| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
36,869 |
25,859 |
$5.50M |
| 71015 |
|
194 |
38 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,396 |
4,430 |
$29.79 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,266 |
2,483 |
$3.26 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,429 |
1,106 |
$3.19 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,273 |
13,422 |
$2.26 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,730 |
2,831 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,734 |
2,785 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
410 |
340 |
$0.00 |
| 90710 |
|
265 |
216 |
$0.00 |
| 3078F |
|
3,528 |
2,986 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
742 |
614 |
$0.00 |
| 83655 |
|
422 |
303 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
842 |
723 |
$0.00 |
| 90648 |
|
201 |
149 |
$0.00 |
| 1160F |
|
1,074 |
827 |
$0.00 |
| 99173 |
|
1,515 |
1,106 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
20 |
13 |
$0.00 |
| 81002 |
|
291 |
192 |
$0.00 |
| 90670 |
|
705 |
506 |
$0.00 |
| 90633 |
|
587 |
456 |
$0.00 |
| 90671 |
|
516 |
448 |
$0.00 |
| 90681 |
|
106 |
103 |
$0.00 |
| 3725F |
|
361 |
276 |
$0.00 |
| 1159F |
|
1,062 |
816 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
415 |
177 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
514 |
402 |
$0.00 |
| 81025 |
|
105 |
94 |
$0.00 |
| 3077F |
|
61 |
57 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
22 |
19 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
21 |
19 |
$0.00 |
| 90734 |
|
22 |
14 |
$0.00 |
| 11721 |
|
48 |
38 |
$0.00 |
| 90474 |
|
1,072 |
788 |
$0.00 |
| 3008F |
|
4,853 |
4,107 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,251 |
2,173 |
$0.00 |
| 90680 |
|
653 |
504 |
$0.00 |
| 82962 |
|
75 |
64 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,728 |
4,208 |
$0.00 |
| 87428 |
|
271 |
215 |
$0.00 |
| 3074F |
|
3,890 |
3,266 |
$0.00 |
| 3079F |
|
288 |
243 |
$0.00 |
| 87807 |
|
120 |
93 |
$0.00 |
| 1034F |
|
259 |
220 |
$0.00 |
| 1036F |
|
1,575 |
1,322 |
$0.00 |
| 90697 |
|
505 |
443 |
$0.00 |
| 85018 |
|
658 |
499 |
$0.00 |
| 92551 |
|
1,359 |
944 |
$0.00 |
| 1125F |
|
706 |
599 |
$0.00 |
| 90698 |
|
636 |
443 |
$0.00 |
| 90723 |
|
77 |
63 |
$0.00 |
| 90696 |
|
44 |
28 |
$0.00 |
| 90744 |
|
370 |
246 |
$0.00 |
| 90686 |
|
326 |
273 |
$0.00 |
| 36416 |
|
167 |
126 |
$0.00 |
| 90677 |
|
332 |
286 |
$0.00 |
| 1126F |
|
244 |
200 |
$0.00 |
| 00000 |
|
344 |
266 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
32 |
13 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
132 |
53 |
$0.00 |
| 93000 |
|
73 |
71 |
$0.00 |
| 90651 |
|
29 |
14 |
$0.00 |
| 3075F |
|
30 |
27 |
$0.00 |
| 90619 |
|
47 |
44 |
$0.00 |
| 20610 |
|
45 |
41 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
110 |
47 |
$0.00 |
| 99381 |
|
12 |
12 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
231 |
77 |
$0.00 |
| 96127 |
|
22 |
14 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
103 |
66 |
$0.00 |
| 90656 |
|
117 |
92 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
38 |
15 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |
| 99305 |
|
47 |
38 |
$0.00 |