| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
58,018 |
44,244 |
$11.64M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,747 |
28,853 |
$1.64M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,620 |
4,594 |
$335K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,866 |
3,838 |
$312K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,066 |
3,700 |
$238K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,292 |
2,287 |
$172K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19,281 |
7,249 |
$126K |
| 87428 |
|
2,789 |
2,611 |
$99K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,225 |
1,212 |
$87K |
| 99381 |
|
771 |
752 |
$78K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,791 |
2,598 |
$53K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,010 |
5,931 |
$32K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
223 |
211 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
771 |
730 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
462 |
443 |
$26K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,474 |
5,110 |
$24K |
| 59430 |
|
280 |
246 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,575 |
2,431 |
$18K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
373 |
328 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,446 |
2,211 |
$14K |
| 87807 |
|
2,066 |
1,971 |
$14K |
| 90461 |
|
3,699 |
3,186 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
138 |
125 |
$10K |
| 81003 |
|
9,109 |
6,162 |
$9K |
| 81025 |
|
2,692 |
2,503 |
$8K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
121 |
110 |
$6K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
49 |
48 |
$5K |
| 92553 |
|
253 |
253 |
$5K |
| 90619 |
|
252 |
240 |
$4K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,131 |
1,075 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
94 |
84 |
$2K |
| 76801 |
|
40 |
36 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
26 |
25 |
$1K |
| 99382 |
|
13 |
13 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$665.61 |
| 92551 |
|
2,679 |
2,614 |
$588.97 |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
26 |
25 |
$550.64 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$428.05 |
| 99000 |
|
569 |
554 |
$355.43 |
| 0072A |
|
14 |
13 |
$280.00 |
| 84030 |
|
104 |
102 |
$260.35 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
173 |
143 |
$104.36 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
272 |
247 |
$90.68 |
| 90686 |
|
942 |
924 |
$73.05 |
| 96160 |
|
54 |
51 |
$45.51 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
99 |
95 |
$41.25 |
| 90715 |
|
177 |
172 |
$30.48 |
| S9470 |
Nutritional counseling, dietitian visit |
145 |
133 |
$0.11 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
590 |
532 |
$0.04 |
| 90661 |
|
181 |
181 |
$0.01 |
| 90716 |
|
771 |
763 |
$0.00 |
| 90680 |
|
2,095 |
2,081 |
$0.00 |
| 90723 |
|
2,111 |
2,094 |
$0.00 |
| 90744 |
|
274 |
273 |
$0.00 |
| 90696 |
|
623 |
617 |
$0.00 |
| 1036F |
|
897 |
786 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
554 |
535 |
$0.00 |
| 90651 |
|
277 |
269 |
$0.00 |
| 90474 |
|
370 |
368 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
52 |
45 |
$0.00 |
| 90698 |
|
421 |
421 |
$0.00 |
| 88142 |
|
27 |
26 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
346 |
320 |
$0.00 |
| 90677 |
|
233 |
233 |
$0.00 |
| 36416 |
|
30 |
30 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
13 |
12 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |
| 96127 |
|
32 |
32 |
$0.00 |
| 99173 |
|
3,000 |
2,935 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
512 |
374 |
$0.00 |
| 90700 |
|
750 |
735 |
$0.00 |
| 90707 |
|
763 |
755 |
$0.00 |
| 90648 |
|
2,707 |
2,681 |
$0.00 |
| 90670 |
|
2,324 |
2,305 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
13 |
13 |
$0.00 |
| 90710 |
|
647 |
641 |
$0.00 |
| 90633 |
|
1,721 |
1,702 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
265 |
242 |
$0.00 |
| 90671 |
|
647 |
641 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
396 |
336 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
722 |
688 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
214 |
182 |
$0.00 |
| 90734 |
|
50 |
48 |
$0.00 |