| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,079 |
6,627 |
$1.62M |
| T1015 |
Clinic visit/encounter, all-inclusive |
5,573 |
4,776 |
$852K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,318 |
1,264 |
$312K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
964 |
949 |
$215K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,307 |
1,231 |
$65K |
| 90832 |
Psychotherapy, 30 minutes with patient |
182 |
154 |
$31K |
| 90834 |
Psychotherapy, 45 minutes with patient |
90 |
81 |
$25K |
| 99490 |
Ccm add 20min |
670 |
670 |
$21K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
663 |
612 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
52 |
51 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
29 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26 |
26 |
$5K |
| 0012A |
|
62 |
58 |
$2K |
| 0011A |
|
45 |
44 |
$2K |
| 96127 |
|
1,798 |
1,757 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,164 |
1,136 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
389 |
199 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
210 |
197 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
385 |
382 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
75 |
72 |
$423.73 |
| 97803 |
|
14 |
12 |
$291.01 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
90 |
88 |
$234.60 |
| 81003 |
|
177 |
172 |
$128.03 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
27 |
27 |
$71.10 |
| 90461 |
|
24 |
24 |
$48.15 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
26 |
$42.82 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
13 |
$14.88 |
| 82948 |
|
13 |
13 |
$3.60 |
| 85018 |
|
17 |
17 |
$2.70 |
| 94760 |
|
496 |
457 |
$1.85 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
233 |
210 |
$0.03 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
314 |
287 |
$0.02 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
316 |
291 |
$0.01 |
| 3008F |
|
130 |
123 |
$0.00 |
| 99000 |
|
375 |
361 |
$0.00 |
| 1125F |
|
67 |
63 |
$0.00 |
| 1126F |
|
304 |
293 |
$0.00 |
| 36416 |
|
15 |
15 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| 3074F |
|
13 |
13 |
$0.00 |
| 1159F |
|
683 |
646 |
$0.00 |
| 1160F |
|
450 |
427 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
53 |
50 |
$0.00 |
| 99173 |
|
13 |
13 |
$0.00 |