M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,028 |
19,835 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,355 |
2,159 |
$892.47 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,345 |
3,084 |
$810.87 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,028 |
6,102 |
$663.44 |
| 0001A |
|
230 |
218 |
$520.20 |
| 0002A |
|
281 |
273 |
$520.10 |
| 99000 |
|
2,583 |
2,313 |
$508.59 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
683 |
582 |
$458.19 |
| 0012A |
|
44 |
44 |
$440.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,427 |
7,810 |
$429.07 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,184 |
2,882 |
$324.82 |
| 97802 |
|
1,841 |
1,701 |
$117.21 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
269 |
247 |
$99.40 |
| 96167 |
|
35 |
34 |
$59.84 |
| 92551 |
|
5,513 |
5,107 |
$46.37 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,717 |
1,432 |
$45.22 |
| 0011A |
|
52 |
52 |
$40.00 |
| 99173 |
|
5,521 |
5,093 |
$11.78 |
| 90686 |
|
1,893 |
1,639 |
$7.66 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,790 |
2,500 |
$0.00 |
| 97803 |
|
1,248 |
1,102 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
370 |
314 |
$0.00 |
| D9996 |
|
3,013 |
2,914 |
$0.00 |
| 0004A |
|
37 |
37 |
$0.00 |
| 90648 |
|
518 |
472 |
$0.00 |
| 90671 |
|
514 |
469 |
$0.00 |
| 90685 |
|
60 |
60 |
$0.00 |
| D0190 |
|
3,173 |
3,077 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
104 |
95 |
$0.00 |
| 90633 |
|
627 |
586 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
188 |
176 |
$0.00 |
| 90710 |
|
158 |
148 |
$0.00 |
| 0071A |
|
137 |
132 |
$0.00 |
| 81002 |
|
74 |
68 |
$0.00 |
| 91300 |
|
416 |
375 |
$0.00 |
| 90707 |
|
68 |
66 |
$0.00 |
| 90681 |
|
216 |
213 |
$0.00 |
| 90670 |
|
915 |
846 |
$0.00 |
| 99177 |
|
292 |
278 |
$0.00 |
| 90715 |
|
176 |
170 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
31 |
30 |
$0.00 |
| 90734 |
|
237 |
211 |
$0.00 |
| 1159F |
|
5,701 |
4,872 |
$0.00 |
| 90700 |
|
65 |
53 |
$0.00 |
| 83655 |
|
229 |
198 |
$0.00 |
| 3078F |
|
5,717 |
5,039 |
$0.00 |
| 81003 |
|
15 |
14 |
$0.00 |
| 0054A |
|
34 |
25 |
$0.00 |
| 99188 |
|
79 |
47 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
31 |
31 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$0.00 |
| 96158 |
|
12 |
12 |
$0.00 |
| 0124A |
|
19 |
17 |
$0.00 |
| 99381 |
|
522 |
496 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
181 |
153 |
$0.00 |
| 90620 |
|
122 |
115 |
$0.00 |
| 1126F |
|
4,686 |
4,073 |
$0.00 |
| 96156 |
|
757 |
713 |
$0.00 |
| 90651 |
|
546 |
504 |
$0.00 |
| D1310 |
|
1,153 |
1,148 |
$0.00 |
| 90680 |
|
329 |
303 |
$0.00 |
| D1330 |
|
1,156 |
1,150 |
$0.00 |
| 96150 |
|
549 |
450 |
$0.00 |
| 90698 |
|
205 |
204 |
$0.00 |
| 3008F |
|
6,745 |
5,926 |
$0.00 |
| 3074F |
|
5,783 |
5,097 |
$0.00 |
| 90716 |
|
70 |
69 |
$0.00 |
| 99383 |
|
126 |
121 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
1,994 |
1,938 |
$0.00 |
| 1036F |
|
3,449 |
2,983 |
$0.00 |
| 90723 |
|
266 |
252 |
$0.00 |
| 90697 |
|
225 |
206 |
$0.00 |
| 2001F |
|
6,530 |
5,731 |
$0.00 |
| 90744 |
|
86 |
86 |
$0.00 |
| 90688 |
|
153 |
151 |
$0.00 |
| 90619 |
|
311 |
300 |
$0.00 |
| 90696 |
|
92 |
87 |
$0.00 |
| 85018 |
|
263 |
232 |
$0.00 |
| 92558 |
|
123 |
106 |
$0.00 |
| 96151 |
|
170 |
152 |
$0.00 |
| 36416 |
|
52 |
44 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
57 |
46 |
$0.00 |
| 96161 |
|
148 |
119 |
$0.00 |
| 92587 |
|
132 |
94 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
143 |
137 |
$0.00 |
| 99384 |
|
71 |
71 |
$0.00 |
| 95117 |
|
155 |
61 |
$0.00 |
| 1125F |
|
56 |
55 |
$0.00 |
| 87807 |
|
37 |
36 |
$0.00 |
| 90656 |
|
203 |
195 |
$0.00 |
| 0072A |
|
135 |
132 |
$0.00 |
| 91301 |
|
81 |
80 |
$0.00 |
| 96380 |
|
13 |
13 |
$0.00 |
| 90480 |
|
17 |
17 |
$0.00 |
| 0074A |
|
16 |
13 |
$0.00 |