| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
53,841 |
39,888 |
$6.41M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,814 |
1,693 |
$130K |
| 90834 |
Psychotherapy, 45 minutes with patient |
5,661 |
3,372 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,305 |
8,507 |
$6K |
| 90686 |
|
2,420 |
2,331 |
$3K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
12 |
12 |
$1K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
24 |
24 |
$1K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
29 |
29 |
$884.38 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,388 |
19,681 |
$820.83 |
| 90680 |
|
798 |
696 |
$695.35 |
| 90670 |
|
707 |
689 |
$556.28 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
29 |
$477.12 |
| 0011A |
|
14 |
14 |
$237.67 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,138 |
3,935 |
$195.07 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,368 |
3,040 |
$139.07 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
509 |
472 |
$1.62 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
520 |
417 |
$0.00 |
| 90621 |
|
47 |
47 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,981 |
1,900 |
$0.00 |
| 99173 |
|
119 |
116 |
$0.00 |
| 99188 |
|
140 |
139 |
$0.00 |
| 90461 |
|
1,108 |
1,058 |
$0.00 |
| 90633 |
|
522 |
495 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
911 |
819 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,208 |
1,917 |
$0.00 |
| 81025 |
|
127 |
122 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
157 |
146 |
$0.00 |
| 90707 |
|
63 |
61 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,052 |
1,039 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
222 |
211 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
670 |
659 |
$0.00 |
| 81003 |
|
154 |
146 |
$0.00 |
| 90715 |
|
376 |
356 |
$0.00 |
| 90671 |
|
524 |
504 |
$0.00 |
| 90681 |
|
44 |
40 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
50 |
47 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
164 |
157 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
444 |
294 |
$0.00 |
| 90710 |
|
36 |
36 |
$0.00 |
| 90685 |
|
13 |
13 |
$0.00 |
| 90734 |
|
44 |
44 |
$0.00 |
| 90698 |
|
1,168 |
1,014 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
353 |
349 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,932 |
1,753 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
255 |
192 |
$0.00 |
| 90651 |
|
421 |
410 |
$0.00 |
| 90744 |
|
281 |
220 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
16 |
16 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
12 |
$0.00 |
| 90697 |
|
197 |
189 |
$0.00 |
| 90716 |
|
76 |
74 |
$0.00 |
| 91301 |
|
14 |
14 |
$0.00 |
| 90619 |
|
43 |
42 |
$0.00 |
| 90696 |
|
32 |
31 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
17 |
16 |
$0.00 |
| 96127 |
|
18 |
17 |
$0.00 |
| 90739 |
|
14 |
13 |
$0.00 |