| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,611 |
4,578 |
$1.33M |
| 99199 |
Unlisted special service, procedure or report |
127,268 |
80,279 |
$734K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
395 |
379 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
209 |
180 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
473 |
228 |
$6K |
| 81025 |
|
403 |
362 |
$3K |
| 92587 |
|
738 |
706 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
210 |
202 |
$3K |
| 81003 |
|
1,185 |
1,052 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
932 |
804 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
194 |
191 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
13 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
12 |
$992.28 |
| 96160 |
|
315 |
286 |
$972.40 |
| 99173 |
|
1,420 |
1,285 |
$959.51 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34 |
27 |
$838.55 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23 |
18 |
$662.80 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
109 |
80 |
$492.65 |
| 96127 |
|
284 |
262 |
$457.40 |
| 87807 |
|
32 |
27 |
$419.11 |
| 92552 |
|
26 |
19 |
$315.85 |
| 85018 |
|
301 |
290 |
$153.51 |
| 92551 |
|
674 |
608 |
$80.66 |
| 81002 |
|
31 |
29 |
$48.75 |
| 94760 |
|
26 |
26 |
$17.04 |
| 3008F |
|
1,737 |
1,412 |
$2.86 |
| 1159F |
|
1,431 |
1,152 |
$2.78 |
| 2000F |
|
1,715 |
1,377 |
$0.00 |
| 1036F |
|
1,413 |
1,167 |
$0.00 |
| 3074F |
|
1,072 |
902 |
$0.00 |
| 3075F |
|
167 |
157 |
$0.00 |
| 2001F |
|
1,908 |
1,552 |
$0.00 |
| 99000 |
|
114 |
107 |
$0.00 |
| 2010F |
|
1,939 |
1,563 |
$0.00 |
| 3079F |
|
390 |
326 |
$0.00 |
| 3351F |
|
297 |
265 |
$0.00 |
| 1034F |
|
159 |
126 |
$0.00 |
| 3080F |
|
113 |
84 |
$0.00 |
| 1126F |
|
40 |
28 |
$0.00 |
| 3077F |
|
180 |
121 |
$0.00 |
| 99001 |
|
230 |
194 |
$0.00 |
| 1160F |
|
1,431 |
1,152 |
$0.00 |
| 3078F |
|
997 |
846 |
$0.00 |
| 4274F |
|
32 |
26 |
$0.00 |
| 3725F |
|
112 |
103 |
$0.00 |