| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,988 |
13,343 |
$1.85M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,645 |
6,913 |
$311K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,337 |
1,251 |
$94K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,159 |
1,105 |
$81K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,039 |
1,010 |
$75K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,928 |
1,840 |
$65K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
638 |
579 |
$32K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
426 |
417 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,188 |
2,087 |
$18K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
357 |
336 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,721 |
1,568 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
695 |
334 |
$6K |
| 97803 |
|
414 |
400 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
389 |
343 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
114 |
110 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
28 |
$1K |
| 97802 |
|
194 |
182 |
$980.69 |
| 81025 |
|
220 |
205 |
$520.56 |
| 92552 |
|
874 |
832 |
$348.31 |
| 99000 |
|
28 |
28 |
$237.60 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
26 |
$184.66 |
| 96160 |
|
526 |
484 |
$156.99 |
| 87807 |
|
12 |
12 |
$110.00 |
| 81003 |
|
103 |
80 |
$86.94 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,056 |
2,933 |
$86.62 |
| 2015F |
|
1,116 |
1,020 |
$40.00 |
| 90686 |
|
1,121 |
1,091 |
$19.26 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
124 |
115 |
$5.76 |
| 90461 |
|
1,433 |
1,381 |
$1.60 |
| 90620 |
|
238 |
221 |
$1.37 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
246 |
237 |
$0.37 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
75 |
69 |
$0.03 |
| 90715 |
|
114 |
109 |
$0.02 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
126 |
122 |
$0.02 |
| 96161 |
|
30 |
29 |
$0.02 |
| 90670 |
|
467 |
454 |
$0.00 |
| 3028F |
|
944 |
792 |
$0.00 |
| 99173 |
|
2,818 |
2,647 |
$0.00 |
| 4120F |
|
2,479 |
2,343 |
$0.00 |
| 4124F |
|
611 |
588 |
$0.00 |
| 1033F |
|
697 |
632 |
$0.00 |
| 4025F |
|
133 |
110 |
$0.00 |
| 1039F |
|
1,432 |
1,333 |
$0.00 |
| 90633 |
|
133 |
129 |
$0.00 |
| 3210F |
|
130 |
126 |
$0.00 |
| 4325F |
|
35 |
29 |
$0.00 |
| 90700 |
|
15 |
13 |
$0.00 |
| 90734 |
|
455 |
444 |
$0.00 |
| 90710 |
|
160 |
154 |
$0.00 |
| 90671 |
|
18 |
14 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
36 |
36 |
$0.00 |
| 5250F |
|
68 |
64 |
$0.00 |
| 2016F |
|
1,404 |
1,290 |
$0.00 |
| 96127 |
|
464 |
424 |
$0.00 |
| 2010F |
|
940 |
782 |
$0.00 |
| 1038F |
|
535 |
480 |
$0.00 |
| 1031F |
|
461 |
444 |
$0.00 |
| 90680 |
|
68 |
64 |
$0.00 |
| 90651 |
|
517 |
496 |
$0.00 |
| 90723 |
|
76 |
74 |
$0.00 |
| 36416 |
|
156 |
146 |
$0.00 |
| 2030F |
|
116 |
110 |
$0.00 |
| 3351F |
|
81 |
76 |
$0.00 |
| 90647 |
|
152 |
149 |
$0.00 |
| 4140F |
|
239 |
220 |
$0.00 |
| 4056F |
|
27 |
27 |
$0.00 |
| 2000F |
|
745 |
613 |
$0.00 |
| 3008F |
|
1,307 |
1,141 |
$0.00 |
| 1005F |
|
89 |
65 |
$0.00 |
| 2001F |
|
43 |
39 |
$0.00 |
| 4293F |
|
12 |
12 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |