| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
42,182 |
31,929 |
$9.39M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,903 |
18,313 |
$984K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,829 |
2,733 |
$230K |
| 99381 |
|
813 |
808 |
$208K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,962 |
2,827 |
$73K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
633 |
558 |
$44K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
310 |
269 |
$17K |
| 90832 |
Psychotherapy, 30 minutes with patient |
237 |
184 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
230 |
183 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
779 |
729 |
$13K |
| 90837 |
Psychotherapy, 53 minutes with patient |
421 |
247 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
38 |
38 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
73 |
63 |
$1K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
15 |
14 |
$819.78 |
| 59430 |
|
61 |
55 |
$774.00 |
| 0011A |
|
37 |
36 |
$511.83 |
| 99000 |
|
12,397 |
10,694 |
$303.39 |
| 90834 |
Psychotherapy, 45 minutes with patient |
55 |
31 |
$267.90 |
| 81003 |
|
17,651 |
11,362 |
$241.86 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
838 |
791 |
$212.67 |
| 0012A |
|
13 |
12 |
$200.00 |
| 0002A |
|
26 |
20 |
$141.95 |
| 76820 |
|
311 |
259 |
$105.67 |
| 0001A |
|
16 |
13 |
$67.76 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
565 |
431 |
$67.36 |
| 81025 |
|
2,105 |
1,843 |
$14.10 |
| 90715 |
|
1,126 |
1,066 |
$0.01 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,534 |
3,396 |
$0.01 |
| 90686 |
|
2,119 |
2,028 |
$0.01 |
| 90677 |
|
1,114 |
1,083 |
$0.01 |
| 99173 |
|
1,897 |
1,804 |
$0.00 |
| 92552 |
|
711 |
665 |
$0.00 |
| 90461 |
|
1,289 |
1,192 |
$0.00 |
| 90670 |
|
1,196 |
1,161 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
394 |
372 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
863 |
817 |
$0.00 |
| 76813 |
|
29 |
25 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,832 |
1,672 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
728 |
588 |
$0.00 |
| 90633 |
|
617 |
588 |
$0.00 |
| 90473 |
|
558 |
542 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
494 |
445 |
$0.00 |
| 87420 |
|
94 |
87 |
$0.00 |
| 99051 |
|
192 |
179 |
$0.00 |
| 90648 |
|
90 |
90 |
$0.00 |
| 90710 |
|
65 |
57 |
$0.00 |
| 90707 |
|
138 |
132 |
$0.00 |
| 90700 |
|
110 |
108 |
$0.00 |
| 90685 |
|
38 |
38 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
30 |
29 |
$0.00 |
| 91300 |
|
42 |
23 |
$0.00 |
| 90698 |
|
911 |
891 |
$0.00 |
| 90680 |
|
1,469 |
1,431 |
$0.00 |
| 90744 |
|
206 |
201 |
$0.00 |
| 90656 |
|
612 |
609 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
182 |
171 |
$0.00 |
| 90697 |
|
350 |
339 |
$0.00 |
| 92551 |
|
264 |
250 |
$0.00 |
| 90688 |
|
129 |
124 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
182 |
178 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
43 |
43 |
$0.00 |
| 91301 |
|
130 |
118 |
$0.00 |
| 87449 |
|
73 |
73 |
$0.00 |
| 90696 |
|
40 |
32 |
$0.00 |
| D0999 |
Unspecified diagnostic procedure, by report |
35 |
34 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
175 |
138 |
$0.00 |
| 90651 |
|
47 |
40 |
$0.00 |
| 90716 |
|
138 |
132 |
$0.00 |
| 90474 |
|
33 |
33 |
$0.00 |
| 90723 |
|
16 |
16 |
$0.00 |
| D0603 |
|
32 |
31 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
20 |
20 |
$0.00 |