| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,785 |
4,741 |
$534K |
| 90832 |
Psychotherapy, 30 minutes with patient |
5,993 |
2,554 |
$137K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,727 |
1,366 |
$61K |
| 99384 |
|
948 |
553 |
$37K |
| 92587 |
|
2,149 |
1,285 |
$24K |
| 92015 |
Determination of refractive state |
1,897 |
1,150 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
636 |
367 |
$22K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,006 |
626 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,137 |
545 |
$13K |
| 99188 |
|
495 |
438 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
354 |
189 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
112 |
98 |
$4K |
| 86703 |
|
513 |
442 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
219 |
195 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
349 |
322 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
70 |
36 |
$2K |
| 81025 |
|
507 |
244 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
123 |
107 |
$1K |
| 0071A |
|
39 |
29 |
$1K |
| 0072A |
|
43 |
28 |
$1K |
| 92551 |
|
255 |
143 |
$817.12 |
| 82962 |
|
602 |
356 |
$799.98 |
| 99173 |
|
548 |
303 |
$550.80 |
| 86780 |
|
45 |
45 |
$417.06 |
| 98940 |
|
27 |
21 |
$396.66 |
| 81002 |
|
199 |
128 |
$313.85 |
| 90619 |
|
209 |
142 |
$301.06 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
34 |
19 |
$247.23 |
| 90651 |
|
160 |
110 |
$241.85 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
16 |
12 |
$224.48 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
48 |
24 |
$175.57 |
| 96127 |
|
79 |
42 |
$148.46 |
| D1206 |
Topical application of fluoride varnish |
25 |
12 |
$138.00 |
| 90734 |
|
340 |
202 |
$115.88 |
| 90686 |
|
70 |
44 |
$19.03 |
| 90461 |
|
311 |
190 |
$15.00 |
| 91307 |
|
93 |
64 |
$0.23 |
| 91300 |
|
50 |
30 |
$0.09 |
| 90715 |
|
42 |
29 |
$0.00 |
| 3078F |
|
171 |
92 |
$0.00 |
| 3074F |
|
205 |
114 |
$0.00 |
| 3044F |
|
374 |
237 |
$0.00 |
| 1036F |
|
1,971 |
1,160 |
$0.00 |
| 90620 |
|
89 |
52 |
$0.00 |
| 3008F |
|
795 |
526 |
$0.00 |