| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
41,242 |
30,469 |
$8.86M |
| 99199 |
Unlisted special service, procedure or report |
128,603 |
80,097 |
$643K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,240 |
1,820 |
$239K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,200 |
1,783 |
$234K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,020 |
1,694 |
$212K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,917 |
5,504 |
$148K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,237 |
1,007 |
$117K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,814 |
8,498 |
$115K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12,559 |
10,247 |
$93K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
810 |
739 |
$37K |
| 92551 |
|
8,512 |
6,860 |
$27K |
| 99383 |
|
206 |
160 |
$17K |
| 99384 |
|
174 |
139 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,001 |
824 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
888 |
787 |
$12K |
| 85018 |
|
3,739 |
3,064 |
$11K |
| 99173 |
|
8,542 |
6,896 |
$7K |
| 97802 |
|
49 |
37 |
$3K |
| 90474 |
|
244 |
223 |
$2K |
| 99382 |
|
21 |
12 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
607 |
518 |
$1K |
| 90651 |
|
1,360 |
1,089 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
79 |
47 |
$1K |
| 87807 |
|
44 |
44 |
$704.44 |
| 36416 |
|
2,315 |
1,877 |
$641.58 |
| 90686 |
|
2,069 |
1,673 |
$575.67 |
| 90620 |
|
394 |
308 |
$409.94 |
| 90677 |
|
377 |
362 |
$268.63 |
| 90619 |
|
624 |
517 |
$206.42 |
| 96127 |
|
355 |
331 |
$168.18 |
| 90715 |
|
294 |
219 |
$99.26 |
| 99188 |
|
17 |
16 |
$7.55 |
| 90670 |
|
904 |
730 |
$0.00 |
| 90734 |
|
500 |
358 |
$0.00 |
| 3078F |
|
1,947 |
1,795 |
$0.00 |
| 90633 |
|
724 |
591 |
$0.00 |
| 90710 |
|
32 |
24 |
$0.00 |
| 90649 |
|
21 |
16 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 3074F |
|
2,065 |
1,905 |
$0.00 |
| 90680 |
|
242 |
220 |
$0.00 |
| 90647 |
|
673 |
556 |
$0.00 |
| 90656 |
|
384 |
345 |
$0.00 |
| 3008F |
|
2,325 |
2,138 |
$0.00 |
| 90723 |
|
674 |
581 |
$0.00 |
| 4037F |
|
495 |
450 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
259 |
238 |
$0.00 |
| 90732 |
|
22 |
18 |
$0.00 |