| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
38,992 |
29,645 |
$4.40M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,318 |
18,651 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,410 |
9,162 |
$32K |
| 96127 |
|
875 |
776 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
688 |
670 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
612 |
580 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,568 |
2,464 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
216 |
212 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
910 |
865 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,526 |
1,435 |
$2K |
| 87428 |
|
58 |
55 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,013 |
965 |
$1K |
| 99215 |
Prolong outpt/office vis |
264 |
247 |
$987.36 |
| 0002A |
|
134 |
132 |
$640.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
108 |
100 |
$586.54 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
573 |
548 |
$578.49 |
| 90651 |
|
203 |
196 |
$495.85 |
| 0001A |
|
143 |
143 |
$480.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,460 |
1,314 |
$438.01 |
| 90686 |
|
1,378 |
1,344 |
$269.99 |
| 3074F |
|
193 |
161 |
$240.00 |
| 90734 |
|
207 |
202 |
$225.86 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
268 |
245 |
$204.86 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
108 |
96 |
$202.54 |
| 3078F |
|
199 |
159 |
$180.00 |
| 3079F |
|
83 |
77 |
$120.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
149 |
136 |
$102.95 |
| 90461 |
|
1,123 |
1,088 |
$84.08 |
| 90715 |
|
133 |
126 |
$80.29 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
835 |
815 |
$61.08 |
| 0134A |
|
26 |
25 |
$40.00 |
| 3077F |
|
30 |
25 |
$40.00 |
| 90656 |
|
123 |
122 |
$19.86 |
| 36415 |
Collection of venous blood by venipuncture |
86 |
72 |
$9.34 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
17 |
15 |
$2.05 |
| 3075F |
|
68 |
63 |
$0.00 |
| 90680 |
|
53 |
52 |
$0.00 |
| 90647 |
|
105 |
101 |
$0.00 |
| 90697 |
|
24 |
24 |
$0.00 |
| 91307 |
|
74 |
70 |
$0.00 |
| 90696 |
|
44 |
42 |
$0.00 |
| 90677 |
|
71 |
71 |
$0.00 |
| 90723 |
|
65 |
64 |
$0.00 |
| 3044F |
|
35 |
28 |
$0.00 |
| 95117 |
|
50 |
24 |
$0.00 |
| 0072A |
|
17 |
17 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| 3080F |
|
16 |
12 |
$0.00 |
| 90710 |
|
46 |
44 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
40 |
38 |
$0.00 |
| 90671 |
|
25 |
25 |
$0.00 |
| 91300 |
|
337 |
317 |
$0.00 |
| 90670 |
|
286 |
277 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
12 |
$0.00 |
| 91313 |
|
26 |
25 |
$0.00 |
| 0071A |
|
28 |
28 |
$0.00 |