| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
55,003 |
44,968 |
$15.34M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,003 |
23,710 |
$15K |
| T1016 |
Case management, each 15 minutes |
609 |
510 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,842 |
14,992 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,572 |
1,515 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,969 |
1,197 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,256 |
2,700 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,647 |
2,150 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,014 |
1,560 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,893 |
1,728 |
$2K |
| 80053 |
Comprehensive metabolic panel |
7,404 |
6,954 |
$1K |
| 80074 |
|
484 |
430 |
$531.94 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,171 |
2,779 |
$342.06 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,017 |
594 |
$324.91 |
| 99381 |
|
18 |
12 |
$321.70 |
| 86480 |
|
352 |
337 |
$279.23 |
| 80061 |
Lipid panel |
5,602 |
5,297 |
$243.45 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
616 |
540 |
$191.87 |
| 86803 |
|
335 |
316 |
$183.94 |
| 90474 |
|
210 |
184 |
$114.02 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,374 |
7,436 |
$69.59 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,546 |
1,522 |
$44.40 |
| 84443 |
Thyroid stimulating hormone (TSH) |
4,076 |
3,796 |
$34.54 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
339 |
312 |
$25.61 |
| 82570 |
|
1,323 |
1,229 |
$11.23 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,579 |
6,231 |
$9.95 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,976 |
1,872 |
$0.00 |
| 90656 |
|
173 |
132 |
$0.00 |
| 86780 |
|
226 |
217 |
$0.00 |
| 86592 |
|
1,224 |
1,158 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,437 |
6,036 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
440 |
397 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
913 |
853 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,198 |
2,068 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
13,418 |
12,146 |
$0.00 |
| 90686 |
|
2,605 |
2,448 |
$0.00 |
| 85027 |
|
474 |
433 |
$0.00 |
| 99383 |
|
22 |
13 |
$0.00 |
| 3079F |
|
905 |
875 |
$0.00 |
| 3080F |
|
362 |
353 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,346 |
2,261 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
808 |
571 |
$0.00 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
333 |
308 |
$0.00 |
| 81001 |
|
425 |
391 |
$0.00 |
| 3074F |
|
2,449 |
2,303 |
$0.00 |
| 82043 |
|
1,249 |
1,182 |
$0.00 |
| 1126F |
|
1,250 |
1,186 |
$0.00 |
| 82962 |
|
174 |
147 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
422 |
250 |
$0.00 |
| 87430 |
|
96 |
93 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,105 |
1,020 |
$0.00 |
| 82607 |
|
288 |
261 |
$0.00 |
| 3075F |
|
642 |
624 |
$0.00 |
| 83550 |
|
132 |
129 |
$0.00 |
| 90674 |
|
836 |
679 |
$0.00 |
| 90723 |
|
153 |
122 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
48 |
47 |
$0.00 |
| 3044F |
|
119 |
119 |
$0.00 |
| 99385 |
|
64 |
41 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
75 |
73 |
$0.00 |
| 90680 |
|
182 |
158 |
$0.00 |
| 90698 |
|
47 |
42 |
$0.00 |
| 1125F |
|
130 |
128 |
$0.00 |
| T1002 |
Rn services, up to 15 minutes |
27 |
26 |
$0.00 |
| 3049F |
|
14 |
14 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
39 |
39 |
$0.00 |
| 3048F |
|
70 |
70 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
153 |
39 |
$0.00 |
| 90480 |
|
41 |
39 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
68 |
65 |
$0.00 |
| 82728 |
|
26 |
26 |
$0.00 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
38 |
27 |
$0.00 |
| 90732 |
|
27 |
22 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
28 |
14 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 82746 |
|
13 |
12 |
$0.00 |
| 90670 |
|
861 |
748 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,197 |
2,067 |
$0.00 |
| H2027 |
Psychoeducational service, per 15 minutes |
95 |
88 |
$0.00 |
| 90685 |
|
196 |
162 |
$0.00 |
| H2014 |
Skills training and development, per 15 minutes |
966 |
924 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
1,055 |
779 |
$0.00 |
| 1159F |
|
2,974 |
2,754 |
$0.00 |
| 90715 |
|
1,016 |
949 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
73 |
47 |
$0.00 |
| 84450 |
|
61 |
50 |
$0.00 |
| 1160F |
|
2,110 |
1,990 |
$0.00 |
| 3077F |
|
612 |
596 |
$0.00 |
| 90734 |
|
193 |
169 |
$0.00 |
| 85610 |
|
49 |
38 |
$0.00 |
| 85007 |
|
474 |
433 |
$0.00 |
| 90648 |
|
208 |
167 |
$0.00 |
| 90649 |
|
526 |
439 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
408 |
385 |
$0.00 |
| 81003 |
|
2,195 |
1,873 |
$0.00 |
| 90633 |
|
220 |
188 |
$0.00 |
| 81025 |
|
900 |
814 |
$0.00 |
| 3078F |
|
2,391 |
2,259 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
436 |
275 |
$0.00 |
| 83655 |
|
184 |
165 |
$0.00 |
| D0330 |
Panoramic radiographic image |
136 |
91 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
216 |
184 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
57 |
37 |
$0.00 |
| 83540 |
|
138 |
131 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
230 |
133 |
$0.00 |
| 81513 |
|
68 |
65 |
$0.00 |
| 84439 |
|
196 |
184 |
$0.00 |
| 90710 |
|
27 |
26 |
$0.00 |
| 91322 |
|
30 |
29 |
$0.00 |
| 87481 |
|
68 |
65 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
134 |
121 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
28 |
28 |
$0.00 |
| 84460 |
|
61 |
50 |
$0.00 |
| 87631 |
|
48 |
47 |
$0.00 |
| 90682 |
|
58 |
54 |
$0.00 |
| 82274 |
|
13 |
13 |
$0.00 |
| 90653 |
|
16 |
16 |
$0.00 |
| 90671 |
|
12 |
12 |
$0.00 |