| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
146,245 |
108,342 |
$22.62M |
| 0503F |
|
3,394 |
2,923 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,309 |
30,130 |
$2K |
| 90688 |
|
543 |
476 |
$2K |
| 90734 |
|
2,294 |
2,041 |
$2K |
| 90670 |
|
7,440 |
6,725 |
$942.15 |
| 90651 |
|
3,284 |
2,984 |
$857.62 |
| 90716 |
|
5,117 |
4,646 |
$854.14 |
| 90633 |
|
5,084 |
4,626 |
$539.50 |
| 90707 |
|
4,923 |
4,464 |
$367.40 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,328 |
2,069 |
$341.30 |
| 58300 |
|
444 |
428 |
$264.00 |
| 90715 |
|
1,921 |
1,776 |
$185.40 |
| 11981 |
|
412 |
407 |
$176.00 |
| 90723 |
|
7,736 |
7,114 |
$150.76 |
| 0500F |
|
5,256 |
4,929 |
$144.96 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,307 |
2,018 |
$139.41 |
| 90647 |
|
7,531 |
6,877 |
$138.76 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,268 |
1,030 |
$133.22 |
| 90696 |
|
1,756 |
1,624 |
$103.34 |
| 0502F |
|
32,867 |
19,530 |
$88.20 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
918 |
868 |
$85.65 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,479 |
1,384 |
$78.09 |
| 90686 |
|
6,169 |
5,561 |
$76.12 |
| 99386 |
|
193 |
190 |
$66.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,934 |
1,630 |
$47.10 |
| 58301 |
|
79 |
79 |
$42.14 |
| 90700 |
|
2,234 |
2,059 |
$26.16 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,240 |
7,731 |
$25.65 |
| 90619 |
|
953 |
940 |
$16.71 |
| 90681 |
|
4,420 |
4,046 |
$12.80 |
| 81003 |
|
728 |
691 |
$6.54 |
| 81002 |
|
14,706 |
10,226 |
$5.20 |
| 81025 |
|
2,898 |
2,678 |
$5.17 |
| 85018 |
|
19,905 |
18,067 |
$4.64 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,580 |
5,096 |
$0.00 |
| 90685 |
|
303 |
248 |
$0.00 |
| 82948 |
|
2,588 |
2,224 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12,377 |
10,784 |
$0.00 |
| 99382 |
|
263 |
247 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,667 |
6,939 |
$0.00 |
| 3077F |
|
245 |
222 |
$0.00 |
| 1160F |
|
27,730 |
21,323 |
$0.00 |
| 90713 |
|
234 |
225 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,634 |
8,851 |
$0.00 |
| 90671 |
|
2,022 |
1,940 |
$0.00 |
| 3078F |
|
30,891 |
24,522 |
$0.00 |
| 1159F |
|
27,496 |
21,097 |
$0.00 |
| 11982 |
|
83 |
83 |
$0.00 |
| 3046F |
|
19 |
14 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
155 |
143 |
$0.00 |
| 69210 |
|
14 |
13 |
$0.00 |
| 90687 |
|
40 |
40 |
$0.00 |
| 1125F |
|
1,493 |
1,409 |
$0.00 |
| 3074F |
|
33,005 |
25,964 |
$0.00 |
| 1126F |
|
17,090 |
13,928 |
$0.00 |
| 3075F |
|
705 |
640 |
$0.00 |
| 99385 |
|
663 |
653 |
$0.00 |
| 99381 |
|
2,715 |
2,613 |
$0.00 |
| 3079F |
|
2,881 |
2,623 |
$0.00 |
| 99384 |
|
396 |
350 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
596 |
401 |
$0.00 |
| 86701 |
|
90 |
83 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
912 |
857 |
$0.00 |
| 3080F |
|
113 |
106 |
$0.00 |
| 99383 |
|
787 |
713 |
$0.00 |
| 90656 |
|
501 |
472 |
$0.00 |
| 94760 |
|
88 |
61 |
$0.00 |
| 88142 |
|
196 |
189 |
$0.00 |
| 87808 |
|
162 |
151 |
$0.00 |
| 1170F |
|
427 |
406 |
$0.00 |
| 90744 |
|
35 |
34 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
155 |
143 |
$0.00 |
| 57454 |
|
12 |
12 |
$0.00 |
| 86580 |
|
58 |
28 |
$0.00 |
| 3044F |
|
52 |
30 |
$0.00 |