| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
22,814 |
15,802 |
$1.65M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,309 |
13,554 |
$514K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,053 |
3,446 |
$192K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
11,824 |
8,849 |
$113K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,179 |
1,916 |
$88K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,529 |
1,528 |
$82K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,318 |
3,841 |
$80K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,921 |
3,064 |
$74K |
| 99402 |
|
1,725 |
1,189 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
744 |
486 |
$24K |
| 92552 |
|
2,315 |
1,665 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
475 |
297 |
$17K |
| 99177 |
|
2,179 |
1,651 |
$14K |
| 90670 |
|
1,447 |
1,082 |
$14K |
| 90671 |
|
242 |
125 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,852 |
1,252 |
$11K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
280 |
207 |
$8K |
| 90686 |
|
1,427 |
991 |
$8K |
| 90710 |
|
124 |
71 |
$4K |
| 81002 |
|
1,792 |
1,434 |
$4K |
| 99050 |
|
328 |
178 |
$3K |
| 90674 |
|
175 |
74 |
$3K |
| 99441 |
|
290 |
150 |
$2K |
| 90698 |
|
746 |
542 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
744 |
514 |
$973.88 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
237 |
125 |
$962.22 |
| 99173 |
|
695 |
464 |
$961.12 |
| 90633 |
|
159 |
108 |
$916.48 |
| D1208 |
Topical application of fluoride, excluding varnish |
82 |
68 |
$812.95 |
| 36416 |
|
342 |
243 |
$776.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
60 |
41 |
$727.64 |
| 85018 |
|
435 |
331 |
$633.71 |
| 90677 |
|
74 |
47 |
$475.00 |
| 3008F |
|
66 |
59 |
$460.00 |
| 83655 |
|
46 |
41 |
$374.99 |
| 90461 |
|
3,499 |
1,896 |
$274.83 |
| 90681 |
|
258 |
163 |
$231.95 |
| 90685 |
|
169 |
95 |
$156.35 |
| 80061 |
Lipid panel |
13 |
13 |
$135.52 |
| 90744 |
|
198 |
133 |
$120.50 |
| 90696 |
|
31 |
13 |
$94.50 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
665 |
478 |
$50.98 |
| 90648 |
|
43 |
39 |
$45.45 |
| 90649 |
|
33 |
24 |
$20.00 |
| 90723 |
|
29 |
28 |
$10.00 |
| 99072 |
|
21 |
20 |
$0.00 |
| 90734 |
|
19 |
12 |
$0.00 |
| 90697 |
|
33 |
25 |
$0.00 |
| 90619 |
|
18 |
17 |
$0.00 |