| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
21,830 |
16,013 |
$3.64M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,078 |
10,790 |
$393K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,394 |
1,340 |
$80K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
805 |
781 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
703 |
628 |
$26K |
| 59430 |
|
327 |
284 |
$25K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
167 |
161 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
439 |
378 |
$24K |
| 99000 |
|
4,634 |
4,173 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
145 |
136 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
216 |
204 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
125 |
96 |
$5K |
| 99385 |
|
34 |
28 |
$5K |
| 99381 |
|
42 |
41 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
999 |
814 |
$3K |
| 81025 |
|
1,066 |
973 |
$2K |
| 90715 |
|
167 |
159 |
$1K |
| 90686 |
|
1,077 |
1,048 |
$881.06 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
167 |
153 |
$575.66 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,802 |
2,694 |
$567.61 |
| 81002 |
|
104 |
97 |
$119.72 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,153 |
1,626 |
$103.80 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
12 |
12 |
$29.48 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
13 |
13 |
$29.48 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
129 |
122 |
$0.38 |
| 90633 |
|
215 |
208 |
$0.00 |
| 99173 |
|
264 |
258 |
$0.00 |
| 90670 |
|
494 |
482 |
$0.00 |
| 3725F |
|
312 |
288 |
$0.00 |
| 90473 |
|
153 |
151 |
$0.00 |
| 3078F |
|
768 |
646 |
$0.00 |
| 90700 |
|
14 |
12 |
$0.00 |
| 90648 |
|
27 |
27 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 96160 |
|
29 |
26 |
$0.00 |
| 90677 |
|
556 |
532 |
$0.00 |
| 92551 |
|
116 |
115 |
$0.00 |
| 3075F |
|
61 |
53 |
$0.00 |
| 90680 |
|
625 |
608 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
154 |
145 |
$0.00 |
| 90697 |
|
308 |
302 |
$0.00 |
| 3074F |
|
846 |
713 |
$0.00 |
| 1036F |
|
853 |
627 |
$0.00 |
| 3008F |
|
1,153 |
960 |
$0.00 |
| 90698 |
|
26 |
26 |
$0.00 |
| 90656 |
|
91 |
83 |
$0.00 |
| 3079F |
|
174 |
154 |
$0.00 |
| 1126F |
|
709 |
573 |
$0.00 |
| 36416 |
|
122 |
115 |
$0.00 |
| 90474 |
|
145 |
138 |
$0.00 |
| 1125F |
|
14 |
12 |
$0.00 |
| 96161 |
|
34 |
33 |
$0.00 |
| 96127 |
|
55 |
48 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 87428 |
|
19 |
12 |
$0.00 |